Temporary Physical Custody Request (Chapter 938)

This form is used to ask the court for temporary physical custody of a juvenile in a Chapter 938 proceeding. It asks for information about the juvenile, the parents, and the reasons why the juvenile was taken into custody.

The court describes it as: To request that a juvenile be taken into physical custody in a Ch. 938 proceeding and to record the decision of the juvenile intake worker concerning the custody decision. Available in Spanish.

Official instructions

How-to guides published by the court for this form.

• Plain-language summary↗

Common questions

Who fills out this form?

The form includes sections to be completed by the Intake Worker and sections for the parents and the juvenile's information.

What kind of information does it collect?

It collects details about the juvenile, the parents, and the reasons why the juvenile was taken into custody, including the basis for jurisdiction.

Revision history

No changes recorded since we started tracking this form on October 10, 2026. The current version took effect October 16, 2025.

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