Form 345 Rev. 02/16 The Family Court of the State of Delaware In and For Petitioner Name Street Address P.O. Box Number City/State/Zip Code Date of Birth Attorney Name New Castle Kent Sussex County PETITION FOR CUSTODY Respondent Name Street Address P.O. Box Number City/State/Zip Code Date of Birth Attorney Name Petition Number File Number Interpreter needed? Language Yes No Interpreter needed? Language Yes No Does this matter relate to a federal immigration case? IN THE INTEREST OF the following child(ren): Name Date of Birth Name YES NO Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth Name Date of Birth The said child(ren) live with (Name): Relationship to child(ren): (STREET ADDRESS) (CITY) (STATE) (ZIP CODE) Petitioner alleges the following facts: (Please list in consecutively numbered paragraphs. Attach additional pages if needed.) WHEREFORE, Petitioner prays that a Summons issue to the above-named person(s) and the person(s) listed in Paragraph 5 of the attached Separate Statement, and that the Court grant Custody of the above-named child(ren) to Petitioner and enter such Orders as may be in the best interest of the child(ren). The attached Statement is incorporated and made part hereof. SWORN TO AND SUBSCRIBED before me this date, Petitioner/Attorney Clerk of Court/Notary Public American LegalNet, Inc. www.FormsWorkFlow.com