Fill - Free fillable Pro Se Modification Instructions PRO SE MODIFICATION PACKET PDF form

PRO SE

CHILD CUSTODY

MODIFICATION

INSTRUCTION PACKET

AN EDUCATIONAL SERVICE PROVIDED BY:

LEGAL AID OF NORTH CAROLINA, INC.

WINSTON-SALEM OFFICE

336-725-9162

Serving Forsyth, Davie, Iredell, Stokes, Surry and Yadkin Counties

July 14, 2009 Version/Print Out

INSTRUCTIONS FOR PRO SE

CHILD CUSTODY MODIFICATION PACKET

This packet of information explains some of your legal rights under North Carolina domestic

law. It also contains forms to help you a modification of a prior custody order without a lawyer.

DISCLAIMER

This packet has been developed as a public service. These materials are designed for people who

cannot afford to hire a private attorney to obtain custody modification. Legal Aid of NC, Inc.

makes no assurances that these papers will enable you to succeed in obtaining a modification of

your current child custody order. We simply suggest that you try using these forms and these

instructions if you cannot afford to hire a private attorney. If you need legal advice about other

family matters or cannot obtain a modification by using these forms and instructions, we suggest

you contact a private attorney or Legal Aid of NC, Inc.

The act of representing yourself in court is called “pro se” representation. While you always have

the right to represent yourself in court, the court process can sometimes be difficult to understand.

Even though you are not an attorney, the court will expect you to know the laws and behave

professionally in court. At any time during the process you can decide that you want to have the

advice and assistance of an attorney. If you want to find an attorney in your area to assist you, you

may call the Lawyer Referral Service 1-800-662-7660 or on the web at

http://www.ncbar.org/NCFindaLawyer.com. The service is available 24 hours/day, 7 days/week

and will refer you to an attorney in your location who handles divorce. The attorney will consult with

you for a small fee.

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PRO SE MODIFICATION PACKET

(MODIFICATION OF EXISTING CUSTODY ORDERS)

I. GENERAL

A. YOU CAN REPRESENT YOURSELF: You may go into court without a lawyer.

This form is designed to modify a prior custody order. DO NOT USE THIS

FORM IF THE CHILD INVOLVED HAS LIVED OUTSIDE OF NORTH

CAROLINA FOR MORE THAN SIX MONTHS. IF THE CHILD HAS LIVED

OUTSIDE OF NORTH CAROLINA FOR MORE THAN SIX MONTHS, YOU

SHOULD CONSULT WITH A LAWYER BEFORE GOING FORWARD. YOU

MAY CONTACT THE LAWYER REFERRAL SERVICE AT 1-800-662-7660.

B. WHEN THIS FORM CAN BE USED: This form can only be used if a North

Carolina court already has issued a custody, visitation or divorce order. In order

to make any changes to the current order you must file a Motion to Modify the

prior order. To get the order modified you must show the Court that there has

been a substantial change in circumstances since the order was originally entered

that makes a modification necessary. This will depend on the facts of your case.

Note: if the child is expressing a desire to live with you most of the time, this will

not be enough to change custody if the other parent is still providing a suitable

home.

II. STEP ONE: GATHER INFORMATION

A. GET A COPY OF THE CUSTODY/VISIATION ORDER: Obtain a copy of the

prior order that you are seeking to change. If you do not have one in your

possession already, contact the Civil Clerk’s office of the District Court in the

county where the case was originally heard. For a small charge, the clerk will

make a copy of the order.

B. OBTAIN THE ADDRESS OF THE PERSON WHO HAS LEGAL CUSTODY

If you don’t already know it, obtain the full street address of the person who has

legal custody under the current order. If you can’t find it, and within the last year

an attorney represented the other party in court, find out the address of the

attorney. If you can’t find the address of either the other party, or the other

party’s attorney, find the address of a place that the custodial party works or

routinely visits (for example, a bar or bowling alley).

III. STEP TWO: WRITE A MOTION TO MODIFY CUSTODY ORDER USING THE

SAMPLE PROVIDED IN THIS PACKET.

A. The names of the “Plaintiff” and “Defendant” should be exactly as they appear on

the original order. The file number should be exactly as it appears on the order

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you seek to modify. The county to list is the name of the county where the case

was originally filed. This should be the same county listed in the

custody/visitation order that you are seeking to modify. (Note: you must return to

the original county to modify the order. For example, a Davidson County Court

can modify its own order, but it cannot modify a Rowan County order.) The name

of the Judge that entered the prior order will usually be on the last page of the

order. The date next to his name is usually the date the order was entered.

