Oregon Custody Petition

PETITION FOR CUSTODY AND PARENTING TIME UNDER ORS 109.103 AND CHILD SUPPORT

IN THE CIRCUIT COURT OF THE STATE OF OREGON

FOR THE COUNTY OF

I.

is the mother and is the father of born .

II.

Paternity of the child/ren has been established:

by filing with the State Registrar of Vital Statistics a voluntary acknowledgment of paternity:

by administrative order docketed with the County Circuit Court:

by judicial order entered by the County Circuit Court in Case No. :

by:

III.

The minor child/ren reside(s) in County, State of . The petitioner resides in County, State of . The respondent resides in County, State of .

IV. (Check all boxes that apply)

The child/ren have lived in Oregon continuously for the last six months.

The child/ren have lived in Oregon continuously for six months sometime during the last twelve months and the child/ren are not now in Oregon but one parent lives in this state.

The child/ren have lived in another state continuously for six months but a court in that state has declined to exercise jurisdiction on the ground that this state is the more appropriate forum, and

The child/ren and have significant connections to Oregon and substantial evidence about them is available here.

The child/ren are physically present in Oregon, and

The child/ren have been abandoned, or

An emergency exists because the child, or a sibling or parent of the child, is subject to or threatened with mistreatment or abuse.

The current residence or mailing address of the minor child/ren is:

VI.

The places where the minor child/ren have lived in the last five years and the names of the person with whom these child/ren have resided are:

Dates       County/State       With Whom       Which Children

VII.

The current addresses of the persons listed in paragraph 6 are:

VIII.

I have not participated in any litigation concerning the custody, visitation, parenting time or placement of the children in this or any other state.

I have participated in the following litigation regarding the child/ren’s custody, visitation, parenting time or placement:

IX.

I do not know of any other domestic violence, custody, visitation, parenting time or placement proceeding involving the child/ren pending in this or any other state except for:

X.

I do not know any person (other than the respondent) who has physical custody of the child/ren or who claims to have custody, visitation or parenting time rights except for:

PARENTING PLAN

XI.

is/are a fit and proper person(s) to be awarded custody of the parties’ minor children. Custody of the child/ren should be awarded as follows:

Mother should be awarded custody of the following child/ren:

Father should be awarded custody of the following child/ren:

should have parenting time in accordance with County .

Specific parenting time should be as follows:

Additional page(s) attached; see “Exhibit A.”

Mother and father should each provide contact addresses and contact telephone numbers to the other and notify each other of any emergency circumstances or substantial changes in the child/ren’s health.

should not be granted parenting time because this would endanger the health or safety of the child/ren.

Petitioner should be allowed to move more than 60 miles distant from the other parent without advance written notice because good cause exists.

CHILD SUPPORT

XII.

There are no existing child support orders, administrative or judicial, currently in effect in the State of Oregon or any other state.

The following child support order(s) is/are currently in effect:

A certified copy of this order(s) is attached to this petition.

XIII.

No child support should be ordered in this case because:

Child support in the amount of $ monthly has already been ordered and docketed with the County Circuit Court Other reason:

Child support should be paid by to beginning on the first day of the month following the date of the judgment and continuing on the first (1st) day of each month thereafter.

The total payment of child support per month should be $ for children.

The support amount was calculated pursuant to the support guidelines set out in Oregon’s Administrative Rules. The support amount:

does not deviate from the amount presumed correct under the guidelines

does deviate from the amount presumed correct under these guidelines because

XIV.

Oregon law requires that child support on all new or modified orders be collected by income withholding. Exceptions may be granted under the provisions of ORS 25.317.

All payments of child support should be made to the Oregon Department of Justice, Child Support Accounting Unit, P. O. Box 14506, Salem, Oregon, 97309. Petitioner requests that collection, accounting, disbursement, and enforcement services be provided by the State of Oregon’s Department of Justice. In addition, support for a child attending school (between 18 and 21 years of age) as defined in ORS 107.108, should be distributed by the Oregon Department of Justice, Child Support Accounting Unit directly to the child subject to ORS 107.108.

LIFE INSURANCE COVERAGE FOR CHILD/REN

XV.

should obtain and maintain life insurance for the benefit of the parties’ child/ren throughout the period of the support obligation.

MEDICAL INSURANCE COVERAGE FOR CHILD/REN

XVI.

Throughout the period of the support obligation, should name the child/ren as beneficiaries of any health, accident, dental, orthodontic, and optical insurance plan, available through that parent’s employment, group, or union, at a cost not to exceed the amount of child support awarded in the final judgment.

If that parent maintains this insurance but the insurance does not provide complete coverage, that parent should pay one-half all of the uninsured costs.

Whenever does not have health, accident, dental, orthodontic, or optical insurance available through employment, group or union membership, that parent should pay one-half all uninsured costs incurred by the child/ren throughout that period, including costs for prescriptions.

COURT COSTS AND FEES

XVII.

Deferred Costs and Fees:

Father Mother should be liable for all the court costs that were deferred.

Father and Mother should each be liable for one-half the court costs that were deferred.

The State of Oregon should have judgment against Father Mother for one-half all the court costs.

Court Costs and Fees Paid by the Parties

Father Mother should be liable for one-half all the court costs and service fees that have been paid in this suit.

Father Mother should have a judgment against Father Mother for one-half all of these costs.

WHEREFORE, petitioner prays for a Judgment granting the relief petitioned for above.

SUBSCRIBED AND SWORN to before me this day of , , by .

Notary Public for

My Commission Expires:

Certificate of Document Preparation

I certify that: (check all that apply)

I selected this document for myself.

I was provided this document by an attorney.

I completed this document without paid assistance.

I paid or will pay money to for assistance in preparing this document.

Petitioner’s Signature

I certify that this is a true copy.

Petitioner (Signature)