Complaint for Custody · Step 6 of 7
Signature & Certification
DATED (month)
Write the month you are signing this form.
(day)
Write the day of the month you are signing this form.
20____
Write the last two digits of the year you are signing this form.
Submitted By: (your signature)
Sign your name here to show this form is true and complete.
(print your name)
Print your full name clearly so it can be read.
DATED (month)
Write the month when you are signing this form, like January or June.
(day)
Write the day of the month when you are signing, like 15.
20____
Write the last two numbers of the year you are signing, like 24 for 2024.
Submitted By: (your signature)
Sign your name here to confirm everything in this form is true.
(print your name)
Print your full name clearly so the court knows who signed.
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