Form Child Custody – 1212 Documents

Prepare your Custody Case ONLINE!!!

Are you legally married?

Have you ever filed a child support case with the other parent regarding the child(ren)?

IF SO:

NAME OF COURT

PERSON'S INVOLVED

YOUR FULL NAME

ADDRESS

CITY

ZIP

PHONE NUMBER:

DATE OF BIRTH

ANY OTHER NAMES THAT YOU HAVE USED?

Name of the other Parent:

FULL NAME

ADDRESS

CITY

ZIP

PHONE NUMBER:

DATE OF BIRTH

ANY OTHER NAMES THAT YOU HAVE USED?

Which kind of Legal Custody are you seeking?

Joint Sole None

Which Kind of Physical Custody are you seeking?

Joint Sole None

Will either of you be seeking any visitation? Please explain how you would like visitation: Dates, Times, Pick up locations, etc.

Will either of you be seeking Holiday dates with the children? If so, which dates?

In the past 5 years, where have the children resided?

Date

Address

With Whom? Example: Mom and Dad

NAME OF CHILD(REN)'s UNDER THE AGE OF 18

FULL NAME

DATE OF BIRTH

AGE

PLACE OF BIRTH

PLEASE EXPLAIN WHY YOU SHOULD HAVE THE CUSTODY OR VISITATION THAT YOU ARE SEEKING?

DO YOU RECEIVE MEDICAL, SSI, SSP, FOOD STAMPS, UNEMPLOYMENT, IHSS, WIC, CAPI, CALWORKS or TRIBAL TANF, COUNTY RELIEF/GEN. ASSISTANCE?

IF YES, WHICH?

NAME OF EMPLOYER

EMPLOYMENT ADDRESS, CITY, STATE, ZIP CODE?

PHONE NUMBER OF EMPLOYER?

POSITION TITLE

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