B. VERIFICATION

: DO NOT SIGN THIS FORM NOW! You must take the

verification page to a notary and sign it in his or her presence. Many banks and

law offices have notaries. Be sure to bring a valid picture identification with you

when you go before the notary.

C. CERTIFICATE OF SERVICE:

1. It is your responsibility to get a copy of the Motion to the other party or

that person’s attorney. A judge will not hear the case unless you can

prove that you notified all other parties by mailing or serving a copy of the

Motion on all parties.

2. YOU MUST DELIVER THE MOTION BY A DEADLINE. Technically,

you must place a copy of the Motion in the mail no later than 10 days

before the hearing. If delivered later, the judge might not let the hearing

take place, especially if the other party does not come to court.

3. WHEN YOU KNOW THE OTHER PARTY’S ADDRESS (OR THE

ATTORNEY'S ADDRESS) If you know the address where the other

party (or attorney) lives or works fill out this section before you take the

Motion to the Clerk’s office for filing. We recommend service by

mailing. It is best to go to the post office and ask that the Motion be sent

by both U.S. and Certified Mail, “Return Receipt Requested.” Then you

will be able to prove that the other party received a copy of the Motion.

4. WHEN YOU DON'T KNOW THE OTHER PARTY'S ADDRESS. If you

don't know where the other party lives or works (or where his attorney

works) ask around and try to find out the address.

5. Once you know when you plan to put the documents in the mail, fill out

the Certificate of Service at the back of the packet. Fill in your name,

defendant’s name, the address where you sent the documents, the date and

your name and address.

E. WHAT IF YOU DON'T UNDERSTAND HOW TO FILL OUT THE M

OTION

FORM? If you have filled out the form, but have just a few questions, do the best

you can, (ask a friend for help if possible), and take it to the Clerk's office to file.

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If you have so much trouble completing the form that you are hopelessly lost seek

help from a friend, relative, agency, private attorney or legal services office.

IV. STEP THREE: FILING THE MOTION - READ THIS ENTIRE SECTION

BEFORE GOING TO THE CLERK'S OFFICE TO FILE YOUR MOTION.

A. WHERE TO FILE. Take the original and 2 copies of your Motion to the

Courthouse where the original action was filed. (Most courthouses open by 8:00

a.m. and close at 5:00 p.m.) Give the forms to a clerk in the civil (non-criminal)

division, and tell him or her that you wish to “file a Motion to modify a custody

order.”

B. CALENDAR REQUEST. You can get a calendar request form from the Clerk's

office. Fill in the requested information and the Clerk will fill in the date of the

hearing. Be sure to give a copy of the calendar request to the other party (or their

attorney). Don't forget to also write in the place, date and time of the hearing on

your Notice of Hearing. In Forsyth County, you will need to attend a Calendar

call on the Thursday before the week of you request for your hearing. Calendar

Call starts promptly at 9:00 in Courtroom 4C of the Forsyth County Hall of

Justice. Come to calendar call with several days and times that you will be

available for a hearing during the following week. The other party should come

to the Calendar Call. If the other party does not come, send him/her a letter or

call him/her and let them know the hearing date and time.

C. COVER SHEET. A Motion Cover Sheet can also be obtained from the clerk.

You will need to fill in your name in the "By" column as the one bringing the

Motion and the other parties' names in the "Against" column as the one the

Motion is being brought against. Under the "Type of Claim or Motion" column,

write the code "MCUS."

D. THE ACTUAL FILING

. When the Clerk has completed filing on your Motion,

he or she will stamp on the Motion the date and time you are filing it, and will

give to you the 2 copies (one for you to give to the other party, and one for your

records). Make sure both copies have the date stamp showing when it was filed,

and that they have the date of the scheduled hearing. Don't lose these important

papers!

E. WHAT IF THE CLERK DOES NOT WANT TO LET YOU FILE YOUR

MOTION? If the clerk merely points out some changes you must make, simply

make those changes and try to file it again. However, if the Clerk questions your

right to file the Motion at all, assert yourself. Tell the Clerk that every citizen has

the right to use the courts and file papers, and that you have the right to file your

Motion.

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V. STEP FOUR: PREPARING FOR THE HEARING.

A. You will just need to tell the judge in your own words what you have written in

your Motion.

1. GATHER WRITTEN EVIDENCE. Good written evidence might include

letters from doctors, proof of employment etc.

