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Nonparental Custody Petition CU 01.0100 - Washington
| Nonparental Custody Petition Form. This is a Washington form and can be used in Nonparental Custody Domestic Relations Statewide . |
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Superior Court of Washington County of In re the Custody of: No. Child(ren), Petitioner(s), and Nonparental Custody Petition (PTCUS) Respondent(s). I. Basis 1.1 Identification of Petitioner(s) Birth date . Name (first/last) Last known residence (county and state only) Relationship to children ________________________________________________________________. Name (first/last) Last known residence (county and state only) Birth date . Relationship to children ________________________________________________________________. 1.2 Identification of Respondent(s) Nonparental Custody Pet (PTCUS) - Page 1 of 11 WPF CU 01.0100 Mandatory (07/2011) - RCW 26.10.030(1) American LegalNet, Inc. www.FormsWorkFlow.com (List each parent, any alleged biological parent, guardian, custodian, and any other person with court ordered time with the children. Do not list any parent whose rights have been terminated by court order.) Name (first/last) Last known residence (county and state only) Birth date . Relationship to children ________________________________________________________________. Name (first/last) Last known residence (county and state only) Birth date . Relationship to children ________________________________________________________________. Name (first/last) Last known residence (county and state only) Birth date . Relationship to children ________________________________________________________________. 1.3 Children for Whom Custody is Sought Age Age Age Age Age Age Name (first/last) Name (first/last) Name (first/last) Name (first/last) Name (first/last) Name (first/last) 1.4 Identification of all Adults Living in Petitioner(s)' Household Age Age Age Name (first/last) Name (first/last) Name (first/last) Nonparental Custody Pet (PTCUS) - Page 2 of 11 WPF CU 01.0100 Mandatory (07/2011) - RCW 26.10.030(1) American LegalNet, Inc. www.FormsWorkFlow.com 1.5 Indian Child Welfare Act Child's Indian status: [] The petitioner has made the following efforts and cannot determine whether one or more of the above-named children is an Indian child as defined Laws of 2011, ch. 309, §4: [] Based upon the following, none of the children are Indian children as defined in Laws of 2011, ch. 309, §4, and the federal and Washington State Indian Child Welfare Acts do not apply to these proceedings: [] Based upon the following, one or more of the children is an Indian child as defined in Laws of 2011, ch. 309, §4, and the federal and Washington State Indian Child Welfare Acts apply to these proceedings: [] The petitioner has made the following preliminary efforts to provide notice of these proceedings to all tribes to which the petitioner knows or has reason to know one or more of the children may be a member or eligible for membership: Jurisdiction: [] The children are Indian children as defined in Laws of 2011, ch. 309, §4 but are not domiciled or residing within the boundaries of an Indian reservation; and no Tribal Court has continuing jurisdiction over the children; this court has jurisdiction under 25 USC §1911. The children are Indian children as defined in Laws of 2011, ch. 309, §4, and are domiciled or residing within the boundaries of an Indian reservation and [ ] the children's Tribe has consented to Washington State's concurrent jurisdiction. [ ] the Tribe has expressly declined to exercise its exclusive jurisdiction. [ ] Washington State is exercising emergency jurisdiction in strict compliance with Laws of 2011, ch. 309, §14, to prevent imminent physical damage or harm to the child. [] 1.6 Jurisdiction (Check all that apply.) [] The following respondents reside in the state of Washington (list the respondents): _______________________________________________________________________ _______________________________________________________________________. The following respondents were personally served with summons and petition within this state (list the respondents): _______________________________________________________________________ _______________________________________________________________________. [] Nonparental Custody Pet (PTCUS) - Page 3 of 11 WPF CU 01.0100 Mandatory (07/2011) - RCW 26.10.030(1) American LegalNet, Inc. www.FormsWorkFlow.com [] The following respondents submitted to the jurisdiction of this state by consent as evidenced by joinder or consent to jurisdiction signed by respondent (list the respondents): _______________________________________________________________________ _______________________________________________________________________. The following respondents engaged in sexual intercourse in the state of Washington as a result of which the child may have been conceived (list the respondents): _______________________________________________________________________ _______________________________________________________________________. The following respondents resided with the child in this state (list the respondents): _______________________________________________________________________ _______________________________________________________________________. The following respondents resided in this state and provided prenatal expenses or support for the child (list the respondents): _______________________________________________________________________ _______________________________________________________________________. The child resides in this state as a result of the acts or directives of the following respondents (list the respondents): _______________________________________________________________________ _______________________________________________________________________. Other: [] [] [] [] [] 1.7 Jurisdiction Over the Child This court has jurisdiction over this proceeding for the reasons below. [] This court has exclusive continuing jurisdiction. The court has previously made a child custody, parenting plan, residential schedule or visitation determination in this matter and retains jurisdiction under RCW 26.27.211. This state is the home state of the children because: [] the children lived in Washington with a parent or a person acting as a parent for at least six consecutive months immediately preceding the commencement of this proceeding. the children are less than six months old and have lived in Washington with a parent or a person acting as parent since birth. any absences from Washington have been only temporary. Washington was the home state of the children within six months before the commencement of this proceeding and
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