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Sample Collateral Contact Sheet

An example of a "collateral contact" sheet to include with a parenting evaluation.

In this example, "Janet" is the spouse of John, who is filling out this contact list.

Contact Name, Rhone, Reason for contacting

Jane Smith
555-1212
Family friend, familiar with Janet and her volatile moods.

Rachel Brown
555-1212
Ex-roommate of Janet, has heard her verbally abusing my son and daughter.

Bill Wilson
555-1212
Previous employer of Janet. Can attest to Janet's inability to get along withco-workers.

Sally Johnson
555-1212
Marriage counselor that Janet and I saw.


(Include everyone who may be able to provide information to verify your claims, or who may be able to provide legitimate information about deficits in your spouse's parenting abilities.)

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