Oregon > Statewide > Circuit Court > Family Law > Custody Parenting Time And Child Support
Petition For Custody And Parenting Time And Child Support 3A - Oregon
| Petition For Custody And Parenting Time And Child Support Form. This is a Oregon form and can be used in Custody Parenting Time And Child Support Family Law Circuit Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF _________________ In the Matter of: ________________________________, Petitioner, and ________________________________, Respondent. ) ) ) ) ) ) ) ) ) Case No. ______________________ PETITION FOR CUSTODY AND PARENTING TIME under ORS 109.103 ` and CHILD SUPPORT DOMESTIC RELATIONS CASE SUBJECT TO FEE UNDER ORS 21.111 1. __________________________________ is the mother and ______________________________ is the father of (names of children): ____________________________________________________________________ ____________________________, born on the following date(s): ______________________________________. 2. Paternity has been established: ` by filing with the State Registrar of Vital Statistics a voluntary acknowledgment of paternity, concerning the following child/ren (e.g., birth certificate): ___________________________________________________________________________________________ (list name(s) of child/ren involved) ` by administrative order docketed with the following court: as case number child/ren: (list name(s) of child/ren involved) , county, concerning the following , located in ` by judicial order entered in the following court: : number , located in , as case county, concerning the following child/ren: (list name(s) of child/ren involved) /// /// /// Page 1 of 8, PETITION FOR CUSTODY AND PARENTING TIME under ORS 109.103 ` and CHILD SUPPORT UnmarriedParents-3A: Petition3AVer08.wpd (12/04) American LegalNet, Inc. www.USCourtForms.com ` by another method: ____________________________________________________________________ concerning the following child/ren:________________________________________________________________ ____________________________________________________________________________________________ (list name(s) of child/ren involved) 3. The minor child/ren reside(s) in ______________________________ County, State of _______________. The petitioner resides in _______________________________ County, State of ______________________. The respondent resides in _______________________________ County, State of _______________________. 4. UCCJEA Information. ` The child/ren listed above has/have continuously resided in Oregon for the six months preceding the filing of this case. List the places where the minor child/ren of the parties have lived in the last five years and the names of the people they lived with at that time. Dates From/To County, State Parent(s)/Caretaker Current Address/ Contact Address of Parent/Caretaker Which Children ` Additional page attached; see section labeled "paragraph 4 continued." I ` have ` have not participated in any litigation concerning the custody, visitation, parenting time or placement of the child/ren in this or any other state. I have participated in the following litigation: Name of Court State Case No. Date Result /// /// Page 2 of 8, PETITION FOR CUSTODY AND PARENTING TIME under ORS 109.103 ` and CHILD SUPPORT UnmarriedParents-3A: Petition3AVer08.wpd (12/04) American LegalNet, Inc. www.USCourtForms.com I do not know of any other domestic violence, custody, visitation, parenting time or placement proceeding involving the child/ren, or of any other court case which could affect this case, pending in this or any other state ` except for:_________________________________________________________________________________ ____________________________________________________________________________________________ (identify court, case number and the kind of proceeding) I do not know any person other than the other parent who has physical custody of the child/ren or who claims to have custody, visitation or parenting time rights ` except for: __________________________________ ____________________________________________________________________________________________ (list name and address) 5. Parenting Plan (Custody and Parenting Time). Custody of the child/ren should be awarded as follows: ` Mother should be awarded sole custody of the following child/ren (list names): ` Father should be awarded sole custody of the following child/ren (list names): ` The parties have agreed to joint custody of the following child/ren (list names): , ` Father ` Mother should have parenting time with the child/ren ` as set forth in the attached Parenting Plan, labeled Exhibit , or ` Other: ` Father ` Mother should not be granted parenting time because this would endanger the health and safety of the child/ren. State supporting facts: ` Parenting time should be supervised by ` Any cost of the supervision shall be paid by ` Father ` Mother ` Other: ` Mother and Father should each provide contact addresses and contact telephone numbers to the other and notify each other of any emergency circumstances or substantial changes in the child/ren's health. ` Petitioner should be allowed to move more than 60 miles further distant from the other parent without advance notice because good cause exists. 6. Child Support. A. Other Pending Child Support Cases. (Check one.) ` No other agency or court child support proceeding is currently pending (include any child support matter being heard as part of a dissolution, separation, annulment, paternity, support or modification case). ` There is/are other child support proceeding(s) currently pending in either an agency or court case as set forth in the CERTIFICATE RE: PENDING CHILD SUPPORT PROCEEDING and/or EXISTING CHILD SUPPORT ORDER attached to this petition. /// Page 3 of 8, PETITION FOR CUSTODY AND PARENTING TIME under ORS 109.103 ` and CHILD SUPPORT American LegalNet, Inc. UnmarriedParents-3A: Petition3AVer08.wpd (12/04) www.USCourtForms.com B. Other Child Support Orders. (Check one.) ` No other child support orders, from an agency or court, are currently in effect in the State of Oregon or any other state. ` There is/are other child support orders from an agency or court as set forth in the CERTIFICATE RE: PENDING CHILD SUPPORT PROCEEDING and/or EXISTING CHILD SUPPORT ORDERS/JUDGMENTS attached to this petition. C. Currently Effective Child Support Order. (Check any that apply.) ` The following child support order(s) is/are currently in effect: __________________________ _______________________________________________________________________________. (List state, court/agency, case number, date of order) ` This order should remain in place, or ` This order is from an Oregon court or agency, one of the parents or the child/ren receiving support
|
|||||||
Popular Searches
