Arizona > Local County > Coconino > Superior Court > Children And Family Law
Petition For Child Custody Parenting Time And Child Support - Arizona
| Petition For Child Custody Parenting Time And Child Support Form. This is a Arizona form and can be used in Children And Family Law Superior Court Coconino Local County . |
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Person Filing: Mailing Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO Case Number (leave blank): DO Petitioner (me) I am the [ ] Mother [ ] Father PETITION FOR CHILD CUSTODY, PARENTING TIME, AND CHILD SUPPORT [ ] AND PATERNITY (Check this box if paternity has not been legally established) Respondent (the other parent) Respondent is the [ ] Mother [ ] Father I STATE THE FOLLOWING UNDER OATH: Including Affidavit Regarding Minor Children The Parents: The conciliation provisions have been met or do not apply. Respondent is not in military service. The children and I live in Arizona. Mother's Name: Street Address: Phone Number: Father's Name: Street Address: Phone Number: Paternity: [] Paternity has been legally established: [] A court order (copy attached) names Father as the children's father. [] Mother and Father signed an Acknowledgment of Paternity (copy attached) through the Hospital Paternity Program or other means provided by law after July 18, 1996, and a birth certificate listing Father as the father was issued for each child as a result. City, State, Zip: Birthdate: City, State, Zip: Birthdate: Page 1 of 8 Revised March 2012 Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkFlow.com [] Paternity has not yet been legally established: The children were born to Mother when Mother and Father were not married to each other, Mother and Father had sexual intercourse on the children's probable conception dates, and Father is the children's natural father: [] And the results of a blood test (copy attached) indicate that the likelihood of Father's paternity is 95% or greater. [] And Mother was married to a Husband other than Father at any time in the ten months before the children were born, or the children were born within ten months after Mother was divorced or legally separated from a Husband other than Father. Husband's Name: [] And the children's birth certificates list the name of a father other than Father. Name Listed: The Minor Children: A copy of each child's birth certificate is attached. CHILD'S NAME: Birthdate: Where this child lived, dates lived there, and with whom the child lived, over the last 5 years: Address Dates With whom CHILD'S NAME: Birthdate: Where this child lived, dates lived there, and with whom the child lived, over the last 5 years: Address Dates With whom CHILD'S NAME: Birthdate: Where this child lived, dates lived there, and with whom the child lived, over the last 5 years: Address Dates With whom [ ] Yes [ ] No: I have participated, as a party or witness or in any other capacity, in another court case, described below, about the custody or parenting time of a child named above. CHILD'S NAME: Case Number: Court Name: Date of Child Custody Determination: Summary of Any Court Order: Page 2 of 8 Revised March 2012 Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkFlow.com CHILD'S NAME: Court Name: Summary of Any Court Order: Case Number: Date of Child Custody Determination: [ ] Yes [ ] No: Another court case, described below, involving a child named above, but not about custody or parenting time, could affect this case. CHILD'S NAME: Case Number: Court Name: The case is about: [ ] child support [ ] enforcement of court orders [ ] domestic violence [ ] a protective order [ ] adoption [ ] terminating parental rights [ ] a criminal matter [ ] other: CHILD'S NAME: Case Number: Court Name: The case is about: [ ] child support [ ] enforcement of court orders [ ] domestic violence [ ] a protective order [ ] adoption [ ] terminating parental rights [ ] a criminal matter [ ] other: [ ] Yes [ ] No: Someone other than me or the other parent has physical custody or claims rights of legal or physical custody or visitation with a child named above, as described below. CHILD'S NAME: Other Person's Name: Other Person's Address: Nature of the Claim: CHILD'S NAME: Other Person's Name: Other Person's Address: Nature of the Claim: Child Support Enforcement: [ ] Yes [ ] No: Arizona Child Support Enforcement has been involved in establishing spousal maintenance for me or the other parent or paternity or child support for any child named above, as described below. If yes, I will deliver a copy of this document to CSE on the day I file it. CHILD'S NAME: Name of court: Court case number: CHILD'S NAME: Name of court: Court case number: I ASK THE COURT TO ORDER THE FOLLOWING: Paternity: (Only complete the Paternity section if paternity has not been legally established.) [] [] Order that Father is the children's father. Order that Father's name be added to each child's birth certificate. If the children's birth certificates already list the name of a father other than Father, order that the name be changed to Father's name. Coconino County Law Library and Self-Help Center Forms American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 8 Revised March 2012 [] [] [] [] Order each child's last name changed to Father's last name and a new birth certificate issued for each child showing the new name. Order that [ ] Mother or [ ] Father pay the other party $ for the cost of pregnancy, childbirth, and/or the children's past medical expenses (billing statements attached). Order that Respondent pay me my costs and expenses for this action, including the cost of any genetic test the results of which are attached to this Petition. If Respondent denies paternity, order that Respondent, the children, and I submit to, and Respondent pay for, genetic testing necessary to establish paternity. Child Custody: [] Joint Custody: Award the parents joint custody of the children as stated in the Joint Custody Agreement we signed. No significant domestic violence has occurred between the parties. Sole Custody: Award [ ] me or [ ] my spouse sole legal custody and physical custody of the children. Joint custody is not in the children's best interest because (you must fill in this blank if you ask for sole custody): [] Parenting Time: [] Order This Parenting Time Plan: The children will be in Father's care at these times: At the start of Father's time with the children, [ ] Mother will drop them off or [ ] Father will pick them up at this time: at this location: The children will be in Mother's care at these times: At the start of Mother's time with the children, [ ] Father will drop them off or [ ] Mother will at this location: pick them up at this time: While we un
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