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Do not complete any of these steps if you abused your child.
Probable cause must not exist or they will dismiss.
Your name as the “Plaintiff”
The social worker and their supervisors names as the Defendants.
Also add the director of your state Children’s Administration as a Defendant.
Mark number 440 “Other civil rights”
Mark “Federal Question”
Mark “Original” unless you have other lawsuits.
Under describe write “42 USC 1983 Deprivation of Rights”
On the 2nd line you can add your own description.
You must sign and date this form.
You can add all Defendants on this form.


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