NAME
*
First Name
Last Name
ADDRESS
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
HOW FAR IS THIS RESIDENCE FROM THE OTHER PARTY?
5 min
10 min
15 min
20 min
30 min
45 min
Greater than 45 min
FULL NAME OF EACH PERSON LIVING HERE?
EMAIL
*
PHONE
(###)
###
####
DATE OF BIRTH
MM
DD
YYYY
WHO IS YOUR EMPLOYER?
WHAT DAYS DO YOU TYPICALLY WORK?
MON
TUE
WED
THU
FRI
SAT
SUN
WHAT SORT OF HOURS?
Mornings
Afternoons
Evenings
Graveyard
HOW MANY JOBS IN 3 YEARS?
TRANSPORTATION
Please check all that apply.
Valid Driver's License
Ownership of Vehicle
Vehicle Safe and Reliable
Vehicle is Insured
Vehicle is Registered
NAME
*
First Name
Last Name
ADDRESS
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
DESCRIBE THIS RESIDENCE
FULL NAME OF EACH PERSON LIVING HERE?
DATE OF BIRTH
MM
DD
YYYY
WHO IS THIS PERSON'S EMPLOYER?
WHAT DAYS DOES HE/SHE TYPICALLY WORK?
MON
TUE
WED
THU
FRI
SAT
SUN
WHAT SORT OF HOURS?
Mornings
Afternoons
Evenings
Graveyard
HOW MANY JOBS IN 3 YEARS?
TRANSPORTATION
Please check all that apply.
Valid Driver's License
Ownership of Vehicle
Vehicle Safe and Reliable
Vehicle is Insured
Vehicle is Registered
ABOUT THE CHILDREN
Please provide the full names of all children involved herein including each child's date of birth.
WHERE DOES EACH CHILD GO TO SCHOOL?
*
IS EACH CHILD DOING WELL IN SCHOOL?
*
DESCRIBE ANY SPECIAL NEEDS.
LIST ALL EXTRACURRICULAR ACTIVITIES.
WHEN WAS YOUR LAST VISIT?
MM
DD
YYYY
WHEN DID THE OTHER PARTY LAST VISIT?
MM
DD
YYYY
DATE YOU BEGAN RELATIONSHIP WITH OTHER PARTY?
MM
DD
YYYY
DATE MARRIED
MM
DD
YYYY
DATE SEPARATED OR STOPPED RELATIONSHIP
MM
DD
YYYY
DESCRIBE CURRENT CUSTODY ARRANGEMENT.
Example: Every other weekend Fri - Sun
HOW WOULD YOU CHANGE THE ARRANGEMENT?
DESCRIBE HOW THE PARTIES COPARENT?
WHICH OF THE FOLLOWING IS TRUE?
IN REGARD TO CHILD CUSTODY:
Nothing is in writing
There is an official court order
There is a written agreement
Other
IF YOU HAVE AN OFFICIAL COURT ORDER:
The order was entered in North Carolina
The order was entered in another state
N/A
Other
HOW IS DISCIPLINE APPROACHED BY BOTH PARITES?
DESCRIBE HOW BOTH PARTIES APPROACH MEAL TIMES?
DESCRIBE HOW BOTH PARTIES ENGAGE THE CHILDREN IN PLAY?
WHAT ALLEGATIONS WILL YOU BE MAKING AGAINST THE OTHER PARTY?
HOW WILL YOU PROVE YOUR ALLEGATIONS?
IE: Text messages, testimony, videos, photos, audio, etc...
BE HONEST: WHAT ALLEGATIONS ARE GOING TO BE MADE ABOUT YOU?
Be honest and think about this question. It's important.
HOW WILL THESE ALLEGATIONS BE PROVEN?
IE: Text messages, testimony, videos, photos, audio, etc...
IS THERE ANYTHING ELSE YOU WISH TO SAY ABOUT THE LEGAL ISSUE?