This form may be used to request your custody, visitation, support, or guardianship petition be withdrawn. The above forms are either local Nassau County Family Court forms or enhanced versions of official statewide forms for use in Family Court proceedings.Intheblanks form required for any matter originating and electronically filed in Supreme or Surrogate's Courts in Richmond County. If you choose the first or second option, a consent to change attorney, or an order of the court removing the attorney must already be e-filed in the case. A. Account Information. Supply any additional documentation that you feel will support your case. Case number, division, and the parties' names. Application for the Court to Request Counsel -- habeas corpus case. Contains Fields to Complete on-line (print out for filing). It is important to have someone physically present in your home during the time you are out in case an emergency occurs.