Petition For Support (Page 2 of 7) in pdf

Petition For Support Page 2

Name

Date of Birth

Social Security Number

___________________________________________________________________________

d. What is the Petitioner’s relationship to the children? ________________________________.

e. What is the Petitioner’s relationship to the Respondent(s) listed above?

__________________________________________________________________________

f. What is the Children’s relationship to the Respondent(s) listed above?

__________________________________________________________________________

g. The first Respondent listed above currently resides:

___ at an address unknown to the Petitioner.

___ in _____________________ County, West Virginia.

___ outside the state of West Virginia, where the last known address was ______________

_____________________________________________________________________.

h. The second Respondent listed above currently resides:

___ at an address unknown to the Petitioner.

___ in _____________________ County, West Virginia.

___ outside the state of West Virginia, where the last known address was ______________

_____________________________________________________________________.

i. The parents of the children last cohabited together in _____________________ County,

in the state of ___________________________, on the date of _______________________.

___ Do not know.

j. Are the parents of the children currently expecting another child? ___ Do not know.

___ No ___ Yes If “yes,” what is the due date? __________________

___ Mother, at this address: _____________________

k. The children currently reside with:

___ Father, at this address: ___________

______________________________________.

SCA -FC-26 1 (12/01)

Petition for Supp ort & Allocation of Custodial Respon sibility

Page 2 of 7

Petition For Support Page 2