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Caregiver's Authorization Affidavit
De Facto Parent Declaration
Power of Attorney
Letter to Attorney
Letter to Social Worker
Letter to Probation Officer
Letter to Judge
Letter to Family Law Facilitator
Letter to Court Clerk
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Family Law Facilitator
Superior Court of California
County of
(city, CA zip code)

Re:   (child support or custody & visitation or whatever)
         (Case number if you have one)

Dear Family Law Facilitator:

I am incarcerated and do not have an attorney to assist me. I would like your help with this (child support; or child custody; or visitation) matter. Please send me the forms I need to respond to the court (or information about the proceeding). I will also need your help in filing the paperwork so please tell me what I need to do.

Thank you for your attention to this matter.




Legal Services for Prisoners with Children
1540 Market St., Suite 490  •  San Francisco, CA 94102
(415) 255-7036  •