1 Code: 3860 2 3 4 5 6 IN THE FAMILY DIVISION 7 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 8 IN AND FOR THE COUNTY OF WASHOE 9 10 ________________________________________ (Mother’s Name) Case No. ________________________ 11 Dept. No. _______________________ 12 13 ________________________________________ (Father’s Name) Joint Petitioners ___________________________________________/ 14 15 ORDER ESTABLISHING CUSTODY, VISITATION AND CHILD SUPPORT 16 The above entitled cause, having been submitted to this Court for decision pursuant to 17 Chapter 125 of the Nevada Revised Statutes, and based upon the Joint Petition by Petitioners 18 _____________________________________ and _______________________________________ (Mother’s Name) (Father’s Name) 19 20 and all of the papers and pleadings on file, the Court finds as follows: 21 1. That all of the allegations contained in the documents on file are true; 22 2. That all of the requirements of NRS 125A.050 have been met; 23 3. That this Court has the necessary UCCJA, UCCJEA and PKPA initial and continuing 24 jurisdiction to enter orders regarding child custody and visitation on the following children of the 25 union and hereby exercises said jurisdiction: NAME 26 DATE OF BIRTH 27 ______________________________________________ ____________________________ 28 ______________________________________________ ____________________________ Revised 2005 1 American LegalNet, Inc. www.USCourtForms.com 1 ______________________________________________ ____________________________ 2 ______________________________________________ ____________________________ 3 ______________________________________________ ____________________________ 4 4. That Petitioners have entered into an agreement settling all issues regarding the care, 5 custody, visitation, health insurance, and child support of the child(ren) over which this Court has 6 jurisdiction, said agreement being in the best interest of the child(ren), and Petitioners have 7 requested that their agreement, as set forth in their Joint Petition be ratified, confirmed and 8 incorporated into the Order as though fully set forth herein. 9 IT IS HEREBY ORDERED that the agreement, as it is stated in the Petitioners’ Joint 10 Petition, regarding the care, custody, visitation, health insurance, and child support of the child(ren) 11 over which this Court has jurisdiction, is hereby ratified, confirmed, and incorporated into this 12 Order as though fully set forth. 13 14 IT IS FURTHER ORDERED AND THE PARTIES ARE PUT ON NOTICE that they are subject to the requirements of the following Nevada Revised Statutes: 15 NRS 125.510(6) regarding abduction, concealment or detention of a child: 16 PENALTY FOR VIOLATION OF ORDER 17 THE ABDUCTION, CONCEALMENT OR DETENTION OF A 18 CHILD IN VIOLATION OF THIS ORDER IS PUNISHABLE AS A 19 CATEGORY D FELONY AS PROVIDED IN NRS 193.130. 20 NRS 200.359 provides that every person having a limited right of 21 custody to a child or any parent having no right of custody to the child 22 who willfully detains, conceals or removes the child from a parent, 23 guardian or other person having lawful custody or a right of visitation 24 of the child in violation of an order of this court, or removes the child 25 from the jurisdiction of the court without the consent of either the 26 court or all persons who have the right to custody or visitation is 27 subject to being punished for a category D felony as provided in 28 NRS 193.130. Revised 2005 2 American LegalNet, Inc. www.USCourtForms.com 1 NOTICE IS HEREBY GIVEN that the terms of the Hague Convention of October 25, 2 1980, adopted by the 14th Session of the Hague Conference on Private International law, apply if a 3 parent abducts or wrongfully retains a child in a foreign country. The parties are also put on notice 4 of the following provisions in NRS 125.510(8): 5 If a parent of the child lives in a foreign country or has significant 6 commitments in a foreign country: 7 a) The parties may agree, and the court shall include in the 8 order for custody of the child, that the United States is the country of 9 habitual residence of the child for the purposes of applying the terms 10 of the Hague Convention as set forth in subsection 7. 11 (b) Upon motion of one of the parties, the court may order the 12 parent to post a bond if the court determines that the parent poses an 13 imminent risk of wrongfully removing or concealing the child outside 14 the country of habitual residence. The bond must be in an amount 15 determined by the court and may be used only to pay for the cost of 16 locating the child and returning him to his habitual residence if the 17 child is wrongfully removed from or concealed outside the country of 18 habitual residence. 19 commitments in a foreign country does not create a presumption that 20 the parent poses an imminent risk of wrongfully removing or 21 concealing the child. 22 NRS 125C.200 regarding relocation with minor children 23 If custody has been established and the custodial parent or a parent 24 having joint custody intends to move his residence to a place outside 25 of this state and to take the child with him, he must, as soon as 26 possible and before the planned move, attempt to obtain the written 27 consent of the other parent to move the child from the state. If the 28 noncustodial Revised 2005 parent The fact that a parent has significant or other parent having joint physical 3 American LegalNet, Inc. www.USCourtForms.com 1 custody refuses to give that consent, the parent planning the move 2 shall, before he leaves the state with the child, petition the court for 3 permission to move the child. The failure of a parent to comply with 4 the provisions of this section may be considered as a factor if a 5 change of custody is requested by the noncustodial parent or other 6 parent having joint custody. 7 8 9 10 11 12 13 NRS 125.450 regarding the collection of child support payments through mandatory wage withholding or assignment of income. NRS 31A regarding the enforcement of a child support obligation and the collection of delinquent child support. NRS 125B.145 regarding the review of child support at any time due to changed circumstances and at least every three years following the entry of the child support order. DATED this _______ day of __________________________, 20______. 14 15 ____________________________________________ DISTRICT JUDGE 16 17 Respectfully Submitted: 18 (Print Name)_______________________________ (Print Name) __________________________ 19 (Signature) ________________________________ (Signature) ____________________________ 20 (Address) ________________________________ (Address) _____________________________ 21 ________________________________________ _____________________________________ Petitioner in Proper Person 22 Petitioner in Proper Person 23 24 25 26 27 28 Revised 2005 4 American LegalNet, Inc. www.USCourtForms.com