Child Custody & Visitation Form GF-40

GF-40 Petition for Modification of Custody or Visitation

Step 1 of 7

Case Information

County Docket Number Petitioner Name Respondent Name Petition for Modification of Existing Order Made By

1. Relationship and Children

Relationship to Child or Children Child or Children's Name(s) Order You Are Seeking to Modify

2. Home Addresses

Petitioner Home Address Respondent Home Address

3. Prior Court Action

Petitioner Is Petitioner Was the Prior Court Prior Court County Index / Docket Number Action Title

4. Military Service

Petitioner is on active duty, deployed, or temporarily assigned Petitioner Active Duty Details Petitioner returned from active duty, deployment, or temporary assignment Petitioner Returned Duty Details Respondent is on active duty, deployed, or temporarily assigned Respondent Active Duty Details Respondent returned from active duty, deployment, or temporary assignment Respondent Returned Duty Details

5. Existing Judgment or Order

Existing Document Type Date of Existing Judgment or Order Person Directed Under Existing Order Terms of Existing Judgment or Order Type of Copy Attached

5(b). Child Protective / Permanency Proceeding

Document Type Issued With Related Proceeding Family Court, County and Docket Number Local Department of Social Services Attorney for the Child or Children

6. Children Affected by the Order

Child 1 Name Child 1 Address Child 1 Date of Birth Child 2 Name Child 2 Address Child 2 Date of Birth

7. Supreme Court Jurisdiction

Existing Supreme Court Document

8. Reason for Modification

Existing Document What has changed since the existing judgment or order was entered?

9. Requested Modification

Document to Be Modified How do you want the existing judgment or order changed?

10. Child Protective / Permanency Information

A child protective petition was filed Child Protective Docket Number County Date Filed Respondents Named in Petition Finding / Disposition / Next Court Date

A permanency report was filed Permanency Docket Number County Date Filed Permanency Hearing Adjourned Date

Birth Mother

Consent Extraordinary Circumstances, if Applicable

Birth Father

Consent Extraordinary Circumstances, if Applicable

Foster Parents

Foster Parent Name(s) Child Has Lived With Foster Parent Since Foster Parent Consent If Consent Is Unknown, Explain

Department of Social Services

Local Department of Social Services Related Proceeding DSS Consent If Consent Is Unknown, Explain

Attorney for the Child or Children

Attorney Name Related Proceeding Attorney Consent If Consent Is Unknown, Explain

11. Previous Application

Previous Application Exception, if Any

Requested Relief

Document to Be Modified Court That Issued Existing Order Date of Existing Order

Date and Signature

Dated Upload Petitioner Signature Print or Type Petitioner Name Attorney Signature, if Any Attorney Name Attorney Address and Telephone - Line 1 Attorney Address and Telephone - Line 2

Verification

Verification Day Verification Month Verification Year Upload Verification Signature

If no separate verification signature is uploaded, the petitioner signature will also be used.

Disclaimer: The Family Law Vault Provides Educational Self-Help Resources and is Not a Law Firm or Substitute For Legal Representation.

Not legal advice and does not create an attorney-client relationship.