Children

a. General Information

Mother Check this box if you are the child's mother. Father (or may be the father) Check this box if you are the child's father or think you might be the father. Other: (Explain) Check this box if you are someone other than the mother or father, then explain on the line. Other: (Explain) Explain how you are connected to the child if you are not the mother or father.

b. Pregnancy & Paternity

AFFIDAVIT: Both parties signed an Affidavit of Paternity acknowledging that Check this box if both parents signed a form admitting who the father is. You must attach a copy. Party A Check this if the affidavit names Party A as the father. Party B is the minor child(ren)'s natural father. A copy is attached. Check this if the affidavit names Party B as the father. BIRTH CERTIFICATE: Check this box if the father's name is listed on the child's birth certificate. You must attach a copy. Party A Check this if Party A is named as the father on the birth certificate. Party B is named as the natural father on one or more minor child(ren)'s birth certificate(s). Copy (or copies) attached. Check this if Party B is named as the father on the birth certificate. BLOOD TEST: DNA Testing indicates Check this box if a DNA test shows who the father is. You must attach the test results. Party A Check this if the DNA test shows Party A is the father. Party B is the minor child(ren)'s natural father. Report(s) of test results attached. Check this if the DNA test shows Party B is the father. PARTIES LIVING TOGETHER: Parties A and B were not married to each other at any time during the ten months before birth of the minor child(ren). However, the parties lived together during the period(s) when the minor child(ren) could have been conceived. Check this box if the parents were not married but lived together around the time the child could have been conceived. SEXUAL INTERCOURSE: Parties A and B were not living together but had sexual intercourse at the probable date(s) of conception of the minor child(ren). The mother of the minor children did not have sexual intercourse with anyone else during the periods in which the minor child(ren) could have been conceived. Check this box if the parents were not living together but the mother only had sex with this person around the time the child could have been conceived. OTHER: (explain) Check this box if none of the other reasons fit and you want to explain in your own words. OTHER: (explain) Explain why you believe this person is the father. Use simple, clear words.

c. Child Support

There is an order for Child Support, dated Check this box if a court has already ordered child support for these children. There is an order for Child Support, dated Enter the date the existing child support order was signed. (name of court) Write the name of the court that issued the existing child support order. This order needs Check this box if you want the current support order to be changed. does not need to be changed Check this box if the current support order is fine and should stay the same. There is a pending child support petition or modification currently filed in this court or another. Check this box if there is already an open request about child support in this or another court. To my knowledge there is no child support order for the minor child(ren) and the court should order child support in this case along with legal decision-making (custody), and parenting time. Check this box if no support order exists yet and you want the court to set one now. Party A made voluntary/direct support payments Check this box if Party A already paid support on their own without a court order. Party B made voluntary/direct support payments Check this box if Party B already paid support on their own without a court order. $ that need to be taken into account, if past support is requested. Enter the total dollar amount already paid that should be counted toward past support. Party A owes past support for the period between: Check this box if Party A owes support for an earlier period of time. Party B owes past support for the period between: Check this box if Party B owes support for an earlier period of time. the date this petition was filed and the date current child support is ordered. Check this box if past support should be counted from when this case was filed until support is ordered. the date the parties started living apart, but not more than three years before the date of this petition was filed, and the date current child support is ordered. Check this box if you want past support counted from when you started living apart, going back no more than three years before filing. the date the parties started living apart, which is MORE THAN three years before the date of this petition was filed, and the date current child support is ordered. Check this box if you want past support counted from a date more than three years before filing. You must explain why below. EXPLAIN: Explain why the court should award past support for this longer time period.

