Petition For Removal From The Child Protection Registry {171} | Pdf Fpdf Doc Docx | Delaware

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Petition For Removal From The Child Protection Registry {171} | Pdf Fpdf Doc Docx | Delaware

Petition For Removal From The Child Protection Registry {171}

This is a Delaware form that can be used for Family Court within Statewide.

Alternate TextLast updated: 3/20/2013

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Form 171 Rev (09/12) The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR REMOVAL FROM CHILD PROTECTION REGISTRY Petitioner Name Street Address (include Apt) . v. Respondent Name Division of Family Services 1825 Faulkland Road Wilmington, DE 19805 Suite 200 821 Silver Lake Blvd Dover, DE 19904 D.O.B. File Number P.O. Box Number City/State/Zip Code Petition Number Phone Number Attorney Name Georgetown Service Center 546 South Bedford Street Georgetown, DE 19947 Interpreter needed? Language Yes No Attorney Department of Justice Petitioner alleges the following facts (check all that apply) a. b. c. Petitioner was entered on the Child Protection Registry at Child Protection Level II or III on Petitioner has successfully completed a Division recommended or Family Court ordered case plan; and Petitioner has not been substantiated for any subsequent acts of abuse or neglect since the date listed in paragraph a. (Additional Information) WHEREFORE, the Petitioner requests that this honorable Court order that Petitioner's name be removed for the Child Protection Registry. Petitioner's Signature Sworn to subscribed before me this day of , Clerk of Court/ Notary Public Date American LegalNet, Inc. www.FormsWorkFlow.com

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