This form is to be completed by the program requesting assistance.
Please note, if a child is outside of the state of Texas, visits will be honored but may have delays due to travel scheduling.
Additionally please do not include confidential information. The form is meant to start the process. The Courtesy CASA program will follow up to securely obtain any additoinal confidential information needed.
For more information on Courtesy CASA, check out the brochure. View Now