d. Children's Basic Information

A. Child's Name: Write the full name of the child. Female Check this box if the child is female. Male Check this box if the child is male. Place of Birth: Write the city and state where the child was born. Date of Birth: Enter the child's birth date. Current Address: Write the address where the child lives now. How long at this address: Write how long the child has lived at the current address. County: Write the county where the child's current address is located. Lived with Party A Check this box if the child lives with Party A. Lived with Party B Check this box if the child lives with Party B. Other (Name & Relation to Child): If the child lives with someone else, write that person's name and how they are related to the child. Previous Address: Write a past address where the child lived. Only needed if the child has lived at the current address less than 5 years. How long at this address: Write how long the child lived at this past address. Lived with Party A Check this box if the child lived with Party A at this past address. Lived with Party B Check this box if the child lived with Party B at this past address. Other Check this box if the child lived with someone else at this past address. Previous Address: Write another past address where the child lived, if needed to cover the last 5 years. How long at this address: Write how long the child lived at this second past address. Lived with Party A Check this box if the child lived with Party A at this second past address. Lived with Party B Check this box if the child lived with Party B at this second past address. Other Check this box if the child lived with someone else at this second past address. I HAVE / I HAVE NOT been a party or witness or participated in any court case involving the physical custody, legal decision-making (legal custody), or parenting time for any of the minor children named above in this state or in any other state Check one box. Pick 'I HAVE' if you took part in another court case about custody or parenting time for these children. Pick 'I HAVE NOT' if you did not. Name of each child: List the name of each child who was part of that other court case. Court State: Write the state where that other court case took place. Court location (county/city): Write the county or city where that court is located. Court case number: Write the case number for that other court case if you know it. Current case status: Tell whether that case is still open or already finished. Nature (type) of court proceeding: Describe what kind of case it was, such as divorce or custody. Summary of any Court Order: Briefly explain what the judge decided or ordered in that case. I HAVE / I DO NOT HAVE information regarding any court action in this state or any other state involving the minor child(ren) listed above that could affect this case including court cases for enforcement and relating to domestic violence, protective orders, termination of parental rights and adoptions Check one box. Pick 'I HAVE' if you know about another court case involving these children that could affect this case, like domestic violence or a protective order. Pick 'I DO NOT HAVE' if you do not know of any. Name of each child: List the name of each child involved in that other court case. Court State: Write the state where that other court case took place. Court location (county/city): Write the county or city where that court is located. Court case number: Write the case number for that other court case if you know it. Current case status: Tell whether that case is still open or already finished. How the minor children are involved: Explain how the children are connected to that other court case. Summary of any Court order: Briefly explain what the judge decided or ordered in that case. I KNOW Check this if you know someone other than Party A or Party B who has custody, parenting time, or decision-making rights for any child. I DO NOT KNOW Check this if no one besides Party A or Party B claims custody, parenting time, or decision-making rights. Name of each child: Write the name of each child this claim is about. Name of Person with the claim: Write the full name of the other person who claims custody or parenting rights. Address of Person with the claim: Write the home address of the person who has the claim. Nature of the Claim: Explain what this person is claiming, such as custody, parenting time, or decision-making rights. Neither parent has been convicted for a drug offense or driving under the influence of drugs or alcohol in the last twelve (12) months, OR Check this box if no parent has a drug or DUI conviction in the past year. One or both parents have been convicted for a drug offense or driving under the influence of drugs or alcohol in the last twelve (12) months. Check this box if one or both parents had a drug or DUI conviction in the past year. Party A and/or Check this if Party A is the one with the conviction. Party B was convicted, however, the legal decision-making (legal custody) and parenting time arrangement I am requesting appropriately protects the minor child(ren). Check this if Party B is the one with the conviction. Explain how this arrangement appropriately protects the children. Describe how your plan keeps the children safe even though a parent was convicted. Declare NEITHER parent's home is designated as the primary residence, OR Check this box if you do not want either parent's home named as the main home for the children. Declare Party A's home as the primary residence for the following named children: Check this box if Party A's home should be the main home where the children live. Declare Party A's home as the primary residence for the following named children: List the names of the children who will mainly live in Party A's home. Declare Party B's home as the primary residence for the following named children: Check this box if Party B's home should be the main home where the children live. Declare Party B's home as the primary residence for the following named children: List the names of the children who will mainly live in Party B's home. Party A Check this box if Party A should claim this child on their taxes. Party B Check this box if Party B should claim this child on their taxes. Name of minor child Write the full name of the first child being claimed. in Tax Year Write the tax year when this parent gets to claim the child, like 2024. Party A Check this box if Party A should claim this child on their taxes. Party B Check this box if Party B should claim this child on their taxes. Name of minor child Write the full name of the second child being claimed. in Tax Year Write the tax year when this parent gets to claim the child, like 2024. Party A Check this box if Party A should claim this child on their taxes. Party B Check this box if Party B should claim this child on their taxes. Name of minor child Write the full name of the third child being claimed. in Tax Year Write the tax year when this parent gets to claim the child, like 2024. Party A Check this box if Party A should claim this child on their taxes. Party B Check this box if Party B should claim this child on their taxes. Name of minor child Write the full name of the fourth child being claimed. in Tax Year Write the tax year when this parent gets to claim the child, like 2024. Pattern shall repeat for subsequent years. Check this box if you want the same claiming schedule to keep repeating in future years.