STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE ________ JUDICIAL CIRCUIT _____________ COUNTY _____________________, Plaintiff and _____________________, Defendant ) ) ) ) ) No._____________ ) PETITION FOR VISITATION I, ________________________________, without the assistance of an attorney, ask this Court to enter an order giving me visitation with my minor child/ren. In support of my Petition, I state the following items are true to the best of my knowledge: 1. This Court has jurisdiction over the subject matter and the parties. 2. I am ____ years old; my address is: ____________________________________; I live in ____________ County; and I have lived in Illinois for at least 90 days before I filed this Petition. 3. The custodial parent's name is _______________________, he/she is _____ years old; his/her address is:___________________________________. 4. That I am a parent of the following minor child(ren) (list the names and birthdates of the children): _____________________________________________________________ __________________________________________________________________________. 5. That the custodial parent has not allowed me reasonable visitation with my child(ren). 6. That there is no existing court order concerning my visitation with the minor child(ren). American LegalNet, Inc. www.USCourtForms.com WHEREFORE, I request: that after considering the circumstances of the parties, the Court set a reasonable visitation schedule for me to visit with my child/ren. ______________________, Under penalties as provided by law pursuant to Section 5/1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies as aforesaid that she/he verily believes the same to be true. ________________________, ___________ ________________________ ________________________ ________________________ American LegalNet, Inc. www.USCourtForms.com