Nevada > County > Washoe > District Court > Family
Petition To Establish Visitation 3645 - Nevada
| Petition To Establish Visitation Form. This is a Nevada form and can be used in Family District Court Washoe County . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
1 Code: 3645 Name: _________________________________ 2 Address: _______________________________ ________________________________ 3 Telephone: ______________________________ Acting in Proper Person 4 5 6 IN THE FAMILY DIVISION 7 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 8 IN AND FOR THE COUNTY OF WASHOE 9 10 _____________________________, Petitioner, Case No.________________11 vs. Dept. No.________________12 _____________________________, 13 Respondent. 14 __________________________________/ 15 16 PETITION TO ESTABLISH VISITATION 17 Petitioner,______________________________, acting in proper person, petitions this (Your name) 18 Court for an Order judicially establishing specific visitations for the minor children namely:19 ___________________________________________ ________________ 20 (Childs name) (Birth date) ___________________________________________ ________________ 21 ___________________________________________ ________________ 22 ___________________________________________ ________________ 23 This request is made pursuant to NRS 125C.050. 24 25 Petitioner , alleges as follows: (Your name) 26 ///// 27 I 28 1 <<<<<<<<<********>>>>>>>>>>>>> 2 1 My relationship to the child(ren) is : 2 3 4 My present address is: 5 6 7 II 8 The child(ren) presently live(s) at: 9 10 11 The child(ren) is/ are presently living with: (State with whom the child(ren) i living)s/ are presently12 13 III 14 The mother of the child(ren) is: (Name of the mother)15 And she resides at: 16 17 (Address) 18 19 IV 20 The father of the child(ren) is: 21 (Name of father)22 And he resides at: 23 (Address) 24 25 V26 To my knowledge, the following visitation orders have been entered regarding the child(ren):27 28 2 <<<<<<<<<********>>>>>>>>>>>>> 3 1 If any kind of visitation orders have been filed, including orders in Temporary Protective Orders, 2 regarding the child(ren), state the provisions of the orders. If no orders have ever been filed 3 printNONE in the space. 4 5 6 7 8 9 10 11 V12 Fully explain the type of contact you have had with the child(ren), including physical contact,13 telephone contact, etc. 14 15 Up to the present time, I have had contact with the child/children in the following way: 16 17 18 19 20 21 22 23 24 25 26 27 28 3<<<<<<<<<********>>>>>>>>>>>>> 4 1 I wish this Court to enter 2 an Order for specific visitation of the child(ren) by (Petitioner) 3 as follows: 4 Fully set out a detailed visitation schedule including days, times of exchange, and holiday and summer 5 schedule. 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 WHEREFORE, Petitioner prays that this Court enter an Order granting27 the Petitioners 28 4<<<<<<<<<********>>>>>>>>>>>>> 5 1 requests regarding visitation as set forth above. 2 Date: 3 (Print name) 4 5 (Signature) 6 (Address) 7 8 Telephone No. 9 10 SUBSCRIBED and SWORN to before 11 me this ______ day of ________________, _______ 12 __________________________________________ 13 NOTARY PUBLIC 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 5 <<<<<<<<<********>>>>>>>>>>>>> 6 1 VERIFICATION 2 STATE OF NEVADA ) )ss: 3 County of Washoe ) 4 _________________________________, being first duly sworn, under penalties of perjury, 5 deposes and says: 6 I am the Petitioner in the above-entitled action; that I have read the foregoing document and am 7 competent to testify of its contents of my own knowledge and the contents are true of my own knowledge 8 except for those matters stated therein on information and belief, and, as to those matters, I believe them 9 to be true. 10 ____________________________________11 ACKNOWLEDGMENT 12 STATE OF NEVADA ) 13 )ss: County of Washoe ) 14 On this _____day of __________________________, ______, personally appeared before me,15 the undersigned, a Notary Public in and for the County of Washoe, State of Nevada, 16 _________________________________, personally known to me or proved to me, to be the person17 whose name is subscribed to the attached instrument who acknowledged that (she/he) ________ executed18 the attached instrument. 19 ______________________________20 NOTARY PUBLIC21 22 23 24 25 26 27 28 6
|
|||||||
