Request a CASA
© National CASA Association

The court typically makes the request that a CASA volunteer be assigned to a child. If you know of a situation where you feel that a child may benefit from being assigned a CASA volunteer then you may send in a request through the form below. Please note that all referred cases will not necessarily receive a CASA volunteer. You will not receive any correspondence as to the status of a referred case. Fields marked with an * are required fields.

Child Information

Referral Contact

Enter the code shown above in the box below.