Child Custody Contact Log Form
Use this form to record custody exchanges and other contact events, including date, time, location, participants, transport, notes, concerns, and follow-up actions.
Parties and Child Information
Custodial Parent/Guardian Name
*
First Name
Middle Name
Last Name
Other Parent/Guardian Name
*
First Name
Middle Name
Last Name
Child Full Name
*
First Name
Middle Name
Last Name
Child Nickname, if used
Contact/Exchange Event Details
Date of Contact/Exchange
*
 -
Month
 -
Day
Year
Date
Type of Contact/Exchange
*
In-person exchange
Phone call
Video call
Text message
Email
Other
Location
Start Time
Hour Minutes
AM
PM
AM/PM Option
End Time
Hour Minutes
AM
PM
AM/PM Option
Transport and Handover Details
Picked Up By
*
First Name
Middle Name
Last Name
Dropped Off By
*
First Name
Middle Name
Last Name
Transportation Method
*
Please Select
Private Car
School Bus
Public Transit
Walking
Rideshare
Other
Was the Exchange Completed as Planned?
*
Yes
No
Partially
Communication, Notes, and Follow-Up
Communication Notes
*
Incidents or Concerns
Follow-Up Required?
*
No
Yes
Submit Log
Should be Empty: