Fill and Sign the Maryland Dom Rel 7 Petition Motion to Modify Custody Visitation Form

Page 1 of 2DR 7 - Revised 10/2015 Circuit Court for Case No. City or County \ Name Name VS. \ Street Address Apt. #Street Address Apt. # ( ) ( ) \ City State Zip Code Area Telephone City State Zip Code Area Telephone Code Code Plaintiff Defendant No. 1 \ Name \ Street Address Apt. # ( ) City State Zip Code Area Telephone Code Defendant No. 2 PETITION/MOTION TO MODIFY
CUS TODY
VISITATION (DR 7) I, \ , representing myself, state that: My name 1. I am the mother/ father or \ of : Relationship (for example, aunt, grandfather, guardian, etc) name of child date of birthname of child date of birth name of child date of birthname of child date of birth name of child date of birth name of child date of birth name of child date of birth name of child date of birth 2. On the Circuit Court for issued City or County an order in case number , granting custody of the child(ren) to and visitation to . 3. Since the order, circumstances have chan ged and the Order is no longer in the best interest of the child(ren) because: \ Page 2 of 2DR 7 - Revised 10/2015 4. I know of the following additional cases concer ning the child(ren) (such as domestic violence (protective order), paternity, divorce of the child(ren)’s parents, custody, visitation, or juvenile court cases): Cour t Case No. Kind of Case Year Filed Results or Status (if you know) FOR THESE REASONS, I request the Court change cust ody and/or visitation as follows: \ State the changes that you are requesting \ and order any othe r appropriate relief. [ ] I am also requesting a chan ge in the current child support order. I solemnly affirm under the pen alties of perjury that the contents of the foregoing paper are true to the best of my know ledge, information, and belief. Date Signature