Fill and Sign the Grandparent Rights Form

IN THE _________________________________ (Name of Court) OF ___________________________________ (Name of County), ___________________________________________ (State) ____________________________________________ PLAINTIFF/RESPONDENT (Name of Plaintiff) VS. CASE NUMBER ________-________ _____________________________________________ DEFENDANT/RESPONDENT (Name of Defendant) ______________________________________________ (Name of Petitioner) PETITIONER Petition by Grandparent for Visitation Rights Comes now ____________________________________________ (Name of Petitioner), Petitioner, by and through his attorney, and moves the Court for an order granting him reasonable visitation rights with his minor grandchild on dissolution of the marriage of the parents of said grandchild, and as grounds would show unto the Court following: 1. Petitioner, _____________________________________________ (Name of Petitioner), of ___________________________________________________________________________ ________________________________________________________________________________________________________________________ (street address, city, county, state, zip code) is the paternal grandfather of ________________________________________________ (Name of Child), who is ____ years of and the minor child of Plaintiff and Defendant in the above- entitled action. 2. Petitioner seeks reasonable visitation rights with the said minor child on dissolution of the marriage of Plaintiff and Defendant. 3. Reasonable visitation rights with said minor child is in the best interest and welfare of the child and would not interfere with the parent-child relationship of the minor child and the Plaintiff and Defendant. WHEREFORE, Petitioner requests that: 1. He/She be awarded reasonable visitation rights with _____________________________ _____________________________ (Name of Child), the minor child of Plaintiff and Defendant on dissolution of their marriage; 2.He have such other and further relief as to this Court deems proper. RESPECTFULLY SUBMITTED this the ____ day of ___________________________, 20____. ____________________________________ (Name of Petitioner) Petitioner By: _______________________________ (Name of Petitioner’s Attorney) Petitioner’s Attorney State Bar No. ______________ _________________________________________________ (Name of Petitioner’s Attorney) Attorney at law Post Office Box ______________ City, State, Zip Code ____________________________________________________________ _____________________________ Telephone – _______-______-___________ Telefax - _______-_______-____________ CERTIFICATE OF SERVICE I, ___________________________________________________ (Name of Petitioner’s Attorney), Attorney for Petitioner do hereby certify that a true and correct copy of the above and foregoing Petition by Grandparent for Visitation Rights has been sent, via first class mail, postage prepaid, to _____________________________________________________ (Name of Plaintiff’s Attorney) at __________________________________________________________ ________________________________________________________________________________________________________________________ (street address, city, county, state, zip code) and _______________________________________________________ (Name of Defendant’s Attorney) at ___________________________________________________________________ _______________________________________________________________________________________________________________________ (street address, city, county, state, zip code). So certified, this the _____ day of __________________________________, 20____. ______________________________________ (Name of Petitioner’s Attorney)