2. LOCATE AND PREPARE WITNESSES.

a. Who to Choose as Witnesses: Make a list of persons you can

count on to come to the hearing to testify for you. Ask these

persons if they will come to testify for you on the hearing date.

b. Prepare Your Witnesses: Spend a few minutes pretending you

are in court. Ask your witness questions and let him or her

respond with the exact words he or she will use in court. Start by

asking the witnesses’ name, age, and place of residence. Then ask

the witness to testify about how he or she knows you. For

example, he has been your next door neighbor for 5 years. Then

ask your witness what he or she knows from his personal

observations about whether you are a good parent.

c. Should You Subpoena Your Witnesses? While relatives usually

keep their promises to come to court, friends and neighbors may

find excuses just before the hearing why they cannot come. To

ensure that a friend or neighbor will come to court, go to the

Clerk's office and fill out a SUBPOENA. If the friend has a job,

explain that the subpoena will make it easier for him to explain to

his boss why he is missing work on the hearing day. Have the

witness's address and phone number with you. The sheriff's office

may "serve" (see definition of service in Glossary on page 7), or

you may mail a copy to the witness.

VI. STEP FIVE: THE HEARING

A. COME TO COURT EARLY. Dress well for this hearing, as if you were going to

church. Men should wear a jacket/shirt and tie if possible. Take a copy of the

Motion, and also the post office cards showing that the Motion was sent certified

mail if this is how you served the other parties. Leave home early enough so you

arrive at the Courthouse at least half an hour before the hearing is scheduled to

begin. If the courtroom number is not listed on your Motion or Notice of

Hearing, go to the civil clerk's office and ask which courtroom to go to.

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B. FIND YOUR CASE ON THE "CALENDAR." Immediately after entering the

courtroom, ask either the bailiff (a uniformed deputy sheriff) or the clerk where

you may view the current day's calendar, in order to make sure your case is on it.

If you ask, you might be able to have a copy of it to keep with you. If your case is

not on the calendar, immediately ask for help from the courtroom clerk or the

bailiff.

C. THE JUDGE ARRIVES IN THE COURTROOM.

1. THE JUDGE CALLS THE CALENDAR. You will know when the judge

arrives, because the bailiff will announce the judge's arrival and ask

everyone to stand. Usually the judge will start by calling the cases in the

order they are listed on the Calendar. This allows the judge to determine

whether both sides are present, and whether the case will be heard that day

or possibly later in the week. If you have a copy of the calendar, you may

follow what the judge is doing and will know when to expect him to call

your case. Otherwise, listen closely for your case to be called.

2. THE JUDGE SETS A TIME FOR YOUR HEARING. The judge may

simply hear all of the cases in the order they appear on the calendar, or he

may set the cases on different days when he makes his calendar call

3. WAITING FOR THE CASE TO BE HEARD: While you are waiting for

your case to be heard, the judge will hear cases that are ahead of yours on

the calendar. Carefully observe how the other people ahead of you are

sworn in, and where they stand or sit when giving testimony. You will be

following these same procedures when your case is heard.

D. THE JUDGE HEARS YOUR CASE.

1. YOU GIVE YOUR TESTIMONY. Since this is your Motion, you have

the right to start talking first about it (with permission of the judge, of

course). Always stand when speaking to the judge. Begin with a brief

introduction to the judge, using your Motion as a guide to remember what

to say.

2. THE OTHER PARTY, OR PARTIES, TESTIFY. Remain seated and

quiet when the other parties testify. Don't interrupt, even if the other party

lies. You will have a chance later to point out the lies to the judge. While

your spouse is testifying, take notes on what your spouse is saying to

remind you of important points that you feel must be answered.

3. CROSS EXAMINING THE OTHER PARTY AFTER THEY HAVE

TESTIFIED. After the other party has finished testifying, you have the

right to ask questions; this is called cross-examination. You can ask the

other party questions, but cannot testify again yourself at this point in the

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hearing. Go over the important points you wrote down while listening to

your spouse's testimony.

4. SHOULD YOU CALL YOUR WITNESSES? If the hearing seems to be

going well for you, you will not need to call your witnesses. Just because

you brought witnesses to help in an emergency does not mean you have to

use them. However, if it seems like your spouse may succeed then tell the

judge you have witnesses you would like him to hear.

5. THE JUDGE MAKES A DECISION. When the judge says what his

order will be, you usually do not want to say anything. Never tell the

judge his decision is unfair, because that may anger the judge, and he may

respond by giving you even less visitation. However, you should speak up

if the judge makes a mistake in his order.

VII. STEP SIX: AFTER THE HEARING:

A. OBTAIN A COPY OF THE JUDGE'S DECISION. It may be that the Judge

wants you to write the order, so that he can sign it. If so, it will be easiest to see

an attorney about helping you write it. Otherwise, within a week of the hearing,

the judge will have written down his oral decision in the form of an order. This

written order is what you and your spouse must obey, rather than what the judge

said in court. If a copy is not sent to you within a week of the hearing, go to the

Clerk's office and request a copy. There may be a small copying charge for this.

