Free Joint Parenting Petition - Nebraska

Clear Form

THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us

Court Name: Case Name: Case Number:
(if known)

JOINT PARENTING PETITION
1. Petitioner Name Date of Birth Residence Address Mailing Address (if different) Telephone Number (Home) 2. Respondent Name Date of Birth Residence Address Mailing Address (if different) Telephone Number (Home) 3. (Work) (R) (Work) Relationship to Child E-mail address (optional) Relationship to Child E-mail address (optional)

Length of time parties have been residents of New Hampshire (P) Length of time child(ren) has resided in New Hampshire

4.

List minor children born to or adopted by the parties: Name Date of Birth Name Date of Birth

5.

Please check one of the following regarding public assistance. No public assistance (TANF) is now being or has within the last 6 months been provided, nor is medical assistance (Medicaid) presently being provided, for any minor child of the parties. The N.H. Department of Health and Human Services is providing or has provided within the last 6 months public assistance (TANF) and/or medical assistance (Medicaid) for a minor child or children of the parties. If you check this box, you must mail copies of this petition and the personal data sheet to DHHS at: New Hampshire Department of Health and Human Services Division of Child Support Services - Legal Unit 129 Pleasant Street Concord, NH 03301

NHJB-2390-FS (04/10/2009)

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Case Name: Case Number: JOINT PARENTING PETITION

6.

Are there any past or pending adoption, juvenile, domestic violence, domestic relations, paternity, legitimation, custody, parental rights or responsibilities, or other proceedings in any court in any state affecting any child(ren) named in this petition or parents of those children? Yes No If yes, specify Requests for court orders: A. TEMPORARY. The parties respectfully request that the Court issue temporary orders on any of the following issues. (Check all that apply). A temporary order is in effect until the final hearing. Child support Parenting Plan Other B. FINAL. The parties respectfully request that the Court issue a final order approving or establishing the following (check all that apply): A parenting plan which describes the parties' parental rights and responsibilities relating to minor children; Child support obligations for any minor children; Any other relief which may be appropriate; Other:

7.

Date

Petitioner's Signature

Signature of Attorney for Petitioner, if any Printed Name, Address, and Phone Number of Attorney Bar #

State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any
Date

, County of by
Signature of Notarial Officer / Title Respondent's Signature

Signature of Attorney for Respondent, if any Printed Name, Address, and Phone Number of Attorney Bar #

State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any
NHJB-2390-FS (04/10/2009)

, County of by
Signature of Notarial Officer / Title
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