Fill and Sign the Petition for Modification Form

Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 1 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b )Superior Court of WashingtonC ounty o fIn r e : Petitioner, and Respondent. No. Petition for Modification/ Adjustment of Custody Decree/ Parenting Plan/Residential Schedule(PTMD)Para. 2.14: check box if petition is attached for: Order for protection DV (PTORPRT) Order for protection UH (PTORAH) 1.1 Identification of Requesting Party/PartiesName (first/last) Birth date Last known residence (county and state only) .Name (first/last) Birth date Last known residence (county and state only) .1.2Identification of Other Party/PartiesName (first/last) Birth dateLast known residence (county and state only) .Name (first/last) Birth date Last known residence (county and state only) .Name (first/last) Birth date Last known residence (county and state only) .1.3Dependent Children Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 2 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b )Name (first/last) Age Name (first/last) Age Name (first/last) Age Name (first/last) Age Name (first/last) Age Name (first/last) Age II. Basis 2.1 Petit io n f o r a n O rd er M odif y in g C usto dy D ecre e/P are n tin g P la n /R esid en tia l Sc h ed ule T his i s a p etitio n f o r a n o rd er m odif y in g t h e p rio r c u sto dy d ecre e/p are n tin g p la n /r e sid en tia l sc h ed ule /ju dgm en t e sta b lis h in g p are n ta g e a n d a p pro vin g m y p ro pose d p are n tin g p la n /r e sid en tia l sc h ed ule , w hic h i s f ile d w ith t h is p etitio n.The court entered a judgment and order establishing parentage o n (d ate ) _ __________________ _ a t ( c o unty a n d s ta te ) _ __________________________ under c au se n um ber _ _______________ a n d d id n ot e n te r a P are n tin g P la n o r R esid en tia l Sc h ed ule a t t h e s a m e t im e. I a tta ch ed a c o py o f t h e o rd er e sta b lis h in g p are n ta g e i f i t w as file d i n a n oth er c o unty o r s ta te . 2 .2 Adeq uate C au se T here i s a d eq uate c au se f o r h earin g t h e p etitio n f o r m odif ic atio n. 2 .3 Child S upport D oes n ot a p ply .C hild s u pport s h ould b e m odif ie d o r e sta b lis h ed i f t h e c o urt g ra n ts t h e p etitio n t o m odif y th e p are n tin g p la n o r r e sid en tia l s c h ed ule . A c h ild s u pport w ork sh eet a n d f in an cia l de cla ra tio n m ust b e f ile d w ith t h is a ctio n. R CW 2 6.0 9.1 70. 2 .4 Ju ris d ic tio n a n d V en ue The c o urt h as p ro per j u ris d ic tio n a n d v en ue.T he r e q u estin g p arty /p arti e s r e sid e(s ) i n ( c o unty a n d s ta te o nly ) _ ______________________ ____ .T he c h ild re n r e sid e i n ( c o unty a n d s ta te o nly ) _ ________________________ _________ ________ .T he o th er p arty /p arti e s r e sid e(s ) i n ( c o unty a n d s ta te o nly ) _ ____________________________ ___ ___________________ __________ _____________________________ _____________________ . 2 .5 Ju ris d ic tio n O ver P ro ceed in g Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 3 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b ) T his c o urt h as j u ris d ic tio n o ver t h is p ro ceed in g f o r t h e r e aso ns b elo w : This c o urt h as e x clu siv e c o ntin uin g j u ris d ic tio n. T he c o urt h as p re v io usly m ad e a c h ild custo dy, p are n tin g p la n , r e sid en tia l s c h ed ule o r v is ita tio n d ete rm in atio n i n t h is m atte r a n d reta in s j u ris d ic tio n u nder R CW 2 6.2 7.2 11.T his s ta te i s t h e h om e s ta te o f t h e c h ild re n b ecau se : th e c h ild re n l iv ed i n W ash in gto n w ith a p are n t o r a p ers o n a ctin g a s a p are n t f o r a t le ast s ix c o nse cu tiv e m onth s i m med ia te ly p re ced in g t h e c o m men cem en t o f t h is pro ceed in g.th e c h ild re n a re l e ss t h an s ix m onth s o ld a n d h av e l iv ed i n W ash in gto n w ith a pa re n t o r a p ers o n a ctin g a s p