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Intake from for Child Custody – Short

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1

2Information on Opposite Party

3Kid's Information

4Current Visitation Schedule

Your Name

First

Last

Email

Confirm Email

Phone

Current Address

Address Line 1

Address Line 2

City

State

Zip Code

Living on this Address Since

Name of Opposite Party

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

How many MINOR kid from this marriage ?

Selected Value: 1

Name of First Kid (Minor)

First

Last

Date of Birth

Place of Birth

Where do the child resides ?

Address Line 1

Address Line 2

City

State

Zip Code

Child is living at this address since ?

Living with whom ?

Father
Mother
Both Parents

Second Kid

Name of Second Kid (Minor)

First

Last

Date of Birth

Place of Birth

Is the address same as child above ?

Yes
No

Where do the child resides ?

Address Line 1

Address Line 2

City

State

Zip Code

Child is living at this address since ?

Living with whom ?

Father
Mother
Both Parents

Third Kid

Name of Third Kid (Minor)

First

Last

Date of Birth

Place of Birth

Is the address same as child above ?

Yes
No

Where do the child resides ?

Address Line 1

Address Line 2

City

State

Zip Code

What is the current visitation schedule ?

Provide information for each kid.

Date when you started the visitation schedule ?

Is there any Restraining Order ?

Give start and end date of Restraining Order is there is one.

What is the proposed visitation schedule you are looking for ?

Provide the proposal for each kid.

Explain why the new schedule is in the best interest of each minor ?

What has changed since you get the last custody order ?

Upload any document to support your request

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Intake from for Child Custody – Short

510-600-3083
support@alliedlegal.us
1613 S Main St, Suite 107 Milpitas CA 95035

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