[FAMILY COURT NAME]
[COUNTY], [STATE]

[PETITIONER NAME], )
Petitioner, )
) Case No. [CASE NUMBER]
v. )
)
[RESPONDENT NAME], )
Respondent. )

PETITION FOR CHILD CUSTODY

1. Parties and Children

1.1 Petitioner is the [MOTHER/FATHER/GUARDIAN] of the following minor child(ren): [NAMES/DOB].
1.2 Respondent is the [MOTHER/FATHER/GUARDIAN] of the child(ren).

2. Jurisdiction (UCCJEA)

2.1 The child(ren) have lived in [STATE] for at least six months before this filing.
2.2 No other state has issued a custody order, or any existing order is identified here: [CASE INFO].

3. Background and Best Interests

3.1 The current custody and parenting arrangements are: [DESCRIPTION].
3.2 A custody order is in the best interests of the child(ren) because [FACTS].

4. Requested Custody and Parenting Time

4.1 Petitioner requests legal custody: [SOLE/JOINT].
4.2 Petitioner requests physical custody: [SOLE/JOINT].
4.3 Petitioner requests a parenting time schedule as follows: [SCHEDULE].

5. Child Support

5.1 Petitioner requests child support in accordance with state guidelines.

6. Relief Requested

Petitioner requests that the Court:
a. Enter custody and parenting time orders as requested.
b. Order child support and health insurance coverage as appropriate.
c. Grant any other relief the Court deems just.

7. Signature Block

text
Dated: [DATE]

______________________________
[ATTORNEY NAME or PETITIONER]
[LAW FIRM / ADDRESS]
[PHONE]
[EMAIL]

8. Verification (If Required)

text
I declare under penalty of perjury that the foregoing is true and correct.

______________________________
[PETITIONER NAME]
Date: [DATE]