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- Date of the Complaint
- Date You Were Served the Custody Complaint
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Format: (000) 000-0000.
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Format: (000) 000-0000.
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Format: (000) 000-0000.
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- Are you currently pregnant?*
- If Yes, is Petitioner the other parent of the unborn child?*
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- Legal custody requested for the minor child(ren):*
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- Physical custody requested for the minor child(ren):*
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- Preferred custody/visitation schedule:*
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- Preferred summer visitation schedule:*
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- Transportation for summer visitation:*
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- Is there a District Attorney (DA) child support case?*
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- How will child support be paid?*
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- Who pays for child care?
- Type of health insurance for child(ren):
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- Who pays for insurance?
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- Tax dependency method:*
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- School enrollment preference:*
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- Should be Empty: