Fillable Uniform Child Custody Jurisdiction Enforcement Act Affidavit printable pdf download

Uniform Child Custody Jurisdiction Enforcement Act Affidavit

Download a blank fillable Uniform Child Custody Jurisdiction Enforcement Act Affidavit in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Uniform Child Custody Jurisdiction Enforcement Act Affidavit with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

Original - Court

1st copy - FOC (if applicable)

2nd copy - Defendant/Respondent

Approved, SCAO

3rd copy - Plaintiff/Petitioner

STATE OF MICHIGAN

CASE NO.

JUDICIAL CIRCUIT

UNIFORM CHILD CUSTODY JURISDICTION

PROBATE COURT

ENFORCEMENT ACT AFFIDAVIT

COUNTY

Court address

Court telephone no.

CASE NAME:

1. The name and present address of each child (under 18) in this case is:

2. The addresses where the child(ren) has/have lived within the last 5 years are:

3. The name(s) and present address(es) of custodians with whom the child(ren) has/have lived within the last 5 years are:

4. I do not know of, and have not participated (as a party, witness, or in any other capacity) in any other court decision, order, or

proceeding (including divorce, separate maintenance, separation, neglect, abuse, dependency, guardianship, paternity,

termination of parental rights, and protection from domestic violence) concerning the custody or parenting time of the child(ren),

in this state or any other state, except:

Specify case name and number, court name and address, and date of child custody determination, if one.

5. I do not know of any pending proceeding that could affect the current child custody proceeding, including a proceeding for

enforcement or a proceeding relating to domestic violence, a protective order, termination of parental rights, or adoption, in this

state or any other state, except:

Specify case name and number, court name and address, and nature of the proceeding.

That proceeding

is continuing.

has been stayed by the court.

Temporary action by this court is necessary to protect the child(ren) because the child(ren) has/have been subjected to or

threatened with mistreatment or abuse or is/are otherwise neglected or dependent.

Attach explanation.

6. I do not know of any person who is not already a party to this proceeding who has physical custody of, or who claims rights of

legal or physical custody of, or parenting time with, the child(ren), except:

State name(s) and address(es) of each person.

7. The child(ren)'s "home state" is

See back for definition of "home state."

8. I state that a party's or child's health, safety, or liberty would be put at risk by the disclosure of this identifying information.

I have filled this form out completely, and I acknowledge a continuing duty to advise this court of any proceeding in this state or

any other state that could affect the current child-custody proceeding.

Signature of affiant

Name of affiant (type or print)

Address of affiant

Subscribed and sworn to before me on

County, Michigan.

Date

My commission expires:

Signature:

Date

Notary public, State of Michigan, County of

UNIFORM CHILD CUSTODY JURISDICTION ENFORCEMENT ACT AFFIDAVIT

MC 416 (3/08)

MCL 722.1206, MCL 722.1209

Uniform Child Custody Jurisdiction Enforcement Act Affidavit

Related Articles

Related forms

Related Categories