Petition Form Ny printable pdf download

Petition Form Ny

FCA §§ 467, 549, 651, 652,654; DRL §§75-l, 240

General Form 17

(Petition-Custody, Visitation)

6/2016

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF

.....................................................................................

In The Matter of a Proceeding for

“Custody “Visitation under Article “4 “5 “6

of the Family Court Act or Section 240

of the Domestic Relations Law

Family File No.

Petitioner

Docket No.

Relationship to child:

PETITION

“ CUSTODY “ VISITATION

-against-

Respondent

Relationship to child:

.......................................................................................

TO THE FAMILY COURT:

The Petitioner respectfully alleges upon information and belief that:

1. The name, gender, current address and date of birth of each child who is the subject of this

proceeding are as follows [specify address or indicate if ordered to be kept confidential pursuant to Family

Court Act §154-b(2) or Domestic Relations Law §254]:

Name

Gender

Date of Birth

Current Address

Name of Person

with Whom Child Resides

2. a. Petitioner,

, [check applicable box]: “ resides “ is located at [specify

address or indicate if ordered to be kept confidential pursuant to Family Court Act §154-b(2) or Domestic

Relations Law §254]:

b. Petitioner is [specify relationship to child; if foster parent, agency, institution or other

relationship, so state]:

3. a. Respondent ,

, [check applicable box]: “ resides “ is located at [specify

address or indicate if ordered to be confidential, pursuant to Family Court Act §154-b(2) or Domestic

Relations Law §254]:

b. Respondent is [specify relationship to child; if foster parent, agency, institution or other

relationship, so state]:

4. [Check box if applicable, o0r if not, SKIP to ¶5] “ (Upon information and belief) For any

Note: If a custody or visitation proceeding is pending in, or an order of custody or visitation has been issued by, a court

outside of the State of New York, including a Native-American tribunal, the custody/visitation petition for proceedings under the

Uniform Child Custody Jurisdiction and Enforcement Act, Form UCCJEA-1 should be utilized instead of this form. If a prior order

of custody or visitation had been entered by a Court of this State, the petition for modification or enforcement, General Forms 40 or

41, should be used instead of this form.

Petition Form Ny

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