are n t s in ce b ir th .an y a b se n ces f ro m W ash in gto n h av e b een o nly t e m pora ry .W ash in gto n w as t h e h om e s ta te o f t h e c h ild re n w ith in s ix m onth s b efo re t h e co m men cem en t o f t h is p ro ceed in g a n d t h e c h ild re n a re a b se n t f ro m t h e s ta te b ut a pa re n t o r p ers o n a ctin g a s a p are n t c o ntin ues t o l iv e i n t h is s ta te . T he c h ild re n a n d t h e p are n ts o r t h e c h ild re n a n d a t l e ast o ne p are n t o r a p ers o n a ctin g a s a pa re n t h av e s ig nif ic an t c o nnectio n w ith t h e s ta te o th er t h an m ere p hysic al p re se n ce, a n d su bsta n tia l e v id en ce i s a v aila b le i n t h is s ta te c o ncern in g t h e c h ild re n ’s c are , p ro te ctio n, tr a in in g a n d p ers o nal r e la tio nsh ip s, a n d: T he c h ild re n h av e n o h om e s ta te e ls e w here .T he c h ild re n ’s h om e s ta te h as d eclin ed t o e x erc is e j u ris d ic tio n o n t h e g ro und t h at th is s ta te i s t h e m ore a p pro pria te f o ru m u nder R CW 2 6.2 7.2 61 o r .2 71. A ll c o urts i n t h e c h ild re n 's h om e s ta te h av e d eclin ed t o e x erc is e j u ris d ic tio n o n t h e g ro und th at a c o urt o f t h is s ta te i s t h e m ore a p pro pria te f o ru m t o d ete rm in e t h e c u sto dy o f t h e ch ild re n u nder R CW 2 6.2 7.2 61 o r .2 71.N o o th er s ta te h as j u ris d ic tio n. T his c o urt h as t e m pora ry e m erg en cy j u ris d ic tio n o ver t h is p ro ceed in g b ecau se t h e c h ild re n are p re se n t i n t h is s ta te a n d t h e c h ild re n h av e b een a b an doned o r i t i s n ecessa ry i n a n em erg en cy t o p ro te ct t h e c h ild re n b ecau se t h e c h ild re n , o r a s ib lin g o r p are n t o f t h e c h ild re n is s u bje cte d t o o r t h re ate n ed w ith a b use . R CW 2 6.2 7.2 31. There is a previous custody determination that is entitled to be enforced under this chapter or a child custody proceeding has been commenced in a court of a state having jurisdiction under RCW 26.27.201 through 26.27.221. The requirements of RCW 26.27.231(3) apply to this matter. This state’s jurisdiction over the children shall last until (date) _______________________________.There is no previous custody determination that is entitled to be enforced under this chapter and a child custody proceeding has not been commenced in a court of a state having jurisdiction under RCW 26.27.201 through 26.27.221. If an action is not filed in (potential home state) _____________________________ by the time the child has been in Washington for six months, (date) _______________________________, then Washington's jurisdiction will be final and continuing. Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 4 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b ) O th er: 2 .6 Unif o rm C hild C usto dy J u ris d ic tio n a n d E nfo rc em en t A ct In fo rm atio n N am e o f C hild Pare n t’ s N am e Pare n t’ s N am e Durin g t h e l a st f iv e y ears , t h e c h ild re n h av e l iv ed : in n o p la ce o th er t h an t h e s ta te o f W ash in gto n a n d w ith n o p ers o n o th er t h an t h e r e q uestin g party o r t h e o th er p arty .in t h e f o llo w in g p la ces w ith t h e f o llo w in g p ers o ns ( lis t e ach p la ce t h e c h ild re n l iv ed , in clu din g t h e s ta te o f W ash in g to n, t h e d ate s t h e c h ild re n l iv ed t h ere a n d t h e n am es o f t h e pe rs o ns w ith w hom t h e c h ild re n l iv ed . T he p re se n t a d dre sse s o f t h ose p ers o ns m ust b e lis te d i n t h e r e q uir e d C onfid en ti a l I n fo rm ati o n F orm .) : C la im s t o c u sto dy o r v is ita tio n: T he r e q uestin g p arty d oes n ot k now o f a n y p ers o n o th er t h an t h e o th er p arty w ho h as ph ysic al c u sto dy o f, o r c la im s t o h av e c u sto dy o r v is ita tio n r ig hts t o , t h e c h ild re n .T he f o llo w in g p ers o ns h av e p hysic al c u sto dy o f, o r c la im t o h av e c u sto