B. WHAT IF THE OTHER PARTY DOES NOT OBEY THE ORDER? Do not

fight over minor violations. Try to work with your spouse in following the order.

Be reasonable. If occasionally your spouse does not have the child ready

promptly, or will not let you see the child for a scheduled visit, because the child

is very sick, do not make a big deal over it. Instead politely ask to arrange to

spend time with the child at another time.

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GLOSSARY

Clerk of Superior Court – The Clerk of Superior Court acts as the secretary of the court, files

your court papers and keeps the official records of your case. The clerk cannot give you legal

advice, but can help explain the system and procedures to be followed to modify a custody order.

The clerk also has the power to accept or reject your papers.

File Number – The file number is the identification number for your case that is written in the

upper right hand corner of the order.

Filing – Filing is when you hand the Clerk of Court your Motion and Notice of Hearing.

Usually, when you hand the Clerk your paperwork, he or she will stamp the papers with the date

and time of filing and write their initials beside that information.

Hearing – A hearing is a trial in front of a District Court Judge.

Notarize – To notarize a signature is to have a notary public attest to the authenticity of the

signature. Be sure to sign the document in front of the Notary, not before you bring the

document to the notary.

Notice of Hearing – The notice of hearing tells the date, place and time of the hearing.

Pro Se – To be/appear pro se means that you do not have a lawyer representing you and are

representing yourself.

Service – Service is when you give the other side copies of the papers that you filed at the

Clerk’s Office.

Verify/Verification – To verify a document is to attest that everything that you said in the

Motion is true. Be sure to sign the verification in front of a notary (see definition of notary

above).

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TIPS ON SELF REPRESENTATION

(Our thanks to Maricopa County, AZ and Fulton County, GA)

The Court is a very traditional and polite place. When you are representing yourself in Court, you are

trying to persuade a judge or a jury that you are right. Please remember that you must act, dress, and

speak in a way that best presents you and your case to the Court.

 When you come to Court, dress as professionally as you can. This means clothes that are clean

and neat. Please avoid shorts, sweat pants, tee shirts with suggestive or obscene language or

other revealing or tight clothing. Please remember to present yourself as clean and well groomed.

 How you act and react is very important. You MUST be respectful of everyone in the Court.

This includes the judge, the Court staff, the other party involved in your case, and the witnesses.

Getting overly emotional, yelling, cursing, or threatening language will not aid your presentation

to the Court. Always stand when addressing the judge. Remain seated when questioning

witnesses. Before approaching the judge or a witness, ask permission from the judge.

 The Court has a very busy schedule. Be on time for your Court time or any other appointment

about your case! If you are late, your case may be heard without you or dismissed. Make sure

you bring all of your documents for your case or appointment. Please remember to stick to the

facts of the important or relevant issues of your case – do not get caught up in unrelated matters

that may unwisely use up your time or detract from your case.

 The judge cannot speak to you about your case except when your case is being heard in Court

and/or the other party is present. The judge’s staff will help you as much as they can with

questions about the scheduling of your case or whether the judge has decided on your case. But

the staff cannot give you legal advice or recommendations on how to present your side.

Remember to always be polite to the Court staff and be prepared with any information they may

need.

 When you represent yourself in Court, get legal advice from a lawyer ahead of time to make sure

you are doing the right thing. Legal advice includes deciding what option is best for you.

Professionalism

Preparation

Punctuality

Politeness

Remember the 4 P’s:

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Checklist

Motion for Modification

Notice of Hearing and/or Calendar Request

Affidavit as to Status of Minor Child

Motion Cover Sheet

Certificate of Service by Certified Mail

Instructions for filling out forms:

I. Motion for Modification of Custody and/or Visitation Order

1. Under “Court File No.,” put the court file number from the other court documents.

2. In the line next to “County,” put the name of the county where the action was filed.

3. Under “Name and Address of Plaintiff,” put the name and current address of the

plaintiff. (You may put the plaintiff’s telephone number if you have it.)

4. Under “Name and Address of Defendant,” put the name and current address of the

defendant. (You may put the defendant’s telephone number if you have it.)

5. Under “Date of Current Order,” put the date of the most recent custody order.

6. Check the box next to the appropriate modification. (If you want to change the

primary caretaker, you should check “Custody.” If you want to change how

frequently you/the other parent has visitation, you should check “Visitation.” If you

want to change both custody and visitation check “Both.”

