Criminal History Record (Cover Sheet) (Non-Parent Custody)
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Superior Court of Washington, County of In re custody of: Children: No. Petitioner/s (person/s who started this case): Criminal History Record (Cover Sheet) (Non-Parent Custody) (XCRIM) Respondents (parents and any guardian or custodian): Criminal History Record (Cover Sheet) (Non-Parent Custody) I have asked the Washington State Patrol for the criminal history record on each adult living in my home. Attached are the records I received. List all people whose records are attached: 1. 2. 3. 4. 5. 6. Petitioner signs here (if lawyer, also list WSBA #) Print name Date RCW 26.10.135(2)(b) Mandatory Form (05/2016) FL Non-Parent 406 Criminal History Record (Cover Sheet) (Non-Parent Custody) p. 1 with attachments American LegalNet, Inc. www.FormsWorkFlow.com