Washington > Statewide > Domestic Relations > Nonparental Custody
Cover Sheet For Authorization To Release Information To Court CU 03.0540 - Washington
| Cover Sheet For Authorization To Release Information To Court Form. This is a Washington form and can be used in Nonparental Custody Domestic Relations Statewide . |
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SUPERIOR COURT OF WASHINGTON COUNTY OF In re the Custody of: NO. Child(ren), COVER SHEET FOR AUTHORIZATION TO RELEASE INFORMATION TO THE COURT Petitioner(s), (NONPARENTAL CUSTODY) and (****) Clerks Action Required: ACCESS IS RESTRICTED PER RCW 13.50.100 and Respondent(s). GR 22(C)(3) Attached is my written consent for release of information from DCFS/CPS for use in the above captioned cause of action. I understand that information fromDCFS/CPS m ay be released to the parties, their attorneys and the guardian ad litem. _________________________________________ Signature _________________________________________ Print or type name __________________________________________ Date COVER SHEET FOR AUTH. TO REL. INFO. TO CT. (***) - Page 1 of 1 WPF CU 03.0540 (6/2004) RCW 26.10.135(2)(a), RCW 13.50.100, GR 22(c)(3)
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