Superior Court of California, County of Los Angeles
FAMILY COURT SERVICES
INTAKE FORM
Please check the Family Law section of the Superior Court of California, County
of Los Angeles website for a Spanish translation of this form.
Your matter has been scheduled for an appointment with Family Court Services.
Family Court Services (FCS) assists parents in addressing child custody and parenting
time matters. Depending on your case, you will participate in confidential mediation
and/or Child Custody Recommending Counseling (CCRC).
Please complete this form as fully and accurately as possible. The information you
provide will assist the Family Court Services Specialist in understanding your family
circumstances and the custody and parenting time issues to be addressed during your
appointment.
Before Your Appointment
Please submit this form before your scheduled appointment. Information about Family
Court Services, including appointment instructions and forms in Spanish, is available
on the Court’s Family Law website.
IMPORTANT INFORMATION
The confidentiality of information provided to Family Court Services depends on
the type of appointment.
Confidential mediation is a confidential process. CCRC process and report is not
confidential between the Family Court Services Specialist, the Court, the parties,
and their attorneys, but remains confidential from the public.