Petition for Custody Form

To Family Court Clerk's Office,

I, First Name Last Name , residing at Street Address Address Line 2 City State Zip , hereby submit this petition for custody of the child(ren) indicated below, to be heard before the Family Court of State/County.

Information Regarding Child(ren)*

Which type of custody do you request?

Physical custodyJoint custodySole custodyGrandparent's Custody

Please check the reasons that form the basis for your custody request.

Please specify.

It is my firm belief that granting custody to me is in the best interests of the child(ren) named above. I believe that it would be in the best interest of the child(ren) to give custody to me to provide a stable and nurturing environment, child(ren)'s education and child(ren)'s welfare.

Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

Date*

Date

Signature*