• Visitation/Custody/Child Support Modification Form

  • CONFIDENTIALITY: The information you enter in this questionnaire is confidential. The information will not be disclosed to anyone outside of this office, except in the course of rendering legal services on your behalf or as otherwise provided by law.

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  • CLIENT

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  • CLIENT EMPLOYMENT INFORMATION

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  • OPPOSING PARTY'S PERSONAL INFORMATION

  •  /  /
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  • OPPOSING PARTIES' EMPLOYMENT INFORMATION

  •  /  /
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  • CHILDREN

  • CHILD SUPPORT WORKSHEET

  • CHILDREN’S HEALTH INSURANCE

  • DEPENDENCY EXEMPTION

  • VISITATION

  • PARENTING AFFIDAVIT INFORMATION - this MUST be fully completed if there are minor

    children. Where have the children resided for last 5 years and with whom?

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  • Should be Empty:
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