The parties were never married but [Also initial
ONE
of
the below subparagraphs]:
Mover and Defendant are listed as the parents on the minor child(ren)'s birth
certificate [attach a copy];
The Defendant has acknowledged his paternity
of
the child(ren) [attach a
copy
of
the
document];
A Judgment establishing Defendant's paternity was signed by a court
[attached a
copy
of
the Judgment].
6.
Mover believes it
is
in
the best interest
of
the child(ren) that the custody order be established as
follows:
[Initial only
ONE
of
the following paragraphs and provide a
brief
description as requested}
Mover requests that the parties be awarded
joint
custody with
no
designation
of
a domiciliary
parent and the parties will submit a Joint Custody Implementation Plan.
__
Mover requests that the parties be awarded
joint
custody, with
_______
_
____
_
designated
as
domiciliary parent, and with the parties sharing equal time with the
m111or
child(ren)
as
follows:
__
Mover requests that the parties be awarded joint custody, with
____________
_
designated
as
domiciliary parent, and with custodial periods awarded to Defendant as follows:
__
Mover requests that Mover be awarded sole custody, with Defendant to have the following time
with the child(ren):
[Initial
ONE
of
the following subparagraphs]
__
Mover requests that the Defendant be awarded reasonable visitation as follows:
__
Mover requests that the Defendant be awarded supervised visitation as follows:
__
Mover requests that the Defendant not be awarded any visitation, for the following
rea
7.
Mover believes the custody arrangement requested
is
in
the best interest
of
the child(ren) for the
following reason(s):
[Attach additional page(s),
if
necessary].
OR
OR
8.
Mover acknowledges that they have the right to seek child support by contacting the
Louisiana Child Support Enforcement Agency and intends to do so .
Mover requests that Defendant be ordered to pay child support because Defendant has income or
is
capable
of
earning sufficient money
to
contribute to the support
of
the minor child(ren) and
asks the Court to order the Defendant to pay child support.
No child support
is
requested.
9.
Other
relief
requested
by
Mover [include a
brief
factual statement}:
Revised 81
12
12016