dy o r v is ita ti o n rig hts t o , t h e c h ild re n ( lis t t h eir n am es a n d t h e c h ild re n c o ncern ed b elo w a n d l is t t h eir pre se n t a d dre sse s i n t h e C onfid en ti a l I n fo rm ati o n F orm . D o n ot l is t t h e o th er p arty .) : I n volv em en t i n a n y o th er p ro ceed in g c o ncern in g t h e c h ild re n : T he r e q uestin g p arty h as n ot b een i n volv ed i n a n y o th er p ro ceed in g r e g ard in g t h e c h ild re n . T he r e q u estin g p arty h as b een i n volv ed i n t h e f o llo w in g p ro ceed in gs r e g ard in g t h e c h ild re n (lis t t h e c o urt, t h e c ase n um ber, a n d t h e d ate o f t h e j u dgm en t o r o rd er):O th er l e g al p ro ceed in gs c o ncern in g t h e c h ild re n : T he r e q uestin g p arty d oes n ot k now o f, a n y o th er l e g al p ro ceed in gs c o ncern in g t h e ch ild re n .T he r e q uestin g p arty k now s o f, t h e f o llo w in g l e g al p ro ceed in gs t h at c o ncern t h e c h ild re n (lis t t h e c h ild re n c o ncern ed , t h e c o urt, t h e c ase n um ber, a n d t h e k in d o f p ro ceed in g): Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 5 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b )2 .7 Custo dy D ecre e o r P are n tin g P la n /R esid en tia l S ch ed ule T he C usto dy D ecre e/P are n ti n g P la n /R esid en ti a l S ch ed ule w as e n te re d o n ( d ate ) _ ______________ at ( c o unty a n d s ta te ) _ ________ _______________________________ . A c erti f ie d c o py o f t h e Cu sto dy D ecre e/P are n ti n g P la n / R esid en ti a l S ch ed u le t o b e m odif ie d i s f ile d w ith o r a tta ch ed t o t h is pe titi o n , i f t h e d ecre e o r p la n t o b e m odif ie d w as e n te re d i n a n oth er c o unty o r s ta te . 2 .8 Modif ic atio n U nder R CW 2 6.0 9.2 60(1 ), ( 2 ) D oes n ot a p ply .T he c u sto dy d ecre e/p are n tin g p la n /r e sid en tia l s c h ed ule s h ould b e m odif ie d b ecau se a su bsta n tia l c h an ge o f c ir c u m sta n ces h as o ccu rre d i n t h e c ir c u m sta n ces o f t h e c h ild re n o r t h e oth er p arty a n d t h e m odif ic atio n i s i n t h e b est i n te re sts o f t h e c h ild re n a n d i s n ecessa ry t o serv e t h e b est i n te re sts o f t h e c h ild re n . T his r e q uest i s b ase d o n t h e f a cto rs b elo w . The p artie s a g re e t o t h e m odif ic atio n .T he c h ild re n h av e b een i n te g ra te d i n to m y f a m ily w ith t h e c o nse n t o f t h e o th er pa rty i n s u bsta n tia l d ev ia tio n f ro m t h e d ecre e/p are n tin g p la n /r e sid en tia l s c h ed ule .T he c h ild re n ’s e n vir o nm en t u nder t h e c u sto dy d ecre e/p are n tin g p la n /r e sid en tia l sc h ed ule i s d etr im en ta l t o t h e c h ild re n ’s p hysic al, m en ta l o r e m otio nal h ealth a n d th e h arm l ik ely t o b e c au se d b y a c h an ge i n e n vir o nm en t i s o utw eig hed b y t h e ad van ta g e o f a c h an ge t o t h e c h ild re n .T he o th er p arty h as b een f o und i n c o nte m pt o f c o urt a t l e ast t w ic e w ith in t h re e years b ecau se t h e p arty f a ile d t o c o m ply w ith t h e r e sid en tia l t im e p ro vis io ns i n t h e co urt- o rd ere d p are n tin g p la n , o r t h e p are n t h as b een c o nvic te d o f c u sto dia l in te rfe re n ce i n t h e f ir s t o r s e co nd d eg re e u nder R CW 9 A .4 0.0 60 o r 9 A .4 0.0 70. 2 .9 Modif ic atio n o r A dju stm en t U nder R CW 2 6.0 9.2 60(4 ) o r ( 8 ) D oes n ot a p ply .T he c u sto dy d ecre e/p are n tin g p la n /r e sid en tia l s c h ed ule s h ould b e m od if ie d b ecau se t h e re d uctio n o r r e str ic tio n o f t h e r e sid en tia l t im e f o r t h e p ers o n w ith w hom t h e c h ild d oes n ot re sid e a m ajo rity o f t h e t im e w ould s e rv e a n d p ro te ct t h e b est i n te re sts o f t h e c h ild u sin g t h e crite ria i n R CW 2 6.0 9.1 91 , a s d esc rib ed h ere : Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 6 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b ) T he c u sto dy d ecre e/p are n tin g p la n /r e sid en tia l s c h ed ule s h ould b e a d ju ste d b ecau se t h e no nre sid en tia l p arty h as v olu nta rily f a ile d t o e x erc is e r e sid en tia l t im e f o r o ne y ear o r m ore an d t h e a d ju stm en t i s i n t h e b est i n te re st o f t h e c h ild re n . 