Petition To Establish Legal Decision Making Parenting Child Support {DRCV11f}

(1) Person Filing: Mailing Address: City, State, Zip Code: Daytime / Evening Phone: Person Filing Document is: (If Attorney) State Bar No.: Attorney Phone: ATLAS No. (if applicable): Self or Attorney for / Plaintiff Respondent SUPERIOR COURT OF ARIZONA IN YAVAPAI COUNTY Regarding the Matter of: Case No.: PETITION TO ESTABLISH Petitioner (Check one box only) CHILD CUSTODY, PARENTING TIME, and CHILD SUPPORT Respondent CHILD CUSTODY AND PARENTING TIME (ONLY) General Information: 1. INFORMATION ABOUT THE PETITIONER Name: Address: County of residence: Date of Birth: Occupation: Relationship to children for whom I want the CUSTODY/PARENTING TIME order: Mother Father Other: (explain) 2. INFORMATION ABOUT THE RESPONDENT Name: Address: County of residence: Date of Birth: Occupation: Relationship to children for whom I want the CUSTODY/PARENTING TIME order: Mother Father Other: (explain) Superior Court of Arizona in Yavapai County August 2010 Page 1 of 5 DRCV11f American LegalNet, Inc. www.FormsWorkFlow.com Case No. 3. JURISDICTION: WHY I AM FILING THIS COURT CASE IN ARIZONA AGAINST THE OTHER PERSON: (check all that apply) The person is a resident of Arizona. I believe that I will personally serve the person in Arizona (see "Service" packet for information). The person agrees to have the case heard here and will file written papers in the court case. The person lived with the minor child(ren) in this state at some time. The person lived in this state and provided pre-birth expenses or support for the minor child(ren). The minor child(ren) lives in this state as a result of the acts or directions of the person. The person had sexual intercourse in this state as a result of which the minor child may have been conceived in Arizona. The person signed an acknowledgment of paternity that is filed in this state. The person did any other acts that substantially connect the person with this state (see a lawyer to help you determine this). INFORMATION ABOUT MINOR CHILD(REN) FOR WHOM I WANT CUSTODY/PARENTING TIME ORDER: Name: Birthdate: Current Address: County of residence: Father: Mother: Name: Birthdate: Current Address: County of residence: Father: Mother: 4. Name: Birthdate: Current Address: County of residence: Father: Mother: Name: Birthdate: Current Address: County of residence: Father: Mother: STATEMENTS ABOUT PATERNITY AND CHILD SUPPORT: 5. PATERNITY WAS ESTABLISHED BY: (check one box). (A copy of any Order or document referenced here should already be in the Court file or attached.) A Court Order for Paternity from this county or previously transferred to this county stating that is the natural father of the minor child(ren). (A.R.S. § 25-502(c)) Both parents signing an Acknowledgment of Paternity through the Hospital Paternity Program or other means provided by law after July 18, 1996, and a birth certificate listing the name of the father was issued as a result. We do not have an order of paternity, but we do have a child support order. (See instructions) Parties were legally married when minor child(ren) was (were) born, conceived or adopted.* *NOTE: If married when minor child(ren) born, conceived or adopted, and no decree of Divorce or Separation has been issued, STOP! Do not use these forms unless advised to do so by an attorney. Requests for custody and parenting time must generally be filed as part of a case for Separation or Divorce. Superior Court of Arizona in Yavapai County August 2010 Page 2 of 5 DRCV11f American LegalNet, Inc. www.FormsWorkFlow.com 6. Case No. INFORMATION ABOUT CHILD SUPPORT FOR MINOR CHILDREN: (check one box) An Order for Child Support is dated from (name of court) which states that child support is established and does not need to be changed. Note: if order is from court other than Superior court in Yavapai County, see instructions) An Order for Child Support is dated from (name of court) which states that child support is established and does need to be changed. Note: if order is from court other than Superior Court in Yavapai County, see instructions) To my knowledge there is no child support order for the minor child(ren) and the court should order child support in this case along with custody and parenting time. Other information about the minor children: 7. WHERE THE CHILDREN WHO ARE UNDER 18 YEARS OLD HAVE LIVED FOR THE LAST 5 YEARS. (Attach extra pages if necessary.) Child's Name Lived with Street address Child's Name Lived with Street address Child's Name Lived with Street address Dates: From Relationship to child: City, State: Dates: From Relationship to child: City, State: Dates: From Relationship to child: City, State: To To To 8. COURT CASES NOT INVOLVING CUSTODY OR PARENTING TIME RELATED TO THE CHILDREN I HAVE I HAVE NOT been a party or a witness in court UNDER 18 YEARS OLD: (check one box) in this state or any other state regarding the custody or parenting time of any of the minor children named above (If so, explain below, using extra pages if necessary. IF NOT, GO ON.) Name of each child: Court state Court case number How the minor child(ren) is (are) involved: Summary of any Court Order: Court location Current status 9. CUSTODY OR PARENTING TIME CASES RELATED TO CHILDREN UNDER 18 YEARS OLD: (check one box) I DO NOT HAVE I DO HAVE information about a custody or parenting time court case relating to any of the minor children named above that is pending in this state or in any other state (If so, explain below, using extra pages if necessary. IF NOT, GO ON). Name of each child: Court state Court case number Nature of the court proceeding: Summary of Court order: Court location Current status Superior Court of Arizona in Yavapai County August 2010 Page 3 of 5 DRCV11f American LegalNet, Inc. www.FormsWorkFlow.com 10. Case No. CUSTODY OR PARENTING TIME CLAIMS OF ANY PERSON: (check one box) I DO NOT KNOW I DO KNOW a person other than the Petitioner or the Respondent who has physical custody or who claims custody or parenting time rights to any of the minor children named above. (If so, explain below, using extra pages if necessary. IF NOT, GO ON). Name of each child: Name of person with the claim: Address of person with the claim: Nature of the claim: OTHER STATEMENTS TO THE COURT: 11. OTHER EXPENSES: The parties should be ordered to divide between them any uninsured medical, dental, or health expenses, reasonably incurred for the minor child(ren), in proportion to their respective incomes. DOMESTIC VIOLENCE: (check if you are asking for joint