Bill of Sale Form

PETITION TO ENFORCE CUSTODY / VISITATION ORDER – UCCJEA

DRL Art. 5-A    Form UCCJEA-11 (3/2009)

FAMILY COURT OF THE STATE OF NEW YORK

COUNTY OF

In The Matter of a Proceeding to Enforce a Custody Visitation Order under the Uniform Child Custody Jurisdiction and Enforcement Act

WARNING: THE PURPOSE OF THE HEARING REQUESTED IN THIS PETITION IS TO PUNISH FOR CONTEMPT OF COURT, WHICH MAY INCLUDE SANCTIONS OF A FINE OR IMPRISONMENT OR BOTH.

TO THE FAMILY COURT:

The Petitioner respectfully alleges upon information and belief that:

1. Petitioner, resides is located at

Petitioner is

Petitioner seeks to enforce the following order of custody visitation, a certified copy of which is attached

2. Respondent, resides is located at

Respondent is

3. The name, present address, and date of birth of each child who is the subject of this proceeding are as follows:

4. Applicable when Petitioner and/or Respondent are on active duty or have recently returned from active military service.

a. Petitioner: is on active duty returned from active duty

Details:

b. Respondent: is on active duty returned from active duty

Details:

5. Applicable where the judgment or order was entered in conjunction with a New York child protective dispositional or permanency hearing order.

(i) The judgment order was issued in conjunction with:

(ii) Local department of social services: Attorney for the child(ren):

6. This order: was issued by a New York State Court has been registered in New York State has not been registered in New York State

Denied registration on by

Pending application filed on in

7. This order: has been registered in another jurisdiction has not been registered in any other jurisdiction

Other jurisdiction:

8. This order is in effect and has not been vacated, stayed or modified.

9. Name and current address of the person(s) with whom each child resided during the past five years:

10. Apart from the proceeding that resulted in the issuance of the order sought to be enforced herein, Petitioner has has not participated as a party witness other in other litigation concerning custody of the same child(ren).

If so, specify type of case, capacity of participation, court, location and status of case:

11. Check applicable box:

The following person(s) not party to these proceedings have claimed physical custody or visitation rights:

I know of no person(s) not a party to the proceedings who claim(s) to have custody or visitation rights.

12. Check applicable box:

No proceeding has been commenced that could affect this action.

The following proceeding(s) have been commenced that could affect this action:

13. The court that issued the order sought to be enforced identified the following jurisdictional basis or bases for its issuance:

14. Respondent violated this order by the following acts:

15. Because of the Respondent’s violation, Petitioner has incurred the following legal expenses and costs to date:

16. This court should issue a warrant requiring the production of the child because:

The child is at imminent risk of serious physical harm.

The child is at imminent risk of removal from the State of New York.

17. Petitioner requests a Temporary Order of Protection pursuant to Family Court Act §655 because:

18. Applicable where government agency is a party:

Subject child is a Native-American child Subject child is not a Native-American child

Notified:

United States Secretary of the Interior notification date:

19. No previous application has been made to any court or judge for the relief herein, except:

WHEREFORE, Petitioner requests that this Court issue:

an order directing Respondent to appear immediately before the Court with the above-named child(ren);

a warrant directing law enforcement to pick up the child(ren) and give physical custody to Petitioner or

an order necessary to ensure the safety of the parties and the child(ren) as follows:

a temporary order of protection containing the following conditions:

an order convening an immediate hearing within three court days after the filing of this petition;

an order directing Respondent to pay Petitioner’s attorney’s fees and costs;

an order

an order providing such other and further relief as this Court may deem just and proper.

Dated:

VERIFICATION

STATE OF NEW YORK )

:ss:

COUNTY OF )

I, being duly sworn, says that (s)he is the Petitioner in the above-named proceeding and that the foregoing petition is true to (his)(her) own knowledge, except as to matters therein stated to be alleged on information and belief and as to those matters (s)he believes it to be true.