2 .1 0 Adju stm en ts t o R esid en tia l P ro vis io ns U nder R CW 2 6.0 9.2 60(5 )(a ) a n d ( b ) D oes n ot a p ply .T he c u sto dy d ecre e/p are n tin g p la n /r e sid en tia l s c h ed ule s h ould b e a d ju ste d b ecau se a su bsta n tia l c h an ge i n c ir c u m sta n ces o f e ith er p are n t o r o f t h e c h ild h as o ccu rre d a n d t h e pro pose d m od if ic atio n t o t h e c u sto dy d ecre e/p are n tin g p la n /r e sid en tia l s c h ed ule i s i n t h e be st i n te re st o f t h e c h ild re n a n d i s a m in or m odif ic atio n i n t h e r e sid en tia l s c h ed ule t h at d oes no t c h an ge t h e r e sid en ce t h e c h ild re n a re s c h ed ule d t o r e sid e i n t h e m ajo rity o f t h e t im e an d: is n ot m ore t h an 2 4 f u ll d ay s i n a c ale n dar y ear; o ris b ase d o n a c h an ge o f r e sid en ce o f t h e p are n t w ith w hom t h e c h ild d oes n ot r e sid e a m ajo rity o f t h e t im e o r a n i n volu nta ry c h an ge i n w ork s c h ed ule b y a p arty w hic h mak es t h e r e sid en tia l s c h ed ule i n t h e p are n tin g p la n i m pra ctic al t o f o llo w . 2.1 1 Adju stm en ts t o R esid en tia l P ro vis io ns U nder R CW 2 6.0 9.2 60(5 )(c ), ( 7 ), ( 9 ) D oes n ot a p ply . T his s e ctio n o nly a p plie s t o a p ers o n w it h w hom t h e c h ild d oes n ot r e sid e a majo rit y o f t h e t im e w ho i s s ee kin g t o i n cre ase r e sid en tia l t im e.2.1 1.1 Paren t s u bje ct t o l im it a tio n s u nder R CW 2 6.0 9.1 91(2 ) o r ( 3 ) T he r e sid en tia l t im e o f ( n am e) _ _________ __________ ______________ ______ i s n ot su bje ct t o l im ita tio ns.T he r e sid en tia l t im e o f ( n am e) _ _________ ________ __________ _______ i s s u bje ct t o lim ita tio ns. T his p are n t d em onstr a te s a s u bsta n tia l c h an ge i n c ir c u m sta n ces s p ecif ic ally rela te d t o t h e b asis f o r t h e l im ita tio n. 2 .1 1.2 Paren t R eq uir ed t o C om ple te E valu atio n s, T rea tm en t, P aren tin g o r O th er C la sse s (N am e) _ _______________ ____________ _ i s n ot r e q uir e d u nder t h e e x is tin g P are n tin g Pla n /R esid en tia l S ch ed ule t o c o m ple te e v alu atio ns, t r e atm en t, p are n tin g o r o th er c la sse s. Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 7 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b ) (N am e) _ _________________________, i s r e q uir e d b y t h e e x is tin g P are n tin g Pla n /R esid en tia l S ch ed ule t o c o m ple te e v alu atio ns, t r e atm en t, p are n tin g o r o th er c la sse s. Th is p are n t h as f u lly c o m plie d w ith s u ch r e q uir e m en ts a s d esc rib ed h ere : 2 .1 1.3 Adju stm en t t o R esid en tia l P ro vis io n U nder R CW 2 6.0 9.2 60(5 )(c ) T he C usto dy D ecre e/P are n ti n g P la n /R esid en ti a l S ch ed ule s h ould b e a d ju ste d b ecau se a su bsta n ti a l c h an ge i n c ir c u m sta n ces o f ( p are n t’ s n am e) _ ___________________________ or ( c h ild (re n )’ s n am e(s )) _ ______________ ___________________ _________ ______ h as oc cu rre d . T he p ro pose d m odif ic ati o n t o t h e C usto dy D ecre e/P are n ti n g P la n /R esid en ti a l Sc h ed ule i s i n t h e b est i n te re st o f t h e c h ild re n . I t i s a m in or m odif ic ati o n i n t h e r e sid en ti a l sc h ed ule t h at d oes n o t c h an ge t h e r e sid en ce t h e c h ild re n a re s c h ed ule d t o r e sid e i n t h e ma jo rity o f t h e t i m e. T he i n cre ase i s m ore t h an 2 4 f u ll d ay s b ut l e ss t h an 9 0 o vern ig h ts p er ye ar t o ta l. T he C usto dy D ecre e/P are n ti n g P la n /R esid en ti a l S ch ed ule d oes n ot p ro vid e reaso nab le t i m e w ith t h e n onprim ary r e sid en ti a l p arty . 