Provide Mother's information

Name:
Address:
City:    County:
State: Zip:

Provide Father's Information

Name:
Address:
City:    County:
State: Zip:

Indicate whether you are the mother or father:
Your phone number:
Your Email:


Provide Minor Children's Information

List the name and birth date of each child included in the custody order (Indicate M for male and F for female):




Indicate the date of the divorce judgment or custody order:

Indicate whether this is the most recent order:Select OneYesNo

If no, indicate the date of the most recent order:

Indicate which parent has physical custody of the child(ren):Select OneMotherFather

Indicate whether order says the child(ren)'s residence can't be moved more than 100 miles without court's permission: Select OneYesNo

Indicate why you want to move the child(ren)'s residence:

Indicate where you wish to move the child(ren)'s residence
(Include specific information,  i.e., city, state, address, school district):


Indicate why the move will improve the quality of life of you and the child(ren)
(Include specific reasons, i.e., better neighborhood, better school system, job with more money):


Indicate who will supervise the child(ren) while you are working or otherwise unavailable
 (Include specific information about the proposed caretaker and the times the child(ren) will be in their care):

Indicate how you will foster the parent-child relationship between the child(ren) and the non-custodial parent if the move is granted (i.e., phone calls, email):


Indicate your proposed parenting time schedule.  (Explain how it how it provides substantially the same amount or more  parenting time):


Indicate who will pay the child(ren)'s transportation expenses: Select OneMotherFatherShared by both

Indicate whether the parent's relationship involved domestic violence: Select OneYesNo

If yes, indicate whether the domestic violence was witnessed by the child(ren):Select OneYesNo

Indicate whether the non-custodial parent's objection to the move is an attempt to secure a financial advantage regarding child support: Select OneYesNo

If yes, explain:


 ACKNOWLEDGMENT: Speedy Legal Docs did not provide me with any advice, explanation or representation about any legal rights, remedies, defenses or options.