7. Under “Circumstances at the time the order was entered were as follows:,” list the

relevant circumstances at the time. (You do not have to use all three lines, and you

may add a piece of paper if there are more than three relevant circumstances)

Example: if the substantial change is that you got married, you would want to say

that at the time the order was entered that you were single.

8. Under “Since the current Order for Custody and/or Visitation was entered, there has

been one or more substantial changes in circumstances as follows:,” state what

substantial changes of circumstances have occurred that have made you want to

change the order.

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(Examples: You/the other parent have moved, there has been domestic violence,

you/the other parent have gotten married, you/the other parent have gotten a new

job, you/the other parent have started taking/stopped taking drugs, etc.) Be as

specific as possible about the circumstances. If you have moved, give the

previous address, the current address, say whether it is a house, apartment, etc.,

and give any other information that will show what the change has been.

9. Under “Therefore, the undersigned requests that the Order for Child Custody and/or

Visitation be modified as follows:,” state what you want the new arrangement to be.

For example, if you want to change the pick-up/drop-off location, give the address. If

you want a different day/time for visitation, write the days and times. If you want

primary care, write that you want custody and what the visitation schedule you’d like

for the other party to have. If you think there should be supervised visits, write that

you want supervised visitation.

10. Under “Date,” put the date, under “signature,” sign your name, and under “Name,”

write out your name.

11. Check either the “Plaintiff/Attorney” box if you are the plaintiff, or the

“Defendant/Attorney” box if you are the defendant.

II. Notice of Hearing and/or Calendar Request

Note: Instructions only to be used for Forsyth County (second page of the Forms). If you are in

Iredell, Stokes, or Davie, there are additional forms attached. If you are in Yadkin or Surry, go

to the Clerk’s office and ask how to get a hearing scheduled.

1. Under “Court File No.,” put the court file number from the other court documents.

2. Next to “(PLAINTIFF),” put the name of the plaintiff.

3. Next to “(DEFENDANT),” put the name of the defendant.

4. Next to “WEEK YOU ARE REQUESTING,” put the date of the Monday of the week

you would like to have your hearing. For example: put “Monday 07/24/2006” for the

week of 07/24/06 – 07/28/06.

5. Next to “Calendar Call Date,” put the date for the Thursday before the week that you

wish to have your hearing. For example: Put 07/20/2006 for a hearing during the

week of 07/24/06 – 07/28/06. Put “9:00” next to “A.M.” for the time to arrive that

Thursday.

6. Under “DOMESTIC CASES ONLY:,” check “Custody,” and/or “Visitation,” and

“Motion.”

7. Under “GENERAL CIVIL:,” Check “Motion,” and “Non-jury.”

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8. Next to “IF YOU CHECKED MOTION ABOVE,WHAT TYPE OF MOTION(S)?:,”

Write “Custody Modification.”

9. Next to “DO YOU REQUIRE RECORDING EQUIPMENT?,” write “No.”

10. Next to “PRINT OR TYPE YOUR NAME:,” write out your name.

11. Next to “SIGN YOUR NAME:,” put your signature.

12. Next to “YOUR ADDRESS:,” fill in your current address.

13. Next to “TELEPHONE NUMBER:,” fill in your current telephone number.

14. Next to “ARE YOU THE:,” Check “PLAINTIFF” if you are the plaintiff or

“DEFENDANT” if you are the defendant.

15. Under “CERTIFICATE OF SERVICE,” check “by depositing a copy enclosed in a

post-paid, properly addressed wrapper in a post office or official depository under the

exclusive care and custody of the United States Postal Service,” and put the date that

you do so above “(DATE OF SERVICE).” (Note: You will mail copies of all of this

paperwork to the opposing party at the same time. This Certificate of Service is

for all of the paperwork.)

16. Under “LIST BELOW THE NAMES AND ADDERSSES OF THOSE SERVED,”

put the name and address of the other party’s attorney if he or she has one, and next to

“ATTORNEY FOR:” put “defendant” if the other party is the defendant or “plaintiff”

if the other party is the plaintiff. If the other party does not have an attorney, put his

or her name and address and leave the “ATTORNEY FOR:” box blank.

III. Affidavit as to Status of Minor Child

1. Under “Court File No.,” put the court file number from the other court documents.

2. In the line next to “County,” put the name of the county where the action was filed.

3. Under “Name and Address of Plaintiff,” put the name and current address of the

plaintiff.

4. Under “Name and Address of Defendant,” put the name and current address of the

defendant.

5. Under “Name of Minor Child,” put the name of your child. If you have multiple

children, you will need to fill out multiple forms.

