Questionnaire for Collateral Informants

You have been provided with this link by a litigant undergoing a social investigation. Any information you provide is not subject to confidentiality requirements and what you share may be shared with the Court and the other parent.

To submit this form, you must also upload the notary form. Submissions will not be received without the uploaded notary form.

Please download and print the notary form. You must have your signature notarized by someone with the proper qualifications for your area.

Return to this link, upload the notary form, and then proceed with the questionnaire. You will not be able to submit the information without uploading the notary form.

If you prefer a hard copy of the form, you can request it from the parent who asked you to complete this form. All hard copies must be notarized and returned to me at tracy@tracyriley.com. Do not return it to the litigant/parent/attorney. Please send a PDF; photos of the documents are not accepted. All forms must be notarized.

Affidavit of Online Form Completion

Name of Parent You are Writing in Favor of*

Child(ren)’s name(s)*

Your Information

Today's Date*

Your Full Name*

Your Phone Number*

Your Email Address*

Your Age*

Marital Status*

Number of Children*

Educational Background*

Present Employment (where, your position, dates of employment, etc.)*

Knowledge of the Parties

How do you know the family?*

How long have you known the mother?*

How long have you known the father?*

How often do you see the mother?*

How often do you see the father?*

How would you describe your relationship with the mother?*

How would you describe your relationship with the father?*

How would you describe your relationship with the child(ren)?*

How often do you presently see the child(ren)?*

How often had you seen the child(ren) in the past?*

Your Observations

Give any specific examples you may have observed that help to illustrate what you think and why.

Describe the relationship of the mother and the child(ren)?*

Describe the relationship of the father and the child(ren)?*

Describe the parenting skills of the mother*

Describe the parenting skills of the father*

Describe any concerns you may have about the mother and her relationship/involvement with the child(ren).*

Describe any concerns you may have about the father and his relationship/involvement with the child(ren).*

Describe any instance where one parent interfered with the relationship between the other parent and the child(ren).*

Who primarily provided the daily care of the child(ren) prior to separation of the parents?*

Describe any special needs (physical, educational, emotional, etc.) of the child(ren)*

How does each parent do in meeting these needs?*

Is there anything else you have observed about these parents that you would like to share?

What time-sharing arrangements do you think would be in the best interests of the child(ren)? And tell why?*

Is there another person that I should contact? If so, why and please provide their phone no.*

Is there any thing else you would like to share that I did not ask you that you think is important for me to know?*

By signing below, I am attesting that the information I have given above is true and accurate, to the best of my ability.*

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Type Your Name*

Date*

Upload Notary Form*