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Fillable Printable Petition for Voluntary Transfer of Custody - Loiuisiana
Fillable Printable Petition for Voluntary Transfer of Custody - Loiuisiana
![Petition for Voluntary Transfer of Custody - Loiuisiana](/resources/formfile/images/fb/source_images/petition-for-voluntary-transfer-of-custody-loiuisiana-d1.png)
Petition for Voluntary Transfer of Custody - Loiuisiana
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IMPORTANT: READ THIS INFORMATION SHEET BEFORE
FILLING OUT THE FOLLOWING FORMS
INFORMATION SHEET FOR
VOLUNTARY TRANSFER OF CUSTODY
WHO CAN TRANSFER CUSTODY?
Only a parent can transfer the custody of his or her child.
The custody must be transferred to a non-parent. For instance an aunt, uncle or
grandparent or non-relative.
UNDER WHAT CIRCUMSTANCES CAN THIS COURT NOT TRANSFER
CUSTODY?
When there is no parent available to agree to the transfer of custody
When either parent does not want to transfer custody
When another court has granted an order of custody
When there is an open case in the court in which custody has been addressed
GENERAL INFORMATION
Either the parent of the child OR the person accepting custody must live in Jefferson
Parish
You must fill out the attached documents COMPLETELY and sign them before a
Notary Public (There is no one at this Court that can notarize the signatures for you)
1) Petition for Voluntary Transfer – must be filled out and signed by the
parent
2) Affidavit of Acceptance – must be filled out and signed by the person
accepting custody
3) Certified copy of birth certificate of all children
4) A NON-REFUNDABLE filing fee of $50.00, and
5) Affidavit of Additional Information
After all the documents are filed and the filing fee is paid, the Judge may:
1) Sign the judgment, or
2) Order a hearing
If you do not have what you need, your petition will be dismissed.
You will be notified by mail or by phone of what the Judge decides
EXPLANATION OF FORMS ENCLOSED
PETITION
Both the mother and the father must join in the petition, therefore they are
“petitioners”. If one parent is not available, the reason must be explained in Paragraph
III of the Petition.
Paragraph I: Addresses of all petitioners
Paragraph II: Names and dates of birth of all children
Paragraph III: Name and address of legal custodian (the other parent) not joining in
petition and reason why not
Paragraph IV: Name and address of the person to whom custody is being transferred
Paragraph V: Indicate level of custody. The choices are as follows:
1) Physical custody: gives duty and authority to care for the child
in the home of the custodian
2) Legal Custody: gives duty and authority to have physical
custody and the duty to protect, train, discipline, feed, shelter,
educate and provide medical treatment for the child
Must state how long the order will remain in effect
Must give any terms and conditions, such as visitation and support
Paragraph VI: State the reason for the transfer of custody
Paragraph VII: Name the person receiving custody of the child.
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STATE OF LOUISIANA DOCKET#:
IN THE INTEREST OF JUVENILE COURT
_______________________ PARISH OF JEFFERSON
_______________________ STATE OF LOUISIANA
_______________________ SECTION:
PETITION FOR VOLUNTARY TRANSFER OF CUSTODY
The petition of ___________________________________________________________
_______________________________________________________________________
(names of parents go in this blank)
domiciled in the Parish of ____________________ respectfully represent:
I
Petitioner(s) reside(s) at the following address(es):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
II
That petitioner(s) is/are the parent(s) and legal custodian(s) of the minor child(ren),
namely:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(Put names of all children whose custody will be transferred)
whose date(s) of birth is/are:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
as more fully appears from the attached birth certificate(s).
III
CHECK ONE:
{ } There are no other legal custodians of the child OR
{ } There are other legal custodians of the child, namely:
________________________________________________________________________
________________________________________________________________________
Who is/are unable to join in the petition for the following reasons:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
IV
Petitioner(s) desires to knowingly and voluntarily transfer custody of the above named
child(ren) to___________________________________________ which individual(s),
institution or agency reside(s) at the following address and has/have the following phone
number(s):
_____________________________________________
Address
_____________________________________________
___________________
Home phone
___________________
Work phone
And who has/have the following relationship with the child(ren):
3
________________________________________________________________________
________________________________________________________________________
V
Petitioner(s) desire(s) to transfer:
CHECK ONE:
{ } Physical custody
{ } Legal custody
of (Put the names of the children)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
for the period of time ______________________________________________________
in accordance with the following terms and conditions:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(may include visitation and support)
VI
Petitioner(s) desire(s) to transfer custody for the following reasons:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
VII
That __________________________________ has/ have agreed to and does desire to
(Put the name of the person accepting custody here)
accept custody of the minor child(ren) to the extent and under the terms and conditions
stated in this petition, as more fully appears in the attached affidavit of acceptance.
WHEREFORE petitioner prays that there be judgment herein transferring custody of the
minor child(ren):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(Put the names of the children here)
to______________________________________________________________________
(Put the name of the person accepting custody here)
to the extent and under the terms and conditions set forth in this petition.
____________________________________
Signature of Petitioner or attorney
____________________________________
Address
____________________________________
City, State, Zip
Phone number:_______________________
SWORN TO AND SUBSCRIBED BEFORE ME, at __________________, Louisiana,
this _________ day of _________________________ 20____.
