Clone of Answer & Counterclaim (Divorce w/ Minor Child/ren)

Answer & Counterclaim to Complaint for Custody, Visitation, Child Support

Intake form for answering a complaint and counterclaim involving minor child/ren.
NRS240A DISCLOSURE - Read Carefully.

I, DEBORAH BARNHART, DOING BUSINESS AS DPSOFNORTHERN NEVADA, AM NOT AN ATTORNEY IN THE STATE OF NEVADA. I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION. I MAY NOT ACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.
Custody Case Information

Fill in the below information from the Complaint that you were served with.
Case Number
Department Number
County Filed In
Date of the Complaint

MonthDayYear
Date
Date You Were Served the Custody Complaint

MonthDayYear
Date
Respondent's (Your) – Contact Information

Provide your contact details as the person completing this intake.
Full Name*

First NameMiddle NameLast NameSuffix
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address (if different from home address)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Petitioner's Contact Information

Provide the other party's contact information.
Full Name*

First NameMiddle NameLast NameSuffix
Home Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mailing Address (if different from home address)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number*
Please enter a valid phone number.
Email Address*
example@example.com
Petitioner's Attorney (if any) – Contact Information

If the petitioner has an attorney, enter their details.
Attorney Name

First NameLast Name
Firm Name
Mailing Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Answer to Complaint

State your responses to the complaint.
List the paragraph numbers you admit as true:
List the paragraph numbers you deny:
List the paragraph numbers for which you lack sufficient knowledge or information:
Are you currently pregnant?*

YesNo
If Yes, is Petitioner the other parent of the unborn child?*

YesNoUnknown
Legal Custody Request

State your legal custody preference.
Legal custody requested for the minor child(ren):*

Joint Legal CustodySole Legal Custody to MeSole Legal Custody to Spouse
Physical Custody Request

State your physical custody preference.
Physical custody requested for the minor child(ren):*

Joint Physical CustodyPrimary Physical Custody to MePrimary Physical Custody to SpouseSole Physical Custody to MeSole Physical Custody to Spouse
Custody/Visitation Schedule

Choose your preferred custody/visitation schedule.
Preferred custody/visitation schedule:*

Week on / Week off5-4 ScheduleThree weekends per monthCustom Schedule
If custom, describe your proposed schedule:
Exchange day(s), time(s), and location(s):
Holiday Schedule

Specify who has each holiday in even and odd years, and any notes.

Holiday Schedule Matrix

	Even Years	Odd Years	Notes
Spring Break
Mother’s Day
Father’s Day
4th of July
Halloween
Easter
Thanksgiving Break
Winter Break (1st half)
Winter Break (2nd half)
National 3-day weekends
Child's Birthday
Other
Other

Summer Visitation

Describe summer visitation preferences.
Preferred summer visitation schedule:*

Same as regular scheduleAlternating 2-week scheduleCustom schedule
If custom, describe your proposed summer schedule:
Transportation for summer visitation:*

I will pick up the child(ren)I will drop off the child(ren)Other (please explain)
If other, please explain:
Best-Interest Factors

Provide information relevant to the best-interest-of-the-child factors.
Child’s preference and age (if applicable):
Nomination of a guardian (if applicable):
Which parent is more likely to allow the child frequent associations and a continuing relationship with the other parent?
Level of conflict between the parents:
Ability of the parents to cooperate to meet the child’s needs:
Each parent's mental and physical health:
The child’s physical, developmental, and emotional needs:
The relationship of each parent with the child:
The relationship of the child with siblings (if any):
History of abuse, neglect, or domestic violence (by you):
History of abuse, neglect, or domestic violence (by spouse):
If yes to abuse/neglect/domestic violence, provide details and case numbers:
History of abduction (by you):
History of abduction (by spouse):
If yes to abduction, provide details:
Child Support

Provide details regarding child support.
Is there a District Attorney (DA) child support case?*

YesNo
If yes, provide case number:
Your gross monthly income:*
Other parent’s gross monthly income (if known):
Requested child support amount:
Adjustment factors to child support (explain):
Payment, Child Care, and Insurance

Describe payment methods, child care, and insurance arrangements.
How will child support be paid?*

Direct payment to other parentWage assignmentThrough District Attorney’s office
Monthly child care cost (if any):
Who pays for child care?

PetitionerRespondent (You)Split/sharedOther
Type of health insurance for child(ren):

MedicaidPrivate insuranceTricareOther
Monthly premium for insurance:
Who pays for insurance?

PetitionerRespondent (You)Split/sharedOther
Insurance notes:
Tax & School

Tax dependency and school enrollment preferences.
Tax dependency method:*

One parent claims all childrenAlternate even/odd yearsShared (split children)
Which children will each parent claim (specify names):
School enrollment preference:*

School zoned for my addressSchool zoned for spouse’s addressOther (please explain)
If other, explain school preference:
Additional Relief & Information

Enter any additional relief requested or information to share.
Additional relief requested:
Upload the Custody Complaint and Summons you were served with (if possible).

Cancelof
NRS240A DISCLOSURE - Read Carefully

Please review and confirm the information below.
I, DEBORAH BARNHART, DOING BUSINESS AS DPS OF NORTHERN NEVADA, AM NOT AN ATTORNEY IN THE STATE OF NEVADA. I AM NOT AUTHORIZED TO GIVE LEGAL ADVICE OR LEGAL REPRESENTATION. I MAY NOT ACCEPT FEES FOR GIVING LEGAL ADVICE OR LEGAL REPRESENTATION.*

I understand that Deborah Barnhart, dba DPS of Northern Nevada, is not an attorney and is acting solely as a legal document preparer.
Name*

First NameMiddle NameLast NameSuffix
Should be Empty:

Answer & Counterclaim to Complaint for Custody, Visitation, Child Support

NRS240A DISCLOSURE - Read Carefully.

Custody Case Information

Respondent's (Your) – Contact Information

Petitioner's Contact Information

Petitioner's Attorney (if any) – Contact Information

Answer to Complaint

Legal Custody Request

Physical Custody Request

Custody/Visitation Schedule

Holiday Schedule

Summer Visitation

Best-Interest Factors

Child Support

Payment, Child Care, and Insurance

Tax & School

Additional Relief & Information

NRS240A DISCLOSURE - Read Carefully