Affidavit Application For Registration Of A Custody Or Visitation Order - Uccjea Page 2

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Form UCCJEA-14
Page 2
6. To the best of my knowledge and belief, the attached order that I am seeking to
register is in effect and has not been stayed or modified.
7. a. This order has been registered in the following other jurisdictions [specify]:
b. Registration of this order was denied in the following jurisdiction(s) [specify and
indicate date]:
c. An application for registration of this order is pending in the following
jurisdiction(s) [specify and indicate status of application]:
WHEREFORE, for the reasons stated above, I am requesting this Court to register
the above-mentioned order in accordance with Section 77-d of the Uniform Child Custody
Jurisdiction and Enforcement Act [Domestic Relations Art. 5-A].
Sworn to before me this
____day of
,
_________________________________
Name
______________________
(Deputy) Clerk of Court
Notary Public
NOTICE: Attach two copies of the order sought to be registered, at least one of which is
certified. A sworn, notarized letter, containing the above information may be submitted instead
of this affidavit. A “child custody or visitation determination” eligible for registration under
Domestic Relations Law §77-d includes a “judgment, decree, or other order of a court providing
for the legal custody, physical custody, or visitation with respect to a child,” including a
“permanent, temporary, initial and modification order,” but not including an order relating to
child support or other monetary obligations. See Domestic Relations Law §75-a (3). The order
may have been entered in a “proceeding for divorce, separation, neglect, abuse, dependency,
guardianship, paternity, termination of parental rights, and protection from domestic violence,”
but does not include a juvenile delinquency, person in need of supervision or contractual
emancipation enforcement proceeding or a proceeding to enforce an out-of-state custody or
visitation order . See Domestic Relations Law §75-a (4).

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