Petition for Child Custody and Support Page 1 of 8 Form CAFC201 01/01/2019 This form is available for free at www.selfrepresent.mo.gov IN THE CIRCUIT COURT OF , MISSOURI (County where court is located. City of Saint Louis is considered a county.) Case (First Name) (Middle Name) (Last Name) (Jr./Sr./III) Number Petitioner, (Enter your full legal name above) (Will be assigned when case is filed) v. Division (First Name) (Middle Name) (Last Name) (Jr./Sr./III) Number Respondent. (Enter the other parent222s full legal name above) (Will be assigned when case is filed) Petition for Child Custody and Support The Parties This Petition is for a parent to ask the court for an order for custody and child support when there is already a legal finding determining who is the father of the minor child(ren). A legal finding of paternity may be a court judgment or an acknowledgment of paternity, which is an affidavit signed by the parents to get the father222s name on a child222s birth certificate. Genetic (DNA) testing or an administrative child support order done by the Family Support Division are not legal findings of paternity. If there is no legal finding of paternity, the Petitioner must file a petition asking for a paternity judgment. If the parties already have a court judgment that decided paternity, support and/or custody, the Petitioner must file a motion to modify. These forms are different from the Petition for Child Custody and Support, but are also available on selfrepresent.mo.gov. Throughout this case you will always be referred to as the Petitioner. The other parent will be referred to as the Respondent. 1. Petitioner asks the court to make custody and support orders for the following children: a. (First Name) (Middle Name) (Last Name) (Jr./Sr./III) (Child222s Age) b. (First Name) (Middle Name) (Last Name) (Jr./Sr./III) (Child222s Age) c. (First Name) (Middle Name) (Last Name) (Jr./Sr./III) (Child222s Age) d. (First Name) (Middle Name) (Last Name) (Jr./Sr./III) (Child222s Age) e. (First Name) (Middle Name) (Last Name) (Jr./Sr./III) (Child222s Age) f. (First Name) (Middle Name) (Last Name) (Jr./Sr./III) (Child222s Age) American LegalNet, Inc. www.FormsWorkFlow.com Petition for Child Custody and Support Page 2 of 8 Form CAFC201 01/01/2019 This form is available for free at www.selfrepresent.mo.gov Information about Petitioner (Enter your name on the lines) (First Name) (Middle Name) (Last Name) (Jr./Sr./III) 2. What is your mailing address? This is the address the court will use to send information about your case to you. If you move during the time this case is pending, you must send a letter to the court notifying it of your new address. This address is not necessarily the same as the address at which you live. Even if you do not wish to give the address at which you live, you must still give the court a mailing address. Because court actions are a matter of public record, the address you list will be available to the public. (Street) (City) (State) (Zip) ( ) (Telephone Number with Area Code) (E-mail Address Optional) 3. What are the last four numbers of your social security number? XXX-XX- 4. Are you over the age of eighteen? (Check one of the two boxes) Yes No 5. I live in the United States another country, which is . 6. I live in Missouri another state, which is . 7. I live in the county of . City of Saint Louis is considered a county. If you live in the city of Saint Louis, you should write 223Saint Louis city224 in the blank. 8. What is your current employment status? (Check one of the three boxes) Employed Unemployed Self-employed 9. If you are employed or self-employed, where do you currently work? If you are self-employed, enter a brief description of the type of work you perform such as 223Landscaping224 or 223Day care224 on the line for the name of your employer. If you are self-employed, you should also enter the address information for your self-employment. (Employer222s name or type of self-employment) (Street) (City) (State) (Zip) American LegalNet, Inc. www.FormsWorkFlow.com Petition for Child Custody and Support Page 3 of 8 Form CAFC201 01/01/2019 This form is available for free at www.selfrepresent.mo.gov Information about Respondent Provide information for the other parent. (First Name) (Middle Name) (Last Name) (Jr./Sr./III) (Enter the full legal name of Respondent on the lines above) 10. What is Respondent222s mailing address? This is the address that the court will use to send information about your case to Respondent. If you do not know the Respondent222s current address, you should enter Respondent222s last known address. (Street) (City) (State) (Zip) ( ) (Telephone Number with Area Code) (E-mail Address - Optional) 11. What are the last four numbers of Respondent222s social security number? Do not leave this field blank. If you do not know Respondent222s social security number, enter 223Unknown224 in this field. XXX-XX- 12. Is Respondent over the age of eighteen? (Check one of the two boxes) Yes No 13. Respondent lives in the United States another country, which is . 14. Respondent lives in Missouri another state, which is . 15. Respondent lives in the county of . City of Saint Louis is considered a county. If Respondent lives in the city of Saint Louis, you should write 223Saint Louis city224 in the blank. 16. Respondent is currently employed unemployed self-employed employment unknown. (Check one of the four boxes) 17. If Respondent is employed or self-employed, where do they currently work? If Respondent is self-employed, enter a brief description of the type of work they perform, such as 223Landscaping224 or 223Day care,224 on the line for the name of the employer. If Respondent is self-employed you should also enter the address information for their self-employment. (Employer222s name or type of self-employment) (Street) (City) (State) (Zip) 18. Respondent is is not on active duty in the military. (Check 223is224 or 223is not224) If Respondent is on active duty in the armed forces of the United States, the Servicemembers Civil Relief Act (SCRA) may prevent you from getting a judgment without Respondent222s consent. You should contact a lawyer about this situation prior to filing this Petition. American LegalNet, Inc. www.FormsWorkFlow.com Petition for Child Custody and Support Page 4 of 8 Form CAFC201 01/01/2019 This form is available for free at www.selfrepresent.mo.gov Information about Children 19. Has any court, in the State of Missouri or elsewhere, issued a judgment determining paternity of the child(ren), but not ordering child support or custody? This could be a divorce judgment listing the child(ren) born of the marriage, but not ordering custody or support. An administrative child support order from the Family Support Division is not a court judgment. (Check one of the two boxes) Yes No If yes, enter the name of the case, the case number and the location of the court. (For example: John Doe v. Jane Doe, 12BA-DR3456, Boone County, Missouri.) If yes, you must also attach a copy of the court judgment with this Petition. 20. An acknowledgment of paternity is an affidavit that the parents sign to put a father on a child222s birth certificate. Did you and the other parent sign an acknowledgment of paternity for the child(ren) listed in this Petition at the hospital or at any other time? (Check one of the two boxes) Yes No If yes, who listed himself as the father on the acknowledgment of paternity or birth certificate? (First Name) (Middle Name) (Last Name) (Jr./Sr./III) If yes, you must attach a copy of the acknowledgment of paternity or birth certificate with this Petition. 21. List the name of the parent or guardian with whom the children have lived and the address where said children have lived during the past five years. Enter the dates at each address. If the child(ren) have lived at more than three addresses in the past five years, attach an additional page to this Petition listing the information requested in question 21 for each additional address. (1) (First Name) (Middle Name) (Last Name) (Jr./Sr./III) (Street) (City) (State) (Zip) (Dates) (2) (First Name) (Middle Name) (Last Name) (Jr./Sr./II