NO: DIV.
(PETITIONER)
---------
---
VERSUS
zzND
JUDICIAL DISTRICT COURT
PARISH OF
--------------
(DEFENDANT)
Filed:
--------------
STATE OF LOUISIANA
Deputy Clerk
RULE
TO
MODIFY
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 this Rule
is
________________
, a person
of
the
full age
of
majority and domiciled m the Parish/County
of
, State
of
2.
Custody
of
the following minor child(ren) is at issue:
(CHILD'S NAME)
(DA TE OF BIRTH)
(CHILD'S
NAME)
(CHILD'S NAME)
(DATE OF BIRTH)
(CHILD'S
NAME)
(CHILD'S NAME)
(DATE OF BIRTH)
(CHILD'S
NAME)
3.
This court has jurisdiction over this because the minor child(ren) is either:
[Initial the paragraphs that apply}:
OR
Domiciled in the State
of
Louisiana;
Physically located in the State
of
Louisiana.
4.
This court
is
a court
of
proper venue for this because either:
[Initial the paragraphs that apply}:
__
The person seeking a change
of
custody is domiciled in this Parish;
OR
This is the parish where a prior custody decree was rendered.
5.
(DATE OF BIRTH)
(DA TE OF BIRTH)
(DA TE OF BIRTH)
There is currently a court order in place for the custody
of
the minor child(ren) that was
rendered on
__________
in the matter entitled
____________
_
vs.
_____
___
_____
, bearing Docket Number
_________
, filed
in the
_________
Court for the Parish
of
, State
of
Louisiana. [ A copy
of
the Order must
be
attached
to
this pleading.}
Revised 8/10/2016
6.
The custody order referred
to
above provides for legal and physical custody
of
the minor
child(ren)
as
follows:
7.
Mover
is
entitled to a modification
of
the existing custody order because the following
material changes in circumstances affecting the welfare
of
the minor child(ren) has occurred
since the time the previous order was rendered:
[Attach
an
additional page(s), if necessary]
8.
Mover believes it
is
in the best interest
of
the minor child(ren) that the current custody
order be modified
as
follows: [Initial only ONE
of
the following paragraphs and provide a description
as
requested.]
Mover requests that the parties
be
awarded joint custody with
no
designation
of
a
domiciliary parent and the parties have signed the attached Joint Custody Implementation
Plan.
__
Mover requests that the parties be awarded joint custody, with
__________
_
designated as domiciliary parent, and with custodial periods awarded to Defendant as
follow:
Mover requests that the parties be awarded joint custody, with
_________
_
designated
as
domiciliary parent, and with the parties sharing equal time with the minor
child(ren) as follows:
__
Mover requests that Mover be awarded sole custody, with the 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 reasons:
9.
Mover believes the custody arrangement IS requested IS m the best interest
of
the
child(ren) for the following reasons:
[Attach
an
additional page(s), if necessary]
Rev
is
ed
8/101
2016
10.
{Initial ONE
of
the paragraphs below}
__
Mover acknowledges that he/she has the right
to
seek child support by contacting the
Louisiana Child Support Enforcement Agency and intends to
do
so.
OR
__
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.
OR
__
No child support requested.
Mover requests:
[Initial ONE
of
the following paragraphs below:]
___
Each party pay their own costs.
11.
___
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.
After all legal delays and due proceedings are had, this Court issue a Judgment
modifying the prior custody judgment between the parties for the minor child(ren), for child
support (ifrequested), and for such other relief
to
which Mover may be entitled.
3. 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 modifying 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,
(SIGNATURE)
(PRINTED FULL NAME)
(STREET ADDRESS)
(CITY/STATE/ZIP CODE)
(TELEPHONE NUMBER)
(FACSIMILE NUMBER)
(EMAIL ADDRESS)
Revised 8/10/2016
(PETITIONER)
VERSUS
NO:
DIV.
--------
22ND
JUDICIAL DISTRICT COURT
PARISH OF
---
-------------
(DEFENDANT)
Filed:
-------------
ST ATE OF LOUISIANA
VERIFICATION
ST A TE OF
[State where signed and notarized]
-----------
Deputy Clerk
PARISH/COUNTY OF [Parish/County where signed and notarized]
BEFORE ME, the undersigned Notary Public, duly commissioned and qualified in this
State and Parish, personally appeared:
PRINTED
NAME
who after being duly sworn, did depose and state that he/she is the Mover in the above and
foregoing numbered and entitled cause, has read the same, and that all
of
the allegations
contained therein are true and correct to the best
of
Mover's knowledge, information, and belief.
SIGNATURE
SWORN TO AND SUBSCRIBED
before me, on this
__
day
of
_____
,
20_
NOTARY PUBLIC, No.:
Printed Name:
------------
My Commission Expires:
_______
_
Seal:
Revised
81I012016
(PETITIONER)
VERSUS
(DEFENDANT)
Filed:
-------------
NO: DIV.
--------
22ND
JUDICIAL DISTRICT
COURT
PARISH OF
---
-------------
STATE OF LOUISIANA
Deputy Clerk
RULE
TO
SHOW
CAUSE
Considering the above and foregoing Rule to Modify Custody by Parent:
IT IS
HEREBY
ORDERED that the Defendant-in-Rule,
-----------
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 Modify Custody by Parent should
not
be
granted
as
prayed for.
Signed in Covington/Franklinton, Louisiana,
this_
day
of
________
,
20_.
JUDGE
DEFENDANT
TO
ACCEPT SERVICE
---
OR
PLEASE SERVE:
---
(DEFENDANT'S FULL NAME)
(STREET ADDRESS)
(CITY/STA TE/ZIP CODE)
(DEFENDANT'S
PHONE NUMBER)
Revised 81
1012016
!NOTE: EACH DEFENDANT MUST EITHER
BE
SERVED OR SIGN ONE OF THESE FORMS.]
NO: DIV.
(PETITIONER)
--------
---
VERSUS
22ND
JUDICIAL DISTRICT COURT
PARISH OF
-------------
ST A TE OF LOUISIANA
(DEFENDANT)
Filed:
-------------
W AIYER OF SERVICE
State
of
-------------
Parish/County
of
---------
Deputy Clerk
BEFORE ME, the undersigned Notary Public, on the date mentioned below, personally
came and appeared
_________
, who is the defendant in the above-captioned action,
and who after being duly sworn, did depose and say:
I have been furnished with a certified copy
of
the Rule to Modify Custody by Parent filed
entitled"
_____________
", bearing docket number
on
-------
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
process.
THUS SWORN TO AND SUBSCRIBED in the presence
of
the undersigned Notary
Public on the
___
day
of
________
,
20_.
(D
EFENDANT' S SIGNATURE)
(PRINTED FULL NAME)
(STREET
ADD
RE
SS)
(CITY/STATE
/Z
IP CODE)
(TELEPHONE NUMBER)
(FAC
SI
MI
LE
NUMBER)
(EM
NL
AD
DRESS)
SWORN TO AND SUBSCRIBED
before me, on this
__
day
of
_____
,
20_.
NOTARY PUBLIC, No.:
--------
Printed Name:
------------
My Commission Expires:
_______
_
Seal:
Revised 8/
10
/
20
16
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