PROVISIONAL CUSTODY BY MANDATE - Baton Rouge - batonrougenotary 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the date at the top of the form, indicating when the document is being executed.
3. In the first section, provide the affiant’s name, marital status, and mailing address. This identifies who is granting custody.
4. Next, enter the name of the minor child or children for whom provisional custody is being granted.
5. Fill in the agent's name and mailing address who will be granted provisional custody. This person will act on behalf of the parent(s).
6. Review and initial all applicable provisions regarding medical care, education, discipline, and other necessary actions for the child's welfare.
7. Specify the duration of this provisional custody by entering a date or selecting one year from today’s date.
8. Ensure all parties sign where indicated: witnesses, parent(s), and notary public to validate the document.

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