Page 2 of 2 – Warrant to Take Physical Custody of a Child
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YOU ARE THEREFORE COMMANDED to take immediate physical custody of the
following child(ren):
a. (Child’s Name) _________________________ (Date of Birth)______________
b. (Child’s Name) _________________________ (Date of Birth)______________
c. (Child’s Name) _________________________ (Date of Birth)______________
d. (Child’s Name) _________________________ (Date of Birth)______________
It is believed that the child(ren) can be located at the following address or addresses:
________________________________________________________________________
________________________________________________________________________
YOU ARE FURTHER COMMANDED THAT once the child(ren) are in your
physical custody, they are to be delivered to (who the children should be turned over to):
Name of Person or Agency _________________________________________________
Address In Nevada _______________________________________________________
YOU ARE FURTHER COMMANDED THAT you must immediately serve (name of
other parent) ______________________________ with a copy of this Warrant, the Petition for
Expedited Enforcement / Application for a Warrant to Take Physical Custody of Child(ren), and
the Order to Appear.
SPECIAL INSTRUCTIONS: (the judge will check the boxes that apply)
This warrant may / may not be executed by entering private property based on the
Court’s finding that a less intrusive remedy is not effective.
This warrant may / may not be executed by forcible entry at any hour based on the
Court’s finding of exigent circumstances.
THIS WARRANT MAY BE SERVED AT ANY HOUR OF THE DAY OR NIGHT.
DATED this (day) ______ day of (month) ______________, 20____.
____________________________________
DISTRICT COURT JUDGE
Submitted By: (your signature) _____________________________
(print your name) _____________________________
