© 2016 Family Law Self-Help Center Petition for Registration of Custody Order
* You are responsible for knowing the law about your case. For more information on the law, this form, and free
classes, visit www.familylawselfhelpcenter.org or the Family Law Self Help Center at 601 N. Pecos Road. To find
an attorney, call the State Bar of Nevada at (702) 382-0504.
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3. I am the mother / father of the children and my current address is:
4. The opposing party is the mother / father of the children and his/her current
address is:
5. There is / is not another person who has been awarded custody or visitation in the
child custody determination being sought to be registered. (If there is another person
who has been awarded custody or visitation, you must fill out the following information)
Name of person:
Address of person:
6. The out-of-state child custody determination I am petitioning to have registered, to the
best of my knowledge and belief, is valid, enforceable, and has not been modified,
vacated or stayed.
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
DATED this (day) _____ day of (month) ___________, 20___.
Submitted By: (your signature) _______________________________
(print your name) _______________________________
VERIFICATION
Under penalties of perjury, I declare that I am the moving party in the above-entitled
action; that I have read the foregoing Petition and know the contents thereof; that the pleading is
true of my own knowledge, except for those matters therein contained stated upon information
and belief, and that as to those matters, I believe them to be true.
I declare under penalty of perjury under the law of the State of Nevada that the
foregoing is true and correct.
DATED this (day) _____ day of (month) ___________, 20___.
Submitted By: (your signature) _______________________________
(print your name) _______________________________
