Form 348 (Rev. 10/11) The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION TO MODIFY CUSTODY ORDER Pursuant to 13 Del. Code, Chapter 7 Petitioner Name Street Address v. Respondent Name Street Address File Number P.O. Box Number City/State/Zip Code P.O. Box Number City/State/Zip Code Petition Number Attorney Name Attorney Name Interpreter needed? Language Name Yes No Interpreter needed? Language Date of Birth Name Yes No IN THE INTEREST OF the following child(ren): Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth The above named Petitioner was: Petitioner Respondent seek to modify. If "Other" give name and relationship to child(ren): Name Other in the action that resulted in the order you Relationship The Petitioner hereby moves the Court for an Order modifying a prior Custody Order of this Court dated , and, in support thereof, alleges the following: WHEREFORE, the Petitioner prays that the Court will enter an Order reopening the Custody proceedings and thereafter enter an Order modifying the prior order and grant Custody of the above named child(ren) to and enter such other Orders as may be in the best interest of the child(ren). SWORN TO AND SUBSCRIBED Before me this date, Petitioner Clerk of Court/Notary Public American LegalNet, Inc. www.FormsWorkFlow.com