6. Under “Date of Birth,” put the child’s date of birth.

7. Under “Birthplace,” put the city and state where the child was born.

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8. Under “I, the undersigned affiant, being first duly sworn, say that during the past five

(5) years the above named minor child has lived as follows:,” fill in the addresses,

corresponding dates, who the child lived with at each address, and where that person

lives now for each and every address at which the child has lived in the past five

years. Start with the most recent address and then list in reverse chronological order.

For example: if your child currently lives with the other parent, then under

“From” put what date the child started living with them. Under “Address,” put

the other parent’s current address,” and under “Present Address of Person,” re-

write the other parent’s current address. If the child was living with you prior to

that, on the next line write the date the child moved in with you, the date the child

moved out, the address while the child lived with you, your name, and the address

at which you are currently living.

9. Check the box labeled “I have participated in litigation concerning the custody of the

above named child.”

10. Under “Capacity as Participant,” write “Plaintiff” if you are the plaintiff, and

“Defendant” if you are the defendant.

11. Under “Date of Action,” write the date that the custody order was put in place.

12. Under “Name and Address of Court,” write the name and address of the court that

entered the custody order.

13. Under “Details,” add any details about the original custody order that might help the

judge understand the situation. (For example, write whether there were multiple

orders.)

14. Check the box labeled “I have information of a custody proceeding concerning the

above named child pending in a court in this or another state” if

there is a custody

action that is currently pending (i.e. the other party has filed for modification in

another court.)

15. If you checked the box for #14, then fill in the name and address of the court, and any

information you have about the proceeding.

16. Check the box labeled “I know of a person as listed below, who has physical custody

or claims to have custody or visitation rights with respect to the above named child,”

if there is a person other than the other party who has/is claiming rights.

17. If you checked the box for #16, fill in the name and address of the person, and check

the appropriate box (“Physical Custody,” “Claimed Custody,” or “Visitation Rights.”)

18. Go to a Notary Public. (You can usually find a notary at a bank.)

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19. Under “Date,” put the date you go to the notary.

20. Under “Signature of Affiant,” sign the form in front of the notary.

21. Under “Name of Affiant,” put your name on the form.

22. Under “Relationship to the Above Named Child,” put your relationship.

23. The notary will sign, date, and fill out the rest of the form and stamp it for you to

verify that you signed it.

IV. Motion Cover Sheet

1. Under “File No.,” in the top right hand corner, put the court file number from the

original Custody Order. The number can be found on any of the court documents.

2. In the line next to “County,” put the name of the county where the action was filed.

3. Under “Name of Plaintiff,” put the name of the parent who filed the original custody

action. (If your name is in the plaintiff box on the court documents that you already

have, fill in your name. If the other parent’s name is in the plaintiff box on the court

documents that you already have, fill in that parent’s name.)

4. Under “Name of Defendant,” put the other parent’s name. (If you were the defendant

in the original action, put your name in this box. If you were the plaintiff in the

original action, put the other parent’s name in this box.)

5. Under “Name and Address Of Attorney Or Party,” put your name and address.

6. Under “Type of Motion,” put “MCUS” in the first line.

7. In the first line under “By (Identify Party),”check the box labeled “All” and put

“Plaintiff” if you were the plaintiff in the original action, or put “Defendant” if you

were the defendant in the original action. (This box is identifying you as the person

who is initiating the modification.)

8. In the first line under “Against (Identify Party),” check the box labeled “All” and

either put “Plaintiff” if you were the defendant in the original action, or put

“Defendant” if you were the plaintiff in the original action. (This box is identifying

the other parent as the person against whom the modification is being filed.)

9. Under “Date,” put the date and under “Signature of Attorney/Party” sign your name.

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V. Certificate of Service By Certified Mail

Note: If you filled out a Calendar Request, you have already filled out your certificate of service. Use

this form only for Yadkin and Surry County.

1. Fill in and sign this form.

2. Include it with the other paperwork when you mail it to the opposing party.

STATE OF NORTH CAROLINA File No. ___________

In the General Court of Justice

__________________ County District Court Division

Name and Address of Plaintiff

Telephone No. (Optional) MOTION FOR

MODIFICATION OF CUSTODY

VERSUS AND/OR VISITATION ORDER

Name and Address of Defendant

elephone No. (Optional)

MOTION

The undersigned moves that the Court modify the Order now in effect in this action, and in support

of this motion states:

Date of Current Order Modification of: Custody Visitation Both

Circumstances at the time the order was entered were as follows:

