Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Email Address (if any) IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF , Petitioner, vs. , Respondent. APPLICATION FOR REGISTRATION OF A CHILD CUSTODY DETERMINATION Case No. I, (your name) , the Petitioner/Respondent, and pursuant to Idaho Code §32-11-305, apply for registration of a child custody determination of a court of another state. 1. I live at 2. I wish to register a child custody determination in accordance with the Uniform Child Custody Jurisdiction and Enforcement Act, I.C. §32-11-305. 3. To the best of my knowledge and belief the order I seek to register has not been modified. 4. The name and address of any other parent or person acting as a parent who has been awarded custody or visitation in the child custody determination sought to be registered is: (name/s) (address) . , 5. I understand that false statements in this sworn statement may subject me to the penalties for perjury pursuant to Idaho Code §18-5409, which includes imprisonment in the state prison for not less than one nor more than 14 years. APPLICATION FOR REGISTRATION OF A CHILD CUSTODY DETERMINATION I.C.§32-11-305 CAO FLE 1-2 07/01/2016 PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com 6. I am of legal age, able to read and write the English language, legally competent, and have sought whatever legal advice I desired before signing this document. I understand the contents of this document, and the same are true and correct to the best of my knowledge and belief. 7. I am furnishing two (2) copies, including one (1) certified copy, of the determination sought to be registered. 8. I understand that notice of my request for registration will be given to the person/s listed in item 4 of this Affidavit. CERTIFICATION UNDER PENALTY OF PERJURY I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct. Date: Typed/Printed Name Signature APPLICATION FOR REGISTRATION OF A CHILD CUSTODY DETERMINATION I.C.§32-11-305 CAO FLE 1-2 07/01/2016 PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com