Fill and Sign the 75 J 75 K Form

D.R.L. §§75-j, 75-kForm UCCJEA-8 (Request for Assistance and/or Records-UCCJEA) 8/2002 At a term of the Family Court of the State of New York, held in and for the County of at , New Yorkon . PRESENT: Hon. Judge ......................................................................................xIn the Matter of a Proceeding for“ Custody “ Visitation “ Enforcement “ Modification “ Registration of an Order of “ Custody “ Visitation Under the Uniform Child Custody Jurisdiction and Enforcement Act [Domestic Relations Law Art.5-A] Docket No.REQUEST FOR Petitioner “ ASSISTANCE “ RECORDS - UCCJEA against Respondent ......................................................................................x TO: COURT, COUNTY, STATE OF 1. A petition has been filed in this Court pursuant to the Uniform Child Custody Jurisdiction and Enforcement Act [New York State Domestic Relations Law Article 5-A] relating to the [check applicable box(es)]: “ custody “ visitation “ enforcement “ modification “ registration of an Order of “ Custody “ Visitation involving the following child(ren): Name(s) Date(s) of Birth 2. Pursuant to Sections 75-k (1) and 75-k (2) of the New York State Domestic Relations Law, this Court requests that you provide the following assistance [check applicable boxes)]: “ hold a hearing to adduce evidence in accordance with procedures of your state. “ order the following party or person having physical custody of the child(ren) to produce the child(ren) as follows [specify]: “ order the following person to produce and give evidence at the hearing [specify]: “ order that an evaluation be made of the following home and the child(ren) [specify]: Form UCCJEA-8 Page 2 3. Pursuant to Sections 75-k (1)(d) and 75-k (4) of the New York State Domestic Relations Law, this Court requests that you forward to this Court certified copies of records from the following proceeding(s) [specify title of proceeding, docket number and date, if available]: These records shall include [check applicable box(es)]:“ pleadings; “ orders, judgments and decrees; “ transcript of the record of the hearing; “ evidence adduced, including documents and exhibits; “ social studies or evaluations prepared; “ other pertinent documents [specify]: Pursuant to Section 75-j(3) of the New York State Domestic Relations Law, these records may be transmitted to this Court by: “ facsimile to [specify name and fax #]: “ e-mail to {specify name and e-mail address]: “ other [specify]: 4. Pursuant to New York State Domestic Relations Law §75-k (3), travel and other necessary expenses incurred in connection with this request shall be assessed against the parties according to New York State Law as follows [specify, delete if inapplicable]: Dated: Judge of the Family Court