Information About Children

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Form P
UCCJEA INFORMATION FORM
__________________________________
NO: __________________ DIV. ______
(
)
PETITIONER
THE FAMILY COURT
VERSUS
PARISH OF ______________
__________________________________
STATE OF LOUISIANA
(
)
DEFENDANT
INFORMATION ABOUT CHILDREN
This form is required for all custody cases where a minor child was born or has lived outside the State of
Louisiana according to Rule 25 of The Family Court. The following information is extremely important
for custody cases under the Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA).
Provide all the information requested below.
All questions must be answered in full. Do not leave any question
empty.
1. Provide the following information about all minor children born to or adopted by the parties.
Name
Date of Birth
Current Address
__________________________________
________________
____________________________
__________________________________
________________
____________________________
__________________________________
________________
____________________________
__________________________________
________________
____________________________
__________________________________
________________
____________________________
__________________________________
________________
____________________________
2. Provide the following information about where the minor children have lived in the past five years. List
the city and state where the children resided, the parent or caretaker with whom they resided, and the
current contact information for that parent or caretaker. Start with where the child lives now and work
backwards in time.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
3. List any persons who are not parties in this case who have physical custody of the children, who
previously had physical custody of the children, or who claim to have custody rights.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
THE FAMILY COURT
FORM P, p. 1 of 2
REVISED: NOV 2013

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