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Request support

Start with the basic
information.

This public request helps us understand your situation and see if Project Taken Back may be able to help.
It is not a membership and it does not guarantee assistance.

How it works

From request to possible invitation.

  1. 1Request

    You share some basic information about your situation using the form below.

  2. 2Human review

    Our team carefully reviews each request to understand the situation and see if we may be able to help.

  3. 3Possible invitation

    If your request may be a fit, you could be invited to continue the conversation with our team. Not every request will result in an invitation.

Request support

Tell us about your situation.

Share enough for us to understand what is happening and what kind of help you are seeking. You can keep your answers general. Please do not include identity documents or sensitive details about children.

Fields marked required must be completed. We also need state and county to route your request correctly; write “not sure” for the county if needed.

Invitation-only BETA

PTB reviews requests and recommendations before deciding whether to invite an applicant. Sending this form does not create an account, issue an invitation or activate membership. Please do not include identification documents, face photos or recordings.

The name PTB should use when contacting you.
Use an email account you can access privately.
Optional. Provide a number only if you want PTB to use it for contact.
Enter the county connected to the main court or case if you know it.
Leave this blank if you do not know it.
In a few sentences, tell us what changed in your custody, parenting time, contact, parental rights, or related case circumstances. You do not need to use legal language. About 1,000 characters is plenty.

0 / 10,000 characters maximum

Tell us the one issue you believe is most important for PTB to understand.

0 / 10,000 characters maximum

A few important notes.

  • This form is for people seeking information and potential support from Project Taken Back.
  • It does not create a membership or an automatic case with our team.
  • Do not include identity documents or sensitive details about children.
  • Please be honest and accurate to the best of your ability.
  • We use the information to review your request and communicate about next steps. Final policies are pending approval.
  • If you are in immediate danger, contact local emergency services. This form is not monitored for emergency response.