Custody and/or Visitation Modification
Use this form if you were never married to the other parent, and wish to obtain and/or modify a court order.
Email address *
Your Information
Full name (last, first & middle) *
Cell number *
Full address *
If less than 2 years at current address, please provide your previous full address.
Date of birth *
Age *
Place of birth *
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If you selected friend above please provide their name so that we may thank them.
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