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The Document People



Form Section 1


A member of our staff will contact you to go over the information you are about to provide us. 

We have provided a blank area for comments at the very end.

1. You, the petitioner

Your full legal name
You are the
Your Address:
Name other parent

2. Children of this relationship

The action must be filed in the county where the child resides.

Child # 1
Date of Birth child # 1
Child # 2
Date of Birth child # 2
Child # 3
Date of Birth child # 3
Form Section 2

3. Residence Information

Beginning with the current address of the child and going back in the past, list the address(es) of the child for the past 5 years

Dates: From / To PRESENT
Dates: From / To
Dates: From / To
Dates: From / To
Dates: From / To

4. Child Support

Tell us about the amount of child support, whether it's ALREADY IN PLACE...

Amount of support to be paid
Start Date


D.A.'s address

5. Child Custody

6. Medical Care

7. Parenting Plan

Please write your Parenting Plan. Be as specific as you wish.

For ex. The father shall have visitation on the first, third, and fifth weekends of each month, commencing

at 6 p.m. on Friday and ending at 6 p.m. on Sunday; on Father's Day and Father's birthday from 9 a.m.

until 6 p.m. (providing there is no conflict with regular school hours); and on alternating major holidays,

comprised of Easter, Thanksgiving, Christmas Eve, and Christmas Day, from 9 a.m. until 7 p.m.

(Christmas Eve and Christmas Days shall be considered separate holidays for the purpose of visitation).

Father is to have the children for two consecutive weeks during summer vacation. All visits are to be

confirmed at least twelve (12) hours prior to its occurrence.


Form Section 3

Contact Info, Comments

Name of the person filling out the questionnaire
All answers were provided by me and I did not receive any legal advice from the staff at The Document People