STATE OF MAINE DISTRICT COURT Location Docket No. Petitioner v. Respondent Now comes the Petitioner and states as follows: PETITION FOR EXPEDITED ENFORCEMENT OF CHILD CUSTODY DETERMINATION 19-A M.R.S. § 1768 1. Petitioner is the father mother OR person acting as a parent who has been awarded custody of the following minor child(ren) under the UCCJEA (names and ages): 2. The present physical address/location of the minor child(ren) and Respondent is: 3. Petitioner obtained the following custody determination order in the following court (state the name, address, and phone number of the court and the docket number of the custody order): NOTICE: A certified copy of the order dated must be attached. 4. The custody determination order did did not state the basis for that court's jurisdiction. If it did, the basis for jurisdiction was as follows: 5. The custody determination order has has not been vacated, stayed or modified. (If vacated, stayed or modified state the name and address of the court, date vacated, stayed or modified, and nature of the proceeding. A copy of the order must be attached): 6. The custody determination order has has not been registered and confirmed in any state court. (If it has, list the name, address, docket number, and phone number of the court where registered): FM-008, Rev. 04/14 Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 7. The following court proceedings/actions have been commenced and could affect the custody determination order (Protection from Abuse, Child protection proceedings, criminal proceedings or any other parental rights and responsibilities proceeding). (List court, address, type of proceeding / action, date of orders, and type of orders): 8. Petitioner requests that this court order: Immediate physical custody of the child(ren) to Petitioner; Attorney's fees, costs and other expenses; Other: 9. Petitioner requests a warrant to take physical custody of child. A verified application for issuance of a warrant is attached. Date: Petitioner Personally appeared the above named that the above statements are true. Date: Notary Public / Clerk , and swore FM-008, Rev. 04/14 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com