Fill and Sign the Notice Relocation Form

Superior Court of Washington County of In re: Child(ren), Petitioner(s), and Respondent(s). No. Return of Service (Notice of Intended Relocation of Children) (RTS) I Declare : 1. I am over the age of 18 years, and I am not a party to this action. 2. I served _____________________________________ [Name] with the following documents: [ ] Notice of Intended Relocation of Children. [ ] Parenting Plan. [ ] Residential Schedule. [ ] Other: 3. The date, time and place of service were: Date: __________________ Time of service or time of mailing __________ a.m./p.m. Address: _________________________________________________ _________________________________________________ 4. Service was made pursuant to RCW 26.09.440(1)(a): [ ] by delivery to the person named in paragraph 2. R eturn of Service (Not Intended Reloc) (RTS) - Page 1 of 2 WPF DRPSCU 07.0600 (6/2006 ) - RCW 26.09.440(1)(a) [ ] by delivery to ______________________________ [Name], a person of suitable age and discretion residing at the usual abode of the person named in paragraph 2. [ ] by mailing a copy to the person named in paragraph 2, by any form of mail requiring a return receipt. (Attach return receipt below.) 5. Other: I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at ____________________________, [City] [State] on [Date]. Signature of Server Print or Type Name Fees: Service Mileage Total (Attach Return Receipt here, if service was by mail) R eturn of Service (Not Intended Reloc) (RTS) - Page 2 of 2 WPF DRPSCU 07.0600 (6/2006 ) - RCW 26.09.440(1)(a)