Fill and Sign the Use This Form Only for Cases About Changing a Parentingcustody Order When it is Not an Emergency and You Have

RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modify 623 Motion for Temporar y Family Law Order p. 1 of 6 Superior Court of Washington, County of _______________ In re: Petitioner/s (as listed on the Petition ): And Respondent/s (as listed on the Petition ): No. Motion for Temporary Family Law Order [ ] and Restraining Order (MT TMO ) Motion for Tempo rary Family Law Order [ ] and Restraining Order Use this form only for cases about changing a parenting/custody order when it is not an emergency and you have notified the other party . For other cases, use FL Divorce 223, FL Parentage 323, or FL Non -Par ent 423, depending on the type of case . To both parties: Deadline! Your papers must be filed and served by the deadline in your county’s Local Court Rules, or by the State Court Rules if there is no local rule. Court Rules and forms are online at www.courts.wa.gov . If you want the court to consider your side, you must :  File your original documents with the Superior Court Clerk; AND  Give the Judge/Commissioner a copy of your papers (if required by your county’s Loca l Court Rules); AND  Have a copy of your papers served on all other parties or their lawyers; AND  Go to the hearing. Read your county’s Local Court Rules, if any. Bring proposed orders to the hearing. To the person filing this motion: You must schedule a hearing on this motion. You may use the Notice of Hearing (form FL All Family 185) unless your county’s Local Court Rules require a different form. Contact the court for scheduling information. To the person receiving this motion: If you do not agre e with the requests in this motion, file a statement (using form FL All Family 135, Declaration ) explaining why the court should not approve those requests. You may file other written proof supporting your side, and propose your own Parenting Plan , Reside ntial Schedule , or Child Support Worksheets . RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modify 623 Motion for Temporar y Family Law Order p. 2 of 6 1. My name is: . I ask the court for temporary orders approving the requests listed below. 2. Children [ ] No request. [ ] I want these children under 18 listed below to be included in the court’s o rders: Child’s name Age Child’s name Age 1. 4. 2. 5. 3. 6. 3. Active duty military (The federal Servicemembers Civil Relief Act covers:  Army, Navy, Air Force, Marine Corps, and Coast Guard members on active duty;  National Guard or Reser ve members under a call to active service for more than 30 days in a row; and  commissioned corps of the Public Health Service and NOAA. The state Service Members’ Civil Relief Act covers those service members listed above who are either stationed in or res idents of Washington state, and their dependents, except for the commissioned corps of the Public Health Service and NOAA. ) [ ] None of the other parties are covered by the state or federal Service Members ’ Civil Relief Acts. [ ] (Name): is covered by the [ ] state [ ] federal Service Members ’ Civil Relief Act. [ ] For persons covered only by the state act – Military duty may keep the service member or dependent from responding or coming to the hearing on this motion. I ask the court to app rove temporary orders even if the covered person asks for a stay or doesn’t respond. It would be very unfair (a manifest injustice) not to make temporary orders now because: 4. Care and safety of children (check all that apply) [ ] No request. [ ] Approve the Parenting Plan (form FL All Family 140) or Residential Schedule (form FL Parentage 304 or FL Non -Parent 405 ) proposed by (check one): [ ] me [ ] (name): . [ ] Order (name): not to take the children listed in 2 out of Washington S tate. RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modify 623 Motion for Temporar y Family Law Order p. 3 of 6 [ ] Appoint a person to investigate and report to the court about what is in the children’s EHVWLQWHUHVWDQGRUGHUZKRZLOOSD\WKLVSHUVRQ¶VIHHV7KLVSHUVRQVKRXOGEHDQ (check one): [ ] Guardian ad Litem (GAL) or Evaluator/Investigator a s chosen by the court. [ ] Guardian ad Litem (GAL). [ ] Evaluator/Investigator. [ ] (Name): [ ] Other: 5. Provide support [ ] No request. [ ] Order child support according to the Washington state child support schedule. 