Fill and Sign the Form Uccjea 19

DRL §77-d Form UCCJEA-19 (Certification of Registration of Order of Custody or Visitation– UCCJEA) 8/2002 ..................................................................................... In the Matter of a Proceeding for Registration of Out-of-State Order of Custody or Visitation Under the Uniform Child Custody Jurisdiction and Enforcement Act Petitioner, Docket No. CERTIFICATION OF REGISTRATION OF OUT-OF-STATE ORDER OF CUSTODY OR -against- VISITATION – UCCJEA Respondent. ..................................................................................... TO [specify name and address]: I , Clerk of the Family Court of the State of New York, County of [specify]: , do hereby certify that the order of custody or visitation, dated [specify]: , issued by the following court in the following jurisdiction [specify]: has been registered in the State of New York, pursuant to Section 77-d of the New York State Domestic Relations Law, and is deemed to have the same force and effect and is enforceable as if it were issued by a Court of the State of New York. This order concerns the following child(ren): Name(s) Date(s) of Birth In testimony whereof, I have affixed the seal of this Court this day of {specify]: ______________________________ Clerk of the Family Court