FORM A: CASA COURTESY ASSISTANCE VISIT REQUEST 2026

1. Click ‘Get Form’ to open FORM A: CASA COURTESY ASSISTANCE VISIT REQUEST in the editor.
2. Begin by filling out the 'REQUEST INFORMATION' section. Enter the case name, county of court jurisdiction, and the program requesting courtesy service. Select the provider program from the dropdown menu.
3. Complete the contact details for the staff making the request, including their name, title, phone number, and email address. Indicate if a CASA volunteer is assigned to the case and provide their contact information if applicable.
4. In the 'Date of last visit with child' field, input relevant dates and specify how often visits are required. Provide a brief description of interactions by the CASA volunteer on this case.
5. Attach necessary documents by checking 'Yes' or 'No' for whether the Court Order appointing CASA and the most recent CASA court report are attached.
6. Fill in details regarding service requested, including type (one-time or ongoing) and reason for service. Use the prioritization matrix to check all applicable reasons for your request.
7. Complete 'CHILD INFORMATION' and 'PLACEMENT INFORMATION' sections with accurate data about each child involved in this request.
8. Finally, ensure that both requesting program staff signature and ED or PD signature fields are signed and dated before submitting your form.

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