ICWA-101State (JC)Fillable

Agreement of Parent or Indian Custodian to Temporary Custody of Indian Child

Judicial Council of California · Juvenile

Verified current as of July 10, 2026

This form documents a parent or Indian custodian's agreement to allow temporary custody of an Indian child to be transferred to another person or agency. Social workers, tribal representatives, and parents use this form during child welfare proceedings to create a legal record of a custody arrangement that follows federal Indian Child Welfare Act requirements.

This form has fillable fields — you can complete it directly in the viewer on the right.
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