7.
The minor child(ren) listed in Paragraph 2 above was: {Initial
ONE
of
the below paragraphs}
Born of/adopted [ circle as appropriate] during the marriage between the Mover
and Defendant;
OR
The parties were never married but [Also initial ONE
of
the below subparagraph.1}:
Mover and Defendant are listed as the parents on the minor child(ren)'s
birth Certificates
{attach a copy],
The Defendant has acknowledged his paternity
of
the child(ren)
[a11ach
a
copy
of
the document};
A Judgment establishing Defendant's paternity was signed by a court
[ attached a copy
of
the Judgment}.
8.
Mover believes it
is
in the best interest
of
the child(ren) that Mover be awarded sole
custody subject to one
of
the following visitation plans for the Defendant:
[Initial only
ONE
of
the.following
and
provide a description
as
requested]
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 reason(s):
9.
Mover asks this court grant emergency and immediate custody
of
the minor child(ren)
before a hearing can be held in accordance with Louisiana Code
of
Civil Procedure Article 3945
for the following reasons and by signing this Rule certifies that Mover has
proof
that immediate
and irreparable injury will result to the minor child(ren) before a hearing can be held.
By signing
this pleading, the Mover acknowledges that
if
at a hearing it
is
proven that the minor child(ren) was/were not
in
danger
of
immediate
and
irreparable injury, that Mover may be sanctioned by the court:
10.
Mover certifies that defendant was given notice
of
this request for emergency and
immediately custody
of
the mmor child(ren) on the day
of
, 20 at
o'clock
.m.
of
Mover's
intention
to
-----------
----
present this request.
Mover notified defendant in the following manner: (whether via personal contact, email,
voice mail, etc.) and the contact information used (i.e. telephone number, email address,
etc.):
[Note that
if
this paragraph
is
not completed, the court will
NOT
consider
your
request.for emergency
and
immediate custody
of
the minor child(ren).}
Mover has completed the attached Affidavit which
is
properly notarized.
Revised 81 ! ] ,'2
()
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