Relative Inquiry

09-134 (Revised 03-2025)

DCYF values the importance of relationships between children and their extended families.

Thank you for your partnership in supporting this child.

1. Case Name

2. Case Number

The case number can be located on the letter you received in the mail.

3. Child(ren)s Name(s)

Please list children's names as they appear in the letter you received in the mail.

4. Responding relative's name

5. Responding relative's phone number

Phone

6. Responding relative's email address

Additional Family Members

9. Contact Information

Please use the space provided to list any other family members who may be willing to help and include the following information:

10. Does this child(ren) have an existing relationship with you?

Yes

11. With anyone listed above?

Yes

12. If yes, explain

13. Does this child(ren) have tribal heritage or Indian ancestry?

Yes

Send me a copy of my responses