Cover Sheet For Authorization To Release Information To Court
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Cover Sheet For Authorization To Release Information To Court Form. This is a Washington form and can be use in Domestic Relations Statewide.
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Tags: Cover Sheet For Authorization To Release Information To Court, CU 03.0540, Washington Statewide, Domestic Relations
Superior Court of Washington
County of
In re the Custody of:
No.
Child(ren),
Petitioner(s),
and
Respondent(s).
Cover Sheet for Authorization
to Release Information to the
Court
(Nonparental Custody)
(CSAUTH)
Clerk’s Action Required:
Access is Restricted Per RCW
13.50.100 and 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 from DCFS/CPS may be released to the parties, their
attorneys and the guardian ad litem.
_________________________________________
Signature of Petitioner or Lawyer/WSBA No.
_________________________________________
Print or Type Name
__________________________________________
Date
Cover Sheet for Auth to Rel Info to Ct (CSAUTH) - Page 1 of 1
WPF CU 03.0540 (6/2006) – RCW 26.10.135(2)(a), RCW 13.50.100, GR 22(c)(3)
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