(MOVER)
NO:
---------
DIV.
__
_
22ND
JUDICIAL DISTRICT COURT
VERSUS
PARISH OF
__________
_
STATE OF LOUISIANA
{DEFENDANT)
Filed:
--------------
Deputy Clerk
RULE
TO
ESTABLISH
CUSTODY
BY
PARENT
[Initial and complete the following information.
If
there are no initials or information
is
not provided, the court
may not grant you relief}
NOW
INTO COURT, comes , a person
of
-------------------
the full age
of
majority and domiciled in the Parish/County
of
, State
of
________
who respectfully represents:
1.
Made Defendant-in-rule herein
is
, a person
-------------------
0 f the full age
of
majority and domiciled in the Parish/County
of
, State
of
2.
Custody
of
the following minor child(ren)
is
at issue:
(CHILD'S NAME)
{DATE
OF
BIRTH)
{CHILD'S NAME)
(CHILD'S NAME)
(DATE
OF
BIRTH)
(CHILD 'S NAME)
(CHILD'S NAME)
(DATE
OF
BIRTH)
(CHILD'S NAME)
[Attach a copy
of
each child's birth certificate.]
3.
This court
has
jurisdiction because the minor child(ren)
is
either:
[Initial at least
ONE
of
the following]
Domiciled
in
the State
of
Louisiana;
OR
Physically located
in
the State
of
Louisiana.
4.
This court
is
a court
of
proper venue because either:
[Initial at least
ONE
of
the following]
One
of
the parties
is
domiciled
in
this Parish;
OR
This
is
the parish
of
the last matrimonial domicile.
5.
The minor child(ren) listed
in
Paragraph 2 above was:
[Initial
ONE
of
the below paragraphs]
(DATE
OF
BIRTH)
(DATE
OF
BIRTH)
(DATE
OF
BIRTH)
Born of/adopted
[circle
as
appropriate]
during the marriage between the Mover and
Defendant;
OR
Revised 81
12
12016
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
Mover requests:
{Initial
ONE
of
the following p aragraphs below:}
__
Each Party pay their own costs.
10
.
Defendant be cast with all costs for the following reason(s
):
WHEREFORE, Mover prays that:
1.
Defendant be served with a certified copy
of
this Rule.
2.
A Rule to Show Cause issue herein ordering the Defendant to appear and show
cause on a date and time to be fixed by this Court why a judgment
of
custody and child support
award
(if
requested) should not be awarded
as
requested herein and any other relief requested by
Mover herein.
By
signing below, I
do
hereby certify that all
of
the foregoing is true
and
correct to the best
of
my
knowledge
and
understand that any false statements may constitute perjury
and
may subject me to
being held
in
contempt
of
court.
Initials
of
Mover
Respectfully submitted,
(S
IG
NATURE)
(PRINTED FULL
NAME)
(STREET ADDRESS)
( CITY/STATE/ ZIP
CODE)
(TELEPHONE NUMBER)
(FACSIMILE NUMBER)
(EMAIL ADDRESS)
Revised 8/
12
12016
(MOVER)
VERSUS
NO:
DIV.
--------
22ND
JUDICIAL DISTRICT COURT
PARISH OF
---
-------------
STATE OF LOUISIANA
(DEFENDANT)
Filed:
-------------
Deputy Clerk
VERIFICATION
STATE OF
[State
wh
e
re
s
ign
ed
and
notarized]
-----------
p ARISH/COUNTY OF [Parish/County where signed
an
d notarized)
BEFORE ME, the undersigned Notary Public, duly commissioned and qualified in this
state and parish, personally appeared:
PRINTED
NA
ME
who after being duly sworn, did depose and state that he/she
is
the Mover in the above and
foregoing Rule, has read same, and that all
of
the allegations contained therein are true and
correct to the best
of
Mover's knowledge, information, and belief.
SI
GNA
T
URE
SWORN TO AND SUBSCRIBED
before me, on this
__
day
of
_____
, 20
NOTARY PUBLIC, No.:
Printed Name:
---
-
------
--
My Commission Expires:
--------
SEAL:
Revised 8/
12
/2016
NO:
DIV.
(MOVER}
--------
---
22ND
JUDICIAL DISTRICT COURT
VERSUS
PARISH OF
_________
_
STATE OF LOUISIANA
(DEFENDANT)
Filed:
-------------
Deputy Clerk
RULE TO SHOW CAUSE
Considering the above and foregoing
Rule
to Establish
Custody
by Parent:
IT IS HEREBY ORDERED that the Defendant,
______
______
_
show cause on the
__
day
of
________
,
20_
,
at
___
o'clock .
m.
before
the Hearing Officer and on the
__
day
of
______
__
_ ,
20
,
at
___
o'clock
_.m.
before the Judge why the relief sought in the Rule
to
Establish Custody by Parent should
not
be
granted
as
pray
ed
for.
Signed in Covington/Franklinton, Louisiana,
this_
day
of
_
___
__
_ _ ,
20
__
DEFENDANT TO ACCEPT SERVICE
OR
PLEASE SERVE:
---
(
DEFENDANT'S
FULL NAME)
(STREET ADDRESS)
(CITY/ STATE/ ZIP
CODE)
(DEFENDANT'S
P HONE NUMBER)
JUDGE
Revised 8/
12
1
2016
[NOTE:
EACH
DEFENDANT
MUST
EITHER
BE
SERVED
OR
SIGN
ONE
OF
THESE
FORMS.I
(MOVER)
VERSUS
(DEFENDANT)
Filed:
-------------
NO:
--------
DIV.
__
_
22ND
JUDICIAL DISTRICT COURT
PARISH OF
-------------
STATE OF LOUISIANA
Deputy Clerk
WAIVER
OF SERVICE
State
of
----
-
---
--
---
Parish/County
of
____
___
__
_
BEFORE ME, the undersigned Notary Public, on the date mentioned below, personally
came and appeared
_______
_
____
, who is the Defendant in the above-
captioned suit for divorce, and who after being duly sworn, did depose and sa
y:
I have been furnished with a certified copy
of
the Rule to Establish Custody by Parent
filed on
_______
entitled "
_____________
", bearing docket
number
______
Division " " on the docket
of
the 22
nd
Judicial District Court for the
Parish
of
_ _
__
____
, State
of
Louisiana and the Rule to Show Cause.
I
do
hereby formally and expressly acknowledge and accept service
of
a certified copy of
said pleading and the rule to show cause and waive the rule nisi and service
of
proces
s.
THUS
SWORN
TO
AND SUBSCRIBED in the presence
of
the undersigned Notary
Public on the
____
day
of
________
, 20
(D
EFEN
DANT'S SI
GNATU
RE)
(PR
INTED FULL
NAME)
(S
TREET ADDRESS)
(CITY/ STATE/ ZIP
CODE)
(T
ELEPHONE
NUMBER)
(FACSIMILE
NUMBER)
( EMAIL ADDRESS)
SWORN
TO
AND SUBSCRIBED
before me, on this
__
day
of
______
, 20
NOTARY PUBLIC, No.:
Printed Name:
------------
My Commission Expires: _
__
_
___
_
S
EAL:
Revised 8/
12
/2016
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