6. Pay fees and costs [ ] No request. [ ] Order (name): to: [ ] Pay my lawyer’s fees for this case. Amount: $ Make payments to (name) : [ ] Pay other professional fees and costs for this case. Amount: $ to (name): for (purpose): 7. Restraining Order [ ] No request. [ ] The Court already signed a Restraining Order on (date): in this case. [ ] I am not asking the court to make any changes to this Restraining Order . [ ] I ask the Court to remove (terminate) this Restraining Order . [ ] I ask the Court to change this Restraining Order as follows (specify): [ ] I ask the Court for a Restraining Order (form FL All Family 150) that orders (name/s): to obey the restraints and orders checked below. (Check all that apply; also check the “and Restrai ning Order” box in the form titles on page 1): [ ] Do not disturb – Do not disturb my peace or the peace of any child listed in 2. [ ] Stay away – Do not go onto the grounds of or enter my home, workplace or school, and the daycare or school of any c hild listed in 2. RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modify 623 Motion for Temporar y Family Law Order p. 4 of 6 [ ] Also, do not knowingly go or stay within feet of my home, workplace or school, or the daycare or school of any child listed in 2. [ ] Do not hurt or threaten  Do not assault, harass, stalk , or molest me or any child listed in 2; and  Do not use, try 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 and the parties are intimate partners, the court must consider if w eapons restrictions are required by state law; f ederal law may also prohibit the Restrained Person from possessing firearms or ammunition. [ ] Intimate Partner : The Restrained Person and the Protected Person are/were intimate partners because they are (check all that apply ): [ ] current or former spouses or d omestic partners , or parents of a child -in- common . [ ] age 16 or older and are/were in a dating relationship , and are currently residing together or resided together in the past. [ ] age 16 or o lder and are/were in a dating relationship , but have never resided together. [ ] Prohibit weapons and order surrender  Do not access, possess , or obtain any firearms, other dangerous weapons, or concealed pistol license s until the Order ends, and  Immed iately 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: 8. Other temporar y orders [ ] No request. [ ] (Specify):  Reasons for my requests 9. Why are you asking the court for the orders you checked above? (Explain): RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modify 623 Motion for Temporar y Family Law Order p. 5 of 6  If you need additional space use the Declaration form FL All Family 135.  If you are asking for a parenting plan or residential schedule, also fill out the Information for Temporary Parenting Plan , form FL All Family 139, and a proposed Parenting Plan , form FL All Family 140, or Residential Schedule , form FL Parentage 304 or FL Non -Parent 405 .  If you are asking for child support, also fill out the Child Support Worksheets and Financial Declaration , form FL All Family 131, and file the required financial records. If you or anyone else has ever received public assistance for any child in this case, als o fill out the Public Assistance Declaration , form FL All Family 132.  If you are asking to prohibit weapons or order surrender, give your reasons at the end of this section.  If you are asking to change an earlier temporary order, give the date of the ear lier order and explain how circumstances have changed since then . RCW 26. 09.260 Mandatory Form (07/2019 ) FL Modify 623 Motion for Temporar y Family Law Order p. 6 of 6 [ ] Reasons for “Prohibit weapons and order surrender” request (check all that apply): [ ] (Name): has used, displayed, or threatened to use a firearm or other dangerous weapon in a felony. (Describe): [ ] (Name): previously committed an offense making him or her ineligible to possess a firearm under RCW 9.41.040. (Describe): [ ] (Name): ’s possession of firearm pr esents a serious and imminent threat (harm that may happen immediately) to public health or safety, or to the health or safety of any individual. (Describe): Person asking for this order fills out below: I declare under penalty of perjury under th e laws of the state of Washington that the facts I have provided on this form are true. Signed at (city and state): Date: Person asking for this order signs here Print name here I agree 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 Note: You and the other party/ies may agree to accept legal papers by email under Civil Rule 5 and l ocal court rules. (If this address changes 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). You must also update your Confidential Information form (FL A ll Family 001 ) if this case involves parentage or child support.) 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): Warning! Documents file d with the court are available for anyone to see unless they are sealed. Financial, medical, and confidential reports, as described in General Rule 22, must be sealed so they can only be seen by the court, the other party, and the lawyers in your case. S eal those documents by filing them separately, using a Sealed cover sheet (form FL All Family 011, 012, or 013). You may ask for an order to seal other documents.