_______________________________________________
NOTARY PUBLIC
My commission expires:___________________________
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STATE OF LOUISIANA
PARISH OF JEFFERSON
AFFIDAVIT OF ACCEPTANCE
BEFORE ME, the undersigned authority, personally came and appeared:
__________________________________________________ individual(s) or a
representative of _________________________________
(Name of agency, if applicable
who being first duly sworn, did depose and state that:
Affiant is a person of the full age of majority and resides at:
__________________________________
Address
__________________________________
__________________________________
in the Parish of __________________________, State of Louisiana
Affiant does knowingly and voluntarily accept (Check one)
{ } Physical custody { }Legal custody
of______________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(Put the names of the children here)
for the period of time__________________________(specify intended period of this transfer)
in accordance with the following terms and conditions:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
(May include visitation and child support)
__________________________________________
Signature of Affiant
__________________________________________
Print name of Affiant
__________________________________________
Address
__________________________________________
City, State, Zip
__________________________________________
Phone number
SWORN TO AND SUBSCRIBED BEFORE ME, at ____________________, Louisiana
this ________ day of __________________________ 20_______.
____________________________________
NOTARY PUBLIC
My commission expires:________________
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ADDITIONAL INFORMATION
Please provide the following additional information:
Provide the name, address and telephone number of the biological father of the child,
even if his name does not appear on the birth certificate.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Are you presently married to the child’s father or mother? Yes No
If not, were you ever married to the child’s father or mother? Yes No
Was the mother of the child(ren) married to someone other than the biological father at
the time of the birth or conception of the child(ren)? Yes No
Did the mother give birth less than 300 days after a divorce? Yes No
If the answer to any of the above is YES, please provide the name, address and phone
number of the husband or former husband:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Did another court ever render a judgment of custody regarding the children whose
custody is being transferred in this proceeding? Yes No
If the answer to the above is yes, what court rendered the custody judgment?
________________________________________________________________________
Were the parents of the child(ren) whose custody is being transferred ever divorced?
Yes No
If yes, provide the court and docket number of that proceeding.
________________________________________________________________________
Has OCS or Child Protection ever been contacted to conduct an investigation regarding
the child(ren) whose custody is being transferred? Yes No
If yes, please give the date the investigation took place and the outcome of the
investigation._____________________________________________________________
________________________________________________________________________
Did OCS or Child Protection suggest that this Voluntary Transfer be filed? Yes No
If yes, give the name of your Social Worker ____________________________________
What is the name, address and phone number of the school the child(ren) is/are attending
now?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
What is the name, address and phone number of the school the child(ren) will be
attending if this transfer of custody is granted?
________________________________________________________________________
________________________________________________________________________
Signature____________________________________
Print name___________________________________
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RECIPIENT INFORMATION
Has the person(s) accepting custody of the minor child(ren) ever had a validated
complaint of abuse or neglect on his/her record? Yes No
If yes, please explain. Include date of abuse or neglect, type of abuse or neglect, the date
of the investigation, the investigating agency, the outcome of the investigation, whether
or not the children named in this petition were the subject of the abuse or neglect
allegation, and any other information which you might think is important.
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
____________________________________
Signature of recipient
____________________________________
Print name of recipient
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STATE OF LOUISIANA DOCKET#:
IN THE INTEREST OF JUVENILE COURT
_______________________ PARISH OF JEFFERSON
_______________________ STATE OF LOUISIANA
_______________________ SECTION:
ORDER
Considering the foregoing Petition for Voluntary Transfer of Custody, and in accordance
with the Provisions of the Louisiana Children’s Code Articles 1517 through 1519:
IT IS ORDERED that:
(1) A hearing be set on the _____ day of _________________________20____ at ____
o’clock a.m. at Jefferson Parish Juvenile Court, 1546 Gretna Boulevard, Harvey,
Louisiana and that all parties be served with this order, which includes all parties
listed below, appear at the hearing.
(2) All parents or legal custodians not joining in the petition be served with notice of the
proceeding OR
That ___________________________, attorney at law be appointed as curator ad hoc
for the absentee, _______________________________ and that service be made on the
curator
(3) { } A home-study be made of the proposed placement, more particularly:
_____________________________________________________________________
_____________________________________________________________________
{ } A physical and/or mental examination be made of a party or parties, more
particularly:___________________________________________________________
_____________________________________________________________________
{ } _______________________________, Attorney at Law be appointed as counsel
for the child(ren).
Signed at Harvey, Louisiana this ____ day of ________________20 ____.
____________________________________
J U D G E
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PLEASE SERVE:
STATE OF LOUISIANA DOCKET#:
IN THE INTEREST OF JUVENILE COURT
_______________________ PARISH OF JEFFERSON
_______________________ STATE OF LOUISIANA
_______________________ SECTION:
JUDGMENT
Considering the foregoing petition and attachments, this Court finds that:
1) Check one:
{ } All necessary parties are involved;
OR
{ } The rights of the absentee, ________________________, are specifically
reserved;
2)This transfer is knowing and voluntary;
3)There is a legitimate purpose and a factual basis to support the purpose;
4)All parties have been advised of and understand the nature and extent of the transfer,
including any terms and conditions and their respective rights;
5)The proposed change of custody is in the best interests of the child(ren);
THEREFORE IT IS ORDERED, ADJUDGED AND DECREED that the:
{ }physical custody { }legal custody
of the minor child(ren) _____________________________________________________
________________________________________________________________________
be and is hereby granted to _________________________________________________
in accordance with the following terms and conditions:___________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
for the period of time of ____________________________________________________
JUDGMENT READ, RENDERED AND SIGNED, this _____ day of
________________ 20___ at Harvey, Louisiana.
_________________________________
J U D G E
PLEASE SERVE: