Request for Referral

Get Started

CASA can only be assigned to a case involving child abuse or neglect. A judge has the sole authority to assign CASA. If you would like to request that a judge appoint a CASA, please complete and submit the form below.

  • In the Commonwealth of Virginia in and for the 3rd Judicial District of Virginia
    Portsmouth Juvenile and Domestic Relations District Court
    City and County of Portsmouth, Virginia
    Portsmouth CASA Program
    Fax: 757-393-2034 Email: PortsmouthCASA

  • MM slash DD slash YYYY
  • *Court Use Only*

  • *Please include CASA Appointment Order Form DC-544 with approval
  • *CASA Program Use Only*

  • This field is for validation purposes and should be left unchanged.