1. ___________________________________________________________________________

___________________________________________________________________________

2. ___________________________________________________________________________

___________________________________________________________________________

3. ___________________________________________________________________________

___________________________________________________________________________

Since the current Order for Custody and/or Visitation was entered there has been one or more

substantial changes in circumstances as follows:

1. ___________________________________________________________________________

__________________________________________________________________________

2. ___________________________________________________________________________

___________________________________________________________________________

3. ___________________________________________________________________________

___________________________________________________________________________

Therefore, the undersigned requests that the Order for Custody and/or Visitation be modified as

follows:

1. ___________________________________________________________________________

__________________________________________________________________________

2. ___________________________________________________________________________

___________________________________________________________________________

3. ___________________________________________________________________________

___________________________________________________________________________

Date Signature Name (Type or Print)

Note: You need to complete the attached Affidavit as to Status of

Minor Child, have it notarized and attach it to this motion. Plaintiff/Attorney Defendant/Attorney

Other ___________________________

NORTH CAROLINA ) IN THE GENERAL COURT OF JUSTICE

) DISTRICT COURT DIVISION

) ____CVD____

_________COUNTY )

__________________,

Plaintiff, )

)

vs. ) VERIFICATION

)

___________________, )

Defendant. )

______________________________, being duly sworn, deposes and says:

That s/he is the Plaintiff in the foregoing Motion For Modification, that the facts set forth

therein are true to his/her own knowledge, except as to those matters set forth therein

upon information and belief, and as to those matters, s/he believes them to be true.

__________________________

Signature of Plaintiff

Sworn to and subscribed before me this

______day of_______________,20___.

________________________

Notary Public

My commission expires:

___________________________

NORTH CAROLINA

FILE NO. 06 CVD ______

_____________ COUNTY

CERTIFICATE OF SERVICE

I, (Name) ______________________, Plaintiff or Defendant pro se, certify that on the

_____ day of ___________, 20__ a copy of the preceding Motion for Modification of Custody and/or

Visitation was served upon the opposing party by depositing a copy of same in the United States

certified mail with prepaid, first-class postage, return receipt requested and addressed as follows:

_________________________

Opposing Party’s Name

_________________________

Opposing Party’s Address

_________________________

This the ______ day of ________________, 20___.

BY: ____________________________________

Your Signature

____________________________________

Your Name

____________________________________

Your Address

____________________________________

21st DISTRICT COURT REQUEST of CALENDAR and NOTICE OF HEARING ]

]FILE NUMBER:

(PLAINTIFF) ]

VS.

]

(DEFENDANT)

CHILD CUSTODY MEDIATION:

YES _____ HAVE BEEN THROUGH CHILD CUSTODY MEDIATION

NO _____ HAVE NOT BEEN THROUGH CCM-HAVE BEEN EXEMPT BY JUDGE

LOCAL RULE STATES THAT PARTIES MUST COMPLETE CHILD CUSTODY

MEDIATION BEFORE CHAMBERS HEARING CAN BE SET UNLESS EXEMPT BY THE

JUDGE:

ORIENTATION COURTROOM ___________________ TIME:

CHAMBERS HEARINGS:

DOMESTIC CASES ONLY: Check each line that applies to the type of motion:

Every week- courtroom 4-H [_____] CUSTODY [_____] DB &B [_____]

SUPPORT [_____] VISITATION [_____]

2nd, 3rd, & 4th week- courtroom 4-C [_____] PSS [_____] ALIMONY [_____]

ATTY.FEE [_____] CONTEMPT [_____]

OTHER MOTIONS:

Chambers Only:

WEEK REQUESTING:

(REPORT TO COURTROOM 4-C

AT 9:00 AM FOR CALENDAR CALL, THURSDAY PRIOR TO WEEK

REQUESTED)

EQUITABLE DISTRIBUTION-FFS-Family Financial Settlements:

PLEASE CALL 336-761-2478 EXT: 1 TO REQUEST FFS CALENDAR REQUEST FORM

GENERAL CIVIL

: JURY: [_____] NON-JURY: [_____]

TIME: 9:30 AM TYPE OF MOTION:

COURTROOM: 4-C

WEEK REQUESTING GENERAL CIVIL HEARING:

[ CERTIFICATE OF SERVICE PRINT OR TYPE YOUR NAME:

[This is to certify that the undersigned has this date served STATE BAR NUMBER:

[this pleading upon all other parties to this cause by (____)

[depositing a copy enclosed in a post office of official

[depository under the exclusive care and custody of the SIGN YOUR NAME:

[United States Postal Service. (____) handing it to the attorney

[or to the party, leaving it at the attorney's office with a partner

[or employee. (____) sending it to the attorney's office by a YOUR ADDRESS:

[confirmed telefacsimile receipt confirmation, or (____) having

[the Sheriff service the parties.

