Children

a. Children's Basic Information

Child's Name: Write the full name of your first child. Date of Birth Write the birth date of your first child. No legal custody Check this if you currently have no legal custody of this child. Joint legal custody Check this if you and the other parent now share legal custody of this child. Sole legal custody Check this if you alone now have legal custody of this child. Joint legal custody Check this if you want to share legal custody of this child with the other parent. Sole legal custody Check this if you want to be the only parent with legal custody of this child. Child's Name: Write the full name of your second child. Date of Birth Write the birth date of your second child. No legal custody Check this if you currently have no legal custody of this child. Joint legal custody Check this if you and the other parent now share legal custody of this child. Sole legal custody Check this if you alone now have legal custody of this child. Joint legal custody Check this if you want to share legal custody of this child with the other parent. Sole legal custody Check this if you want to be the only parent with legal custody of this child. Child's Name: Write the full name of your third child. Date of Birth Write the birth date of your third child. No legal custody Check this if you currently have no legal custody of this child. Joint legal custody Check this if you and the other parent now share legal custody of this child. Sole legal custody Check this if you alone now have legal custody of this child. Joint legal custody Check this if you want to share legal custody of this child with the other parent. Sole legal custody Check this if you want to be the only parent with legal custody of this child. Child's Name: Write the full name of your fourth child. Date of Birth Write the birth date of your fourth child. No legal custody Check this if you currently have no legal custody of this child. Joint legal custody Check this if you and the other parent now share legal custody of this child. Sole legal custody Check this if you alone now have legal custody of this child. Joint legal custody Check this if you want to share legal custody of this child with the other parent. Sole legal custody Check this if you want to be the only parent with legal custody of this child. No, physical custody should not be changed. (STOP. Go to Section 4) Check this box if you do not want to change how much time the child spends with each parent. If you check this, skip ahead to Section 4. Yes, physical custody should be changed. Listed below are the current physical custody order and the physical custody order I would like the Court to order. Check this box if you want to change how much time the child spends with each parent. Then fill in the table below. Child's Name: Write the full name of the first child this request is about. Date of Birth Enter the first child's date of birth.

b. Possession & Access

No visitation Check this if the current order gives no visitation for this child. Visitation only Check this if the current order gives visitation only for this child. Joint physical custody Check this if the current order gives joint physical custody for this child. Primary physical custody Check this if the current order gives primary physical custody for this child. Sole physical custody Check this if the current order gives sole physical custody for this child. Visitation only Check this if you want the court to order visitation only for this child. Joint physical custody Check this if you want the court to order joint physical custody for this child. Primary physical custody Check this if you want the court to order primary physical custody for this child. Sole physical custody Check this if you want the court to order sole physical custody for this child.

c. Children's Basic Information

Child's Name: Write the full name of the second child this request is about. Date of Birth Enter the second child's date of birth.

d. Possession & Access

No visitation Check this if the current order gives no visitation for this child. Visitation only Check this if the current order gives visitation only for this child. Joint physical custody Check this if the current order gives joint physical custody for this child. Primary physical custody Check this if the current order gives primary physical custody for this child. Sole physical custody Check this if the current order gives sole physical custody for this child. Visitation only Check this if you want the court to order visitation only for this child. Joint physical custody Check this if you want the court to order joint physical custody for this child. Primary physical custody Check this if you want the court to order primary physical custody for this child. Sole physical custody Check this if you want the court to order sole physical custody for this child.

e. Children's Basic Information

Child's Name: Write the full name of the third child this request is about. Date of Birth Enter the third child's date of birth.

f. Possession & Access

No visitation Check this if the current order gives no visitation for this child. Visitation only Check this if the current order gives visitation only for this child. Joint physical custody Check this if the current order gives joint physical custody for this child. Primary physical custody Check this if the current order gives primary physical custody for this child. Sole physical custody Check this if the current order gives sole physical custody for this child. Visitation only Check this if you want the court to order visitation only for this child. Joint physical custody Check this if you want the court to order joint physical custody for this child. Primary physical custody Check this if you want the court to order primary physical custody for this child. Sole physical custody Check this if you want the court to order sole physical custody for this child.

g. Children's Basic Information

Child's Name: Write the full name of the fourth child this request is about. Date of Birth Enter the fourth child's date of birth.

