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ICWA-040: ICWA 040 Form | CA Small Claims
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ICWA-040
General
Fillable PDF
ICWA 040 Form
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1
p1_caption
Atty Bar No
Name
Atty Firm
Street
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
City
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Zip
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Phone
Fax
Email
Atty For
Crt County
Crt Street
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Crt Mailing Add
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Crt City Zip
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Crt Branch
Party
Case Number Tf
Related Cased Tf
2
item3a_cb
Item3a Cb
3
item3e_cb
Item3e Cb
4
item3f_cb
Item3f Cb
5
item3g_cb
Item3g Cb
6
text_field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
Text Field
7
item2a_cb
Item2a Cb
Item2a Cb
8
item2b_cb
Item2b Cb
Item2b Cb
9
mother_cb
check box 1
10
father_cb
Field 1
11
tribal_resolution_cb
Tribal Resolution Cb
12
other_official_tribal_cb
Other Official Tribal Cb
13
item3b_cb
Item3b Cb
14
item3c_cb
Item3c Cb
15
item3d_cb
Item3d Cb
16
item4_name_tf
Item4 Name Tf
17
item4_title_tf
Item4 Title Tf
18
item4_address_tf
Item4 Address Tf
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
19
item4_city_state_zip_tf
Item4 City State Zip Tf
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
20
item4_telephone_tf
Item4 Telephone Tf
21
item4_fax_tf
Item4 Fax Tf
22
date_tf
Date Tf
Date Tf
23
print_name_tf
Print Name Tf
Print Name Tf
24
px_caption
Party
Case Number Tf
Party
Case Number Tf
Party
Case Number Tf
25
item5_name_tf
Item5 Name Tf
26
item5_title_tf
Item5 Title Tf
27
item5_address_tf
Item5 Address Tf
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
28
item5_city_state_zip_tf
Item5 City State Zip Tf
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
29
item5_telephone_tf
Item5 Telephone Tf
30
item5_fax_tf
Item5 Fax Tf
31
requests_cb
Field 1
32
does_not_request_cb
Field 1
33
item2a1_cb
Item2a1 Cb
34
item2a1a_tf
Item2a1a Tf
35
item2a1b_tf
Item2a1b Tf
36
item2a1c_tf
Item2a1c Tf
37
item2a2a_tf
Item2a2a Tf
38
item2a2b_tf
Item2a2b Tf
39
item2a2c_tf
Item2a2c Tf
40
item2a2_parent_cb
Item2a2 Parent Cb
$
41
item2a2_parents_attorney_cb
Item2a2 Parents Attorney Cb
$
42
item2a3a_tf
Item2a3a Tf
43
item2a3b_tf
Item2a3b Tf
44
item2a3c_tf
Item2a3c Tf
45
item2a4a_tf
Item2a4a Tf
46
item2a4b_tf
Item2a4b Tf
47
item2a4c_tf
Item2a4c Tf
48
item2a4_sw_cb
Field 1
49
item2a4_po_cb
Field 1
50
item2a5a_tf
Item2a5a Tf
51
item2a5b_tf
Item2a5b Tf
52
item2a5c_tf
Item2a5c Tf
53
item2a5_childs_caregiver_cb
Field 1
54
item2a5_indian_custodian_cb
Field 1
55
item2a6a_tf
Item2a6a Tf
56
item2a6b_tf
Item2a6b Tf
57
item2a6c_tf
Item2a6c Tf
58
item2a7a_tf
Item2a7a Tf
59
item2a7b_tf
Item2a7b Tf
60
item2a7c_tf
Item2a7c Tf
61
item2a7_parent_cb
Field 1
$
62
item2a7_parents_attorney_cb
Field 1
$
63
item2a8a_tf
Item2a8a Tf
64
item2a8b_tf
Item2a8b Tf
65
item2a8c_tf
Item2a8c Tf
66
item2b1_cb
Item2b1 Cb
67
item2b1a_tf
Item2b1a Tf
68
item2b1b_cb
Item2b1b Cb
69
item2b1c_cb
Item2b1c Cb
70
item2b2a_tf
Item2b2a Tf
71
item2b2b_tf
Item2b2b Tf
72
item2b2c_tf
Item2b2c Tf
73
item2b2_parent_cb
Field 1
$
74
item2b2_parents_attorney_cb
Field 1
$
75
item2b3a_tf
Item2b3a Tf
76
item2b3b_tf
Item2b3b Tf
77
item2b3c_tf
Item2b3c Tf
78
item2b4a_tf
Item2b4a Tf
79
item2b4b_tf
Item2b4b Tf
80
item2b4c_tf
Item2b4c Tf
81
item2b4_sw_cb
Field 1
82
item2b4_po_cb
Field 1
83
item2b5a_tf
Item2b5a Tf
84
item2b5b_tf
Item2b5b Tf
85
item2b5c_tf
Item2b5c Tf
86
item2b5_childs_caregiver_cb
Field 1
87
item2b5_indian_custodian_cb
Field 1
88
item2b6a_tf
Item2b6a Tf
89
item2b6b_tf
Item2b6b Tf
90
item2b6c_tf
Item2b6c Tf
91
item2b7a_tf
Item2b7a Tf
92
item2b7b_tf
Item2b7b Tf
93
item2b7c_tf
Item2b7c Tf
94
item2b7_parent_cb
Field 1
$
95
item2b7_parents_attorney_cb
Field 1
$
96
item2b8a_tf
Item2b8a Tf
97
item2b8b_tf
Item2b8b Tf
98
item2b8c_tf
Item2b8c Tf
99
item2c_cb
Item2c Cb
100
print
Print
101
save
Save
102
reset
Reset
103
warning
Warning
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