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

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

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