Use this form to ask the judge to give you parental responsibilities for a child. This includes parenting time (visitation) and decision-making power (custody).Downloadable template and sample letter to a judge. Below, find a fill-in-the-blank template, as well a detailed example of a declaration letter. Illinois Legal Aid Online provides a guided interview called an Easy Form that will help you fill out the forms. Fill in the parents' names or initials in the chart below to show which parent has the child (or children) each day at each time listed. The Form Library has court forms, legal documents, and letters for many kinds of legal problems. What if I cannot afford an attorney? The child at that time. Fill in the parents' names or initials in the chart below to show which parent has the child (or children) each day at each time listed.