[________________________________] TELEPHONE NUMBER:

DATE OF SERVICE

ARE YOU THE: PLAINTIFF: [_____] OR DEFENDANT: [_____]

LIST BELOW THE NAMES AND ADDR

ESSES OF THOSE SERVED:

NAME:

ATTORNEY FOR:

ADDRESS:

REQUEST TO DISTRICT CIVIL CALENDAR CLERK (Davie County)

Please Calendar case number: _____ CVD _______

___________________________________,

Plaintiff

___________________________________,

Defendant

For the session beginning: ____________________ at 9:30 a.m.

1. _____ MOTION

2. _____ TRIAL ON THE MERITS

_____ UNCONTESTED DIVORCE _____ PRE-TRIAL EQUITABLE

DISTRIBUTION

CONFERENCE

_____ INITIAL CHILD SUPPORT _____ INITIAL ADR ELECTION

3. _____ JURY _____ NON-JURY

4. _____ REPORTER _____ WAIVE REPORTER

5. Approximate time:

6. Special Circumstances:

7. Opposing attorney: ________________________

________________________

_______________________________

Name

_______________________________

Address

_______________________________

Plaintiff Pro Se Defendant Pro Se

his is to certify that the above Calendar Request was in fact served on _______________ at the above

address this the ______ day of _________, _______. Opposing Party

_________________________

Name

REQUEST TO CALENDAR CLERK

CIVIL DISTRICT COURT

NON-JURY MATTERS (Stokes County)

FILE NO. _________________

PLEASE CALENDAR CASE OF: __________________________________________________

PLAINTIFF

VS.

_____________________________________________

DEFENDANT

FOR THE FOLLOWING CNJ DAY: _____________________________________________

_____ TRIAL OF CASE

_____ MOTION

_____ OTHER (EXPLAIN) ______________________________________________________

TYPE OF CASE:

_____ UNCONTESTED DIVORCE

_____ DOMESTIC

_____ APPEALED MAGISTRATE

_____ OTHER NON-JURY MATTERS

APPROXIMATE TIME REQUIRED: _________________

COURT REPORT REQUIRED: _____________________

OPPOSING ATTORNEY: ________________________

ADDRESS: ________________________________________

REQUESTED BY: _________________________________

ATTORNEY FOR: _________________________________

DATE OF REQUEST:

______________________________

CERTIFICATION OF SERVICE ON O

PPOSITE PARTY

THIS IS TO CERTIFY THAT I HAVE THIS DAY SERVED A COPY OF THIS REQUEST UPON

___________________________ BY DEPOSITING IN THE US MAIL AT DANBURY, NORTH CAROLINA AS

REQUIRED BY THE NORTH CAROLINA RULES OF CIVIL PROCEDURE, RULE 5.

________________________________

Signature

FORM 22D

REQUEST TO DISTRICT CIVIL CALENDAR CLERK (Iredell County)

PLEASE CALENDAR CASE NUMBER: _______ CVD_________________________

CALENDAR FOR THE SESSION BEGINNING __________________________

(All non-jury matters are set on the first day of each session. Preemptory settings must be scheduled by the

Chief District Court Judge.)

PLAINTIFF: _________________________________

DEFENDANT: ____ ______________________________

TYPE OF HEARING:

1. _____ MOTION _____________________________________________

(State Type of Motion)

2. _____ TRIAL ON MERITS _____________________________________________________

(State Type of Trial)

_____ UNCONTESTED DIVORCE

_____ PRE-TRIAL EQUITABLE DISTRIBUTION CONFERENCE

_____ INITIAL CHILD SUPPORT

3. _____ JURY ______ NON-JURY

4. _____ COURT REPORTER _______ WAIVE REPORTER

APPROXIMATE TIME REQUIRED: ___________

SPECIAL CIRCUMSTANCES: __________

5. OPPOSING ATTORNEY: _______

ADDRESS: (atty/party): _______________________

6. CALENDARING ATTORNEY CERTIFIES AS FOLLOWS:

_____ (1) Opposing counsel has been previously contacted regarding the requested court date.

______ (2) All discovery has been completed or the time for discovery has expired.

_______(3) All witnesses have been subpoenaed and will be available on the requested court date.

_______(4) If an equitable distribution case, the parties have complied with the equitable distribution

rules regarding exchange of inventories and pre-trial affidavits, and are ready for trial or pre-trial.

____________________________________

_____ PLAINTIFF _____ DEFENDANT

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