Services visitation form supervised 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your name in the designated fields, including last, first, middle, and any maiden or other names.
  3. Fill in your present address, ensuring to include street, apartment number (if applicable), city, state, and zip code.
  4. Provide your telephone numbers: home, work, cell, and fax.
  5. Indicate your age and date of birth along with your driver's license number and state.
  6. Specify your relationship to the children involved by selecting from the options provided.
  7. List the child or children involved in the court action along with their ages and dates of birth. Use additional pages if necessary.
  8. Complete the court information section with county, court number, and cause number as indicated on your court order.
  9. If applicable, indicate whether there is an Ad Litem or Amicus Attorney assigned and provide their name.
  10. Fill out details for your attorney and any other adults involved in the litigation as required.
  11. List emergency contact persons who are authorized to release children in case you cannot be reached.
  12. Provide children's medical information including any special conditions or allergies they may have.
  13. Sign and date the form before submission along with a color copy of your ID and pictures of the children.

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Supervised visitation is when a parent spends time with their child with a neutral third person (provider) watching and listening during the visit. There are many reasons that a judge may require supervision.
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