In re custody of children joaquim sebastian martin form
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RCW 4.28.010; 26.10.030(2)
Mandatory Form (07/ 2019 )
FL Non -Parent 415
Response to Non -Parent
Custody Petition
p. 1 of 5
Superior Court of Washington, County of
In re custody of:
Children :
Petitioner/s (person/s who started this case ):
Respondents (parents and any guardian or custodian) :
No.
Response to Non -Parent Custody Petition
(RSP)
Response to Non -Pare nt Custody Petition
1. Your response
Look at each section of the Petition . Check below to say if you agree or disagree with
what the other party said in each section, or say if you don’t know because you don’t have
enough information. (If you disagree with any part of a section, check “I disagree.”) List
your reasons for disagreeing on page 2.
Section in the Petition Your response (check one)
1. Petitioner’s Information [ ] I agree [ ] I disagree [ ] I don’t know
2. Children [ ] I agree [ ] I d isagree [ ] I don’t know
3. The following adults live in Petitioner’s
household
[ ] I agree [ ] I disagree [ ] I don’t know
4. Respondents’ Information [ ] I agree [ ] I disagree [ ] I don’t know
5. Why the children should not live with a
parent
[ ] I agree [ ] I disagree [ ] I don’t know
6. Why the children should live with Petitioners [ ] I agree [ ] I disagree [ ] I don’t know
7. Respondents’ Visitation [ ] I agree [ ] I disagree [ ] I don’t know
RCW 4.28.010; 26.10.030(2)
Mandatory Form (07/ 2019 )
FL Non -Parent 415
Response to Non -Parent
Custody Petition
p. 2 of 5
Section in the Petition Your response (check one)
8. Support, insurance, and taxes [ ] I agree [ ] I disagree [ ] I don’t know
9. Personal jurisdiction over Respondents [ ] I agree [ ] I disagree [ ] I don’t know
10. Children’s Home/s [ ] I agree [ ] I disagree [ ] I don’t know
11. Other people with a legal right to spend
time with a child
[ ] I agree [ ] I disagree [ ] I don’t know
12. Other court cases involving a child [ ] I agree [ ] I disagree [ ] I don’t know
13. Are any of the children Indian children [ ] I agree [ ] I disagree [ ] I don’t know
14. Jurisdictio n over Indian children [ ] I agree [ ] I disagree [ ] I don’t know
15. Jurisdiction over the children [ ] I agree [ ] I disagree [ ] I don’t know
16. Protection Order [ ] I agree [ ] I disagree [ ] I don’t know
17. Restraining Order [ ] I agre e [ ] I disagree [ ] I don’t know
18. Fees and costs [ ] I agree [ ] I disagree [ ] I don’t know
19. Other requests, if any [ ] I agree [ ] I disagree [ ] I don’t know
If you checked “Disagree” for any of the sections above , list your reasons he re:
Section #: Reasons:
Section #: Reasons:
Section #: Reasons:
Section #: Reasons:
Section #: Reasons:
Section #: Reasons:
Section #: Reasons:
RCW 4.28.010; 26.10.030(2)
Mandatory Form (07/ 2019 )
FL Non -Parent 415
Response to Non -Parent
Custody Petition
p. 3 of 5
Section #: Reasons:
Section #: Reason s:
(If you need more space, you may add more pages to this Response. Number, date , and
sign each page that you add.)
2. Request
I ask the court to:
[ ] deny the Non -Parent Custody Petition .
[ ] give custody to Petitioners but grant my requests in sections 3 - 7 below.
[ ] give custody to Petitioners and approve all the requests listed in the Petition . (Skip to
section 7 and sign at the end.)
3. Respondents’ Visitation
If the court gives custody to Petitioners, I ask the court to (check one):
[ ] approve my proposed Residential Schedule (form FL Non -Parent 405).
[ ] other: .
4. Protection Order
Do you want the court to issue an Order for Protection as part of the final orders in this
case?
[ ] No. I do not want an Order for Pro tection .
[ ] Yes. (You must file a Petition for Order for Protection, form DV -1.015 for domestic
violence, or form UHST -02.0200 for harassment. You may file your Petition for Order
for Protection using the same case number assigned to this case.)
Im portant! If you need protection now , ask the court clerk about getting a Temporary Order for Protection.
[ ] There already is an Order for Protection between (name):
and me . (Describe):
Court that issued the order:
Case number:
Expiration date :
RCW 4.28.010; 26.10.030(2)
Mandatory Form (07/ 2019 )
FL Non -Parent 415
Response to Non -Parent
Custody Petition
p. 4 of 5
5. Restraining order
Do you want the court to issue a Restraining Order as part of the final orders in this case ?
[ ] No. (Skip to 6.)
[ ] Yes. Check the type of orders you want:
[ ] Do not disturb – Order ( name/s ) not to
disturb my peace or the peace of any child listed in the Petition .
[ ] Stay away – Order ( name/s ) not to go
onto the grounds of or enter my home, workplace, or school, and the daycare or
school of any child listed in Petition.
[ ] Also, not knowingly to go or stay wit hin feet of my home, workplace,
or school, or the daycare or school of any child listed in the Petition .
[ ] Do not hurt or threaten – Order ( name/s ) :
Not to assault, harass, stalk , or molest me or any child listed in the Petition ; and
Not to use, t ry to use, or threaten to use physical force against me or the children
that would reasonably be expected to cause bodily injury.
Warning! If the court makes this order, the court must consider if weapons restrictions are required by
state law; federal law may also prohibit the Restrained Person from possessing firearms or ammunition.
[ ] Prohibit weapons and order surrender – Order ( name/s ) :
Not to access, possess , or obtain any firearms, other dangerous weapons, or
concealed pistol license s un til the Order ends, and
To immediately surrender any firearms, other dangerous weapons, and any
concealed pistol license s that he/she possesses t o (check one): [ ] the police
chief or sheriff. [ ] his/her lawyer. [ ] other person (name): .
[ ] Other restraining orders:
Important! If you want a restraining order now , you must file a Motion for Temporary Non -Parent Custody
Order and Restraining Order (form FL Non -Parent 423) or a Motion for Immediate Restraining Order (Ex
Parte) (form FL Non -Parent 421).
6. Fees and costs
[ ] No request.
[ ] Order who should pay for court costs, guardian ad litem fees, lawyer fees, and other
reasonable fees.
7. Other requests, if any
RCW 4.28.010; 26.10.030(2)
Mandatory Form (07/ 2019 )
FL Non -Parent 415
Response to Non -Parent
Custody Petition
p. 5 of 5
Respondent fills out below:
I declare under penalty of perju ry under the laws of the state of Washington that the facts I have
provided on this form (including any attachments) are true.
[ ] I have attached (number): pages.
Signed at (city and state): Date:
Respondent signs here Print name
I agre e to accept legal papers for this case at (check one):
[ ] my lawyer’s address, listed below.
[ ] the following address (this does not have to be your home address):
street address or PO box city state zip
(Optional) email:
(If this address c hanges before the case ends, you must notify all parties and the court clerk in writing. You may
use the Notice of Address Change form (FL All Family 120).)
Important! You must fill out and file a Confidential Information form (FL All Family 001) with the court clerk.
Lawyer (if any) fills out below:
Lawyer signs here Print name and WSBA No. Date
Lawyer’s street address or PO box city state zip
Email (if applicable):
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