Fillable Printable Petition/Motion to Modify Custody/Visitation
Fillable Printable Petition/Motion to Modify Custody/Visitation
Petition/Motion to Modify Custody/Visitation
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DR 7 - Revised 9 March 2001
Circuit Court for Case No.
City or County
Name Name
VS.
Street Address Apt. # Street Address Apt. #
( ) ( )
City State Zip Code Area Telephone City State Zip Code Area Telephone
Code
Code
Plaintiff Defendant No. 1
Name
Street Address Apt. #
( )
City State Zip Code Area Telephone
Code
Defendant No. 2
PETITION/MOTION TO MODIFY õ CUSTODY õ VISITATION
(DOM REL 7)
I, , representing myself, state that:
My name
1. I am the mother/ father or of :
Relationship (for example, aunt, grandfather, guardian, etc)
name of child date of birth name of child date of birth
name of child date of birth name of child date of birth
name of child date of birth name of child date of birth
name of child date of birth name of child date of birth
2. On the Circuit Court for issued
City or County
an order in case number , granting custody of the child(ren) to
and visitation to .
3. Since the order, circumstances have changed and the Order is no longer in the best interest of
the child(ren) because:
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DR 7 - Revised 9 March 2001
4. I know of the following additional cases concerning the child(ren) (such as domestic violence
(protective order), paternity, divorce of the child(ren)’s parents, custody, visitation, or
juvenile court cases):
Court
Case No. Kind of Case Year Filed Results or Status (if you know)
FOR THESE REASONS, I request the Court change custody and/or visitation as follows:
State the changes that you are requesting
and order any other appropriate relief.
[ ] I am also requesting a change in the current child support order.
I solemnly affirm under the penalties of perjury that the contents of the foregoing paper are
true to the best of my knowledge, information, and belief.
Date Signature