2 .1 2 Adju stm en ts t o N onre sid en tia l P ro vis io ns U nder R CW 2 6.0 9.2 60(1 0) D oes n o t a p ply .T he f o llo w in g n onre sid en tia l p ro vis io ns o f t h e p are n tin g p la n s h ould b e a d ju ste d b ecau se th ere i s a s u bsta n tia l c h an ge o f c ir c u m sta n ces o f e ith er p arty o r o f t h e c h ild re n a n d t h e ad ju stm en t i s i n t h e b est i n te re st o f t h e c h ild re n : D is p ute r e so lu tio n. D ec is io n m ak in g. T ra n sp orta tio n a rra n gem en ts . O th er: 2 .1 3 Substa n tia l C han ge in C ir c u m sta n ce (Y ou m ust c o m ple te t h is p art i f y o u r e q uest a m odif ic a tio n o r a d ju stm en t i n para g ra p hs 2 .8 , 2 .1 0, 2 .1 1.1 , 2 .1 1.3 o r 2 .1 2.)T he r e q u este d m odif ic atio n o r a d ju stm en t o f t h e c u sto dy d ecre e/p are n tin g p la n /r e sid en tia l s c h ed ule is b ase d u pon t h e f o llo w in g s u bsta n tia l c h an ge i n c ir c u m sta n ce: Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 8 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b )2 .1 4 Pro te ctio n O rd er D oes n ot a p ply . There is a protection order between the parties filed in case number ________________, court __________________________, which expires on (date) ____________________.The court should grant the domestic violence antiharassment petition for order for protection: attached to this petition. filed separately under this case number case number __________________. If you need immediate protection, contact the clerk/court for RCW 26.50 Domestic Violence forms or RCW 10.14 Antiharassment forms.2.15Servicemembers Civil Relief Act Statement2.15.1 A. Service member status -- (name of other party) _____________________________: is not a service member;is on active duty in the U.S. armed forces (excluding National Guard and reserves);is on active duty and is a National Guard member or a Reservist residing in Washington;is not on active duty in the U.S. armed forces (excluding National Guard and reserves);is not on active duty and is a National Guard member or a Reservist residing in Washington;I am unable to determine whether the other party is or is not on active duty in the U.S. armed forces;I am unable to determine whether the other party is or is not on active duty as a National Guard member or a Reservist residing in Washington. B. Factual basis: See the attached Department of Defense Manpower Data Center Status Report Pursuant to Servicemembers Civil Relief Act (SCRA) obtained from Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 9 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b )https://www.dmdc.osd.mil/appj/scra/. (You must have the person’s social security number to search in this site.) Other factual basis: C. As indicated above, the other party is on active duty and (check all that apply): The other party is represented by an attorney.The court has appointed an attorney to represent the other party.A stay of these proceedings has has not been entered by the court. 2.15.2 A. Dependent of a service member status -- (name of other party) _________________ ____________________________: is a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist;is not a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist;I am unable to determine whether the other party is a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist. B. Factual basis: The other party failed to respond to a notice to him or her as a dependent of a person in Military Service that was served on mailed by first class mail on (date) ________________________________________, therefore he or she should be presumed not a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist. Other factual basis: C. As indicated above, the nonmoving party is a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist and (check all that apply): The nonmoving party is represented by an attorney.The court has appointed an attorney to represent the nonmoving party.A stay of these proceedings has has not been entered by the court. 