h. Possession & Access

No visitation Check this if the current order gives no visitation for this child. Visitation only Check this if the current order gives visitation only for this child. Joint physical custody Check this if the current order gives joint physical custody for this child. Primary physical custody Check this if the current order gives primary physical custody for this child. Sole physical custody Check this if the current order gives sole physical custody for this child. Visitation only Check this if you want the court to order visitation only for this child. Joint physical custody Check this if you want the court to order joint physical custody for this child. Primary physical custody Check this if you want the court to order primary physical custody for this child. Sole physical custody Check this if you want the court to order sole physical custody for this child. Best interest. It is in the best interest of the child(ren) to change physical custody because: Explain why changing who the child lives with would be good for the child. Give clear reasons, like changes in the home, safety, or the child's needs. No Visitation Requested Because: Check this box only if you are not asking for any visitation time with the child. Most parents leave this blank. No Visitation Requested Because: (explain) If you checked the box above, write the reason you are not requesting any visitation. Regular Schedule: Spell out the day-to-day plan for normal weeks. List the exact days and times each parent has the child, for example Mom: Saturday 7pm to Wednesday 3pm. Same as the regular schedule. Check this if you want the summer plan to stay the same as the school-year plan. Other: Check this if you want a different plan for summer and write it in the line next to it. Other: Describe the summer schedule you want, including the days and times for each parent. Mother every year from 9am – 7pm. Check this if the mother should have the child every year on Mother's Day and her birthday from 9am to 7pm. Other: Check this if you want a different plan for Mother's Day and the mother's birthday. Other: Describe the plan you want for Mother's Day and the mother's birthday, including times. Father every year from 9am – 7pm. Check this if the father should have the child every year on Father's Day and his birthday from 9am to 7pm. Other: Check this if you want a different plan for Father's Day and the father's birthday. Other: Describe the plan you want for Father's Day and the father's birthday, including times. Even years with (parent) Check this to set who has the child on their birthday in even-numbered years (like 2024) and odd-numbered years (like 2025). Even years with (parent) Write which parent (Mom or Dad) has the child on their birthday during even-numbered years. Odd years with (parent) Write which parent (Mom or Dad) has the child on their birthday during odd-numbered years. Other: Check this if you want a different plan for the child's birthday. Other: Describe the plan you want for the child's birthday, including which parent and the times. Even Years: MLK Jr. Day, Memorial Day, Labor Day with (parent) Check this to split the three-day holiday weekends between parents by even and odd years as listed. Even Years: MLK Jr. Day, Memorial Day, Labor Day with (parent) Write which parent (Mom or Dad) gets MLK Day, Memorial Day, and Labor Day weekends in even-numbered years. Odd Years: MLK Jr. Day, Memorial Day, Labor Day with (parent) Write which parent (Mom or Dad) gets MLK Day, Memorial Day, and Labor Day weekends in odd-numbered years. Other: Check this if you want a different plan for three-day holiday weekends. Other: Describe the plan you want for three-day holiday weekends, including which parent and the times. Even years with (parent) _____________________________. Write the name of the parent who gets the children for Easter or Spring Break during even-numbered years. The other parent gets odd years. Other: _________________________________________ If you want a different Easter or Spring Break schedule, describe it here. Other: Check this box if you are setting up a custom Easter or Spring Break schedule instead of the standard even/odd year plan. Even years with (parent) Check this box to use the standard plan where one parent has even years and the other has odd years. Odd years with (parent) _____________________________. Write the name of the parent who gets the children for Thanksgiving during odd-numbered years. The other parent gets even years. Odd years with (parent) Check this box to use the standard plan where one parent has odd years and the other has even years for Thanksgiving. Other: _________________________________________ If you want a different Thanksgiving schedule, describe it here. Other: Check this box if you are setting up a custom Thanksgiving schedule instead of the standard even/odd year plan. Segment 1 (Christmas) consists of the day school lets out until December 26 at noon. Check this box to split Winter Break into two parts and trade them between parents each year. Even years: segment 1 with (parent) ____________________, Write the name of the parent who gets the first part of Winter Break (Christmas) in even-numbered years. The other parent gets the second part. Odd years: segment 1 with (parent) ____________________, Write the name of the parent who gets the first part of Winter Break (Christmas) in odd-numbered years. The other parent gets the second part. Other: Check this box if you are setting up a different Winter Break schedule than the standard two-part plan. Other Holidays: List any other holidays you want to schedule, such as birthdays, Mother's Day, or Father's Day, and explain how they will be shared. The parents will not establish a formal vacation plan, and will instead mutually agree on vacation days and times with the child(ren). Check this box if you and the other parent prefer to agree on vacation dates together instead of following a fixed plan. Each parent may have up to (number) ______ vacation days per year with the child(ren). Check this box to set a limit on how many vacation days each parent can take with the children each year. Each parent may have up to (number) ______ vacation days Enter the most vacation days each parent may take with the children in one year. at least (number) _____ days before the planned vacation. Enter how many days ahead a parent must tell the other parent before taking a vacation.