Custody or Child Support Intake Form

Custody or Child Support Intake Form

info@customlegalwork.com

Your Name*

First NameLast Name

Your Date of Birth*

Date

Email*

Confirmation Emailexample@example.com

Your Cell Phone Number*

Please enter a valid phone number.

Your Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I would like to file a complaint for

CustodyChild SupportType option 3Type option 4

Custody Support Your relationship to the children

Custody Support Full Legal Name of Mother

Custody Support Date of Birth of Mother

Date

Custody Support Complete Address of Mother include zip code

Custody Support Full Legal Name of Father

Custody Support Date of Birth of Father

Date

Custody Support Complete Address of Father include zip code

Custody Support Number of children

Custody / Support: Name of Child 1

Custody Support Date of Birth of Child 1

Date

Custody Support Name of Child 2

Custody Support Date of Birth of Child 2

Date

Custody Support Name of Child 3

Custody Support Date of Birth of Child 3

Date

Custody Support Name of Child 4

CustodySupport Date of Birth of Child 4

Date

Custody Support Name of Child 5

Custody Support Date of Birth of Child 5

Date

Custody Support With whom do the children reside Name and Address

Custody Support Other children of Biological Mother not a product of this relationship Include names and dates of birth

Date

Custody Support Other Children of Biological Father not a product of this relationship Include names and dates of birth

Date

Custody Support Please briefly describe your plan for parenting time if you have one

Custody Support Please describe any safety concerns you may have for the children being in the care of the other parent

Custody / Support: Please answer I am currently receiving child support for the benefit of the child(ren | am not receiving child support for the benefit of the child(ren Custody / Support: Name of Day Care Attended by Child(ren)

Custody Support Name of Day Care Attended by Children

Custody / Support: Name of School Attended by Children

Name of School Attended by Children

Custody Support Cost of School if private per semester

Custody Support Cost of Day Care Attended by Children per week

Custody / Support: Unreimbursed Health Expenses for Child(ren)

Unreimbursed Health Expenses for Children

Custody Support Additional information regarding support that you would like the Court to know eg special requests or needs for support of children

Custody / Support: | am requesting joint legal custody with the Mother. (NJ) joint legal custody with the Father. (NJ) joint legal custody with both parents. (NJ) sole custody. (NJ & PA) joint legal custody with the Mother, and to be designated the parent of primary residence. (NJ) joint legal custody with the Father, and to be designated the parent of primary residence. (NJ) joint legal custody with both parents, and to be designated the custodian with primary residence. (NJ) shared legal custody with the Mother. (PA) shared legal custody with the Father. (PA) shared legal custody with both parents (PA) shared legal custody with the Mother, and to be designated the parent of primary residence. (PA) shared legal custody with the Father, and to be designated the parent of primary residence. (PA) joint legal custody with both parents, and to be designated the custodian with primary residence. (PA) Custody / Support: | am further requesting to establish a parenting time schedule. to establish grandparent visitation. to establish sibling visitation. Custody / Support: My request for relief is unique. (Describe what you are requesting)

Custody Support My request for relief is unique Describe what you are requesting

Custody / Support: I am further requesting child support for the benefit of the child

from the Mother. from the Father.

from both parents. from neither parent.

from the Mother to be terminated.

from the Father to be terminated.

Custody / Support: Please further explain your request for support to be granted or terminated.

Custody / Support: Health benefits for the children. | am in need of health benefits for the support of the child(ren The children are already covered by health benefits, provided by the State. The children are already provided health benefits from the Father. The children are already provided health benefits from the Mother. Custody / Support: The State Child Abuse and Neglect Agency is involved, or has been involved, with the children. is not involved, and has never been involved with the children. is not currently involved, but, was previously involved with the children. Custody / Support: College Expenses. Iam requesting college expenses for the benefit of the child(ren This application does not involve a request for college expenses for the benefit of the child(ren) at this time. Custody / Support: Other Interested Party (Name)

Custody Support Other Interested Party Name

Custody Support Other Interested Party Date of Birth

Date

Custody Support Other Interested Party Relationship to the Children

Custody / Support: Previous Family Court Actions * I have previously been involved in family court actions involving at least one of the other parties, or children in this complaint. have never been involved in family court actions involving at least one of the other parties, or children in this complaint. Custody/Support: Previous Family Court Actions (Title of Case & Docket Number) *

CustodySupport Previous Family Court Actions Title of Case Docket Number

Custody / Support: Previous Family Court Action Type * Custody Case. Child Support Case.

Abuse & Neglect Case. Custody / Support: Public Assistance * A party in this case is receiving public assistance. No parties in this case are receiving public assistance.

CustodySupport Additional information that you would like the Court to consider

Custody Support Please describe why in complete sentences you believe that it is in the best interests of the child to be granted the custody arrangement that you seek

Custody Support Custody Support Please describe why in complete sentences you believe that it is NOT in the best interests of the child for the opposing party to be granted the custody arrangement that heshe seeks

Custody Support Please describe in detail your plan for parenting time between the children and yourself

Custody Support Please describe in detail your plan for parenting time between the children and the other parent

Custody Support If grandparent involved please describe the proposed visitation or custody arrangement that you are requesting for the grandparents If opposed please describe your reasons in detail

Please let us know how you would like to respond. Please include all details which you believe are important to know, even if you are not sure. Please bear in mind that this is a document drafting service, based only on the information provided by you. Please schedule a personal conference if you need advice regarding your legal matter before proceeding. https://www.customlegalwork.com/book-online