Petition For Modification Of Order Of (Page 3 of 4) in pdf

Petition For Modification Of Order Of Page 3

General Form GF-40

Page 3

7. [Applicable where Order or judgment had been issued by Supreme Court; delete if inapplicable]:

Under the terms of the

judgment

order , the Supreme Court

has not retained exclusive jurisdiction to modify the

judgment

order .

8. (Upon information and belief) Since the entry of the

judgment

order, there has been a

change of circumstances in that [specify]:

9. Because of this change of circumstances, the

judgment

order should be modified as

follows [specify]:

10. [Applicable to cases in which petitioner is a relative or other non-parent seeking to modify a

custody order and where a child protective petition or permanency hearing report has been filed regarding

the children; delete if inapplicable]:

A child protective petition, Docket # [specify]:

, was filed in Family

Court, [specify county]:

on [specify date]:

alleging that [specify names of

respondents on that petition]:

neglected or abused the above-named child(ren). The petition resulted in [specify whether finding was

made and, if so, the disposition; if the disposition has been adjourned pending a consolidated hearing with

this petition, pursuant to F.C.A. §1055-b, so indicate and give next court date]:

b. A permanency report, Docket # [specify]:

, pursuant to Article 10-A of the

Family Court Act, was filed in Family Court, [specify county]:

on [specify date]:

indicating a permanency plan of custody of the child(ren) with Petitioner in this proceeding. The

permanency hearing was adjourned to [specify date]:

pending a consolidated hearing

with this custody modification petition, pursuant to F.C.A. §1089-a.

c. The child’s birth mother

has

has not consented to the modification of the custody

order to award custody to the Petitioner. If not, the following extraordinary circumstances support

Petitioner’s standing to seek custody of the child(ren) [specify]:

d. The child’s legally-established birth father

has

has not consented to the modification

of the custody order to award custody to the Petitioner. If not, the following extraordinary circumstances

support Petitioner’s standing to seek custody of the child(ren) [specify]:

e. The child has been living with the following foster parent(s)[specify]:

since [specify date]: The foster parent(s)

has/have

has/have not consented to the modification of

Petition For Modification Of Order Of Page 3

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