Delaware > Statewide > Family Court
Custody Separate Statement 346 - Delaware
| Custody Separate Statement Form. This is a Delaware form and can be used in Family Court Statewide . |
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Form 346 Rev. (03/12) The Family Court of the State of Delaware In and For Petitioner Name New Castle v. Respondent Name Kent Sussex County CUSTODY SEPARATE STATEMENT File Number 1. What type of petition are you filing? 2. Who is the child(ren) named in your petition? (Please provide full name and date of birth) Child's Name Date of Birth (mm/dd/yyyy) 3. Have all the children listed above continually resided with one another? Yes No If you answered "No," the children have not continually resided with one another; please complete a Custody Separate Statement for each child. 4. During the past five years, where have the child(ren) lived? List addresses from the most recent to the oldest beginning with the address where the child(ren) currently lives. If the child(ren) is under the age of five years old, end with the first address where the child lived. Address where child(ren) currently resides ** If the address where the child(ren) currently resides is a confidential address in Family Court, DO NOT provide the address on this form. Instead, please mark the fields as CONFIDENTIAL. Name of person(s) child(ren) is living with CURRENT ADDRESS City State Relationship to child(ren) Zip Code Address where child(ren) previously resided ADDRESS 2 Date(s) child(ren) lived there to Person's current address Address where child(ren) previously resided ADDRESS 3 City State Relationship to child(ren) Zip Code Name of person(s) child(ren) lived with City City State State Zip Code Zip Code Date(s) child(ren) lived there to Person's current address Name of person(s) child(ren) lived with Relationship to child(ren) City State Zip Code Address where child(ren) previously resided ADDRESS 4 Date(s) child(ren) lived there to Person's current address Address where child(ren) previously resided ADDRESS 5 Date(s) child(ren) lived there to Person's current address City State Relationship to child(ren) State State Relationship to child(ren) State Zip Code Name of person(s) child(ren) lived with City City Zip Code Zip Code Name of person(s) child(ren) lived with City Zip Code 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Form 346 Rev. (03/12) 5. Check ONE and complete as directed. No one other than the parties have physical custody, legal custody or visitation rights with the child(ren). A person(s) other than the parties have physical custody, legal custody or visitation rights with the child(ren). If you check this box, complete the information below. Attach additional sheets if necessary. PERSON 1 Name of person(s) with physical custody, legal custody or visitation Relationship to child(ren) Person's current address City State Zip Code PERSON 2 Name of person(s) with physical custody, legal custody or visitation Relationship to child(ren) Person's current address City State Zip Code 6. Select all that apply and complete as directed. I have not been involved in any other court action for custody and/or visitation of this child(ren). I have been involved in another court action for custody and/or visitation of this child(ren). If you check this box, complete the information below. Attach additional sheets if necessary. Type of Action (e.g. Custody, Visitation, Other) ACTION 1 Court Result Type of Action (e.g. Custody, Visitation, Other) ACTION 2 Court Result Type of Action (e.g. Custody, Visitation, Other) ACTION 3 Court Result Person (who filed the action) Case Number Date Filed Date of Order Person (who filed the action) Case Number Date Filed Date of Order State Person (who filed the action) Case Number Date Filed Date of Order State State 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Form 346 Rev. (03/12) 7. Check ONE and complete as directed. I do not know of any other court action such as, Protection From Abuse, Termination of Parental Rights, Guardianship, Adoption or Paternity involving myself, the other party or the child(ren) that could affect this petition. I, the other party or the child(ren) have been and/or are currently involved in another court action such as, Protection From Abuse, Termination of Parental Rights, Guardianship or Adoption, that could affect this petition. If you check this box, complete the information below. Attach additional sheets if necessary. ACTION 1 Type of Action (e.g. PFA, TPR, Guardianship, Other) Court Type of Action(e.g. PFA, TPR, Guardianship, Other) Court Person (who filed the action) Case Number Person (who filed the action) Case Number Date Filed Date Filed State ACTION 2 State Petitioner Sworn to subscribed before me this ______ day of ______________________, _________ Clerk of Court/Notary Public 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com
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