2.1 6 Oth er III. Relief Requested The m ov in g p arty r e q ues ts t h at t h e c o urt f in d t h at t h ere i s a d eq uate c au se f o r h earin g t h is p eti ti o n a n d e n te r an o rd er m odif y in g t h e c u sto dy d ecre e/p are n ti n g p la n /r e sid en ti a l s c h ed ule i n t h is m atte r a n d a p pro vin g t h e pro pose d p are n ti n g p la n /r e sid en ti a l s c h ed ule , w hic h i s f ile d w ith t h is p eti ti o n. T he m ovin g p arty a ls o r e q uests t h at t h e c o urt: Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 1 0 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b ) E nte r a n o rd er e sta b lis h in g c h ild s u pport i n c o nju nctio n w ith t h e p ro pose d p are n tin g pla n /r e sid en tia l s c h ed ule . T he c h ild s u pport w ork sh eet a n d f in an cia l d ecla ra tio n a re f ile d with t h is p etitio n.E nte r a d om estic v io le n ce p ro te ctio n o rd er.E nte r a n a n tih ara ssm en t p ro te ctio n o rd er.O th er: Date Signature of Requesting Party or Lawyer/WSBA No. Print NameDateSignature of Requesting Party or Lawyer/WSBA No. Print NameI 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 Requesting Party Print NameSigned at (city) _________________________, (state) ___________ on (date) ____________________.Signature of Requesting Party Print Name Jo in derI, _ _________________________ , j o in i n t h e p etitio n. I understand that by joining in the petition, a decree or judgment and order may be entered in accordance with the relief requested in the petition unless, prior to the entry of the decree or judgment and order, a response is filed and served. I waive notice of entry of the decree.I demand notice of all further proceedings in this matter. Further notice should be sent to the following address (you may list an address that is not your residential address where you agree to accept legal documents): Any time this address changes while this action is pending, you must notify the opposing parties in writing and file an updated Confidential Information Form (WPF DRPSCU 09.0200) with the court clerk. Date Sig natu re Prin t N am e I, _ _________________________, j o in i n t h e p etitio n. I understand that by joining in the petition, a decree or judgment and order may be entered in accordance with the relief requested in the petition unless, prior to the entry of the decree or judgment and order, a response is filed and served. Pet f o r M od/A dj P are ntin g P ln ( P TM D) - P age 1 1 o f 1 1W PF D R PSC U 0 7.0 100 M andato ry ( 0 3/2 013) - C R 4 .1 ; R CW 2 6.0 9.1 81; . 2 60; . 2 70 , R CW 2 6.2 6.1 30(7 )(b ) I waive notice of entry of the decree.I demand notice of all further proceedings in this matter. Further notice should be sent to the following address (you may list an address that is not your residential address where you agree to accept legal documents): Any time this address changes while this action is pending, you must notify the opposing parties in writing and file an updated Confidential Information Form (WPF DRPSCU 09.0200) with the court clerk. Date Sig natu re Prin t N am e I, _ _________________________, j o in i n t h e p etitio n. I understand that by joining in the petition, a decree or judgment and order may be entered in accordance with the relief requested in the petition unless, prior to the entry of the decree or judgment and order, a response is filed and served. I waive notice of entry of the decree.I demand notice of all further proceedings in this matter. Further notice should be sent to the following address (you may list an address that is not your residential address where you agree to accept legal documents): Any time this address changes while this action is pending, you must notify the opposing parties in writing and file an updated Confidential Information Form (WPF DRPSCU 09.0200) with the court clerk. Date Sig natu re Prin t N am e