Legal Custody Discharge Form
Please fill out this form to initiate the discharge of legal custody.
Full Name of Custodial Parent/Guardian
First Name
Last Name
Full Name of Child
First Name
Last Name
Date of Birth of Child
-
Month
-
Day
Year
Date
Reason for Discharge
Date of Discharge
-
Month
-
Day
Year
Date
Signature of Custodial Parent/Guardian
Submit
Should be Empty: