Request For Registration Of Out-Of-State Child Custody Order Form - Wisconsin
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2STATE OF WISCONSIN
CIRCUIT COURT
_____________________ COUNTY
FAMILY BRANCH
In re the Application for Registration of an
Out-of-State Child Custody Determination
CASE NO.
Pursuant to Stats. 822.35 [UCCJEA] by:
CODE NO. 40803 (UCCJEA
)
Petitioner:
-vs.-
Respondent:
REQUEST FOR REGISTRATION OF OUT-OF-STATE
CHILD CUSTODY ORDER
TO THE CLERK OF THE CIRCUIT COURT OF _____________________ COUNTY:
1.
I request, pursuant to Wis. Stats. 822.35, that you register the annexed child custody determination of the
______________ Court of the State of ______________, for the county of ___________________.
2.
The minor children covered by the out-of-state child custody determination are as follows:
Child’s Name
Date of Birth
Age
Sex
a.
b.
c.
3.
I am the children's G mother G father G _______________________________
My address is: _____________________________________, ____________________, ___ ________
4.
Respondent is the children’s G mother G father G _____________________________ .
Respondent’s address is: _________________________________, _________________, ___ ________
5.
G The determination also awards custody, physical placement or visitation to the following person(s):
Name(s):
Relation to Children:
Address(es):
6.
The date of the most recent order for child custody, placement or visitation was:__________________.
7.
I hereby declare, under penalty of perjury, that to the best of my knowledge and belief, the annexed
child custody determination has not been modified.
8.
I have annexed to this request two copies, including one certified copy, of the child custody determination
that I am requesting that you register.
Date: _____________________, 20___
______________________________________________
11
Printed Name of Petitioner:
Prepared by:
Attorney:
State Bar No.
_________________
DAB Form 1
UCCJEA
REQUEST FOR REGISTRATION OF OUT-OF-STATE CHILD CUSTODY ORDER
(877) 9-UCCJEA
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