REV 4/17/19 JCB D-8 PETITION 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Code: $3609 Name: Address: Telephone: Email: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE , Plaintiff/Petitioner, Case No. Dept. No. vs. , Defendant/Respondent. / PETITION TO ESTABLISH CUSTODY AND VISITATION 1. The minor child(ren) have resided in and have been physically present in the State of Nevada for the last six months. 226OR226 The State of Nevada was the home state of the minor child(ren) within the last six months and the minor child(ren) is/are absent from this State, but a parent continues to live in this State. // // // // // American LegalNet, Inc. www.FormsWorkFlow.com REV 4/17/19 JCB D-8 PETITION 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Minor Child(ren) On the lines below: Provide the information requested regarding each minor child born to, or adopted by, you and the other parent. You MUST LIST where the child currently lives, where the child has lived for the PAST 5 YEARS, and the name(s) and current address(es) of the person(s) with whom the child lived at each address. 2. Child222s Name: Date of Birth: Male Female Date Child Moved Here Child222s Address (Street Address, City, State) Person (s) With Whom Child Lived (Name and Current Address) Relationship To Child Child222s Name: Date of Birth: Male Female Date Child Moved Here Child222s Address (Street Address, City, State) Person (s) With Whom Child Lived (Name and Current Address) Relationship To Child Child222s Name: Date of Birth: Male Female Date Child Moved Here Child222s Address (Street Address, City, State) Person (s) With Whom Child Lived (Name and Current Address) Relationship To Child If more room is needed, attach additional sheets. American LegalNet, Inc. www.FormsWorkFlow.com REV 4/17/19 JCB D-8 PETITION 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 a. Please identify any other court case in which you have participated as a party, witness, or in any other way concerning the custody of or visitation with the minor child(ren) listed above. If there are no other court cases, please check this box . Name(s) of minor child(ren) involved: Court: Case number: Date of custody determination: b. Please identify any court case that could affect this case, including any case relating to domestic violence, protective orders, termination of parental rights, adoptions, guardianships, dependency, and paternity actions. If there are no other court cases, please check this box . Name(s) of minor child(ren) involved: Court: Type of case: Case number: Date of last order: c. Please identify the name(s) and address(es) of any person(s) not a party to this court case who claim(s) a right to legal custody, physical custody or visitation with the minor child(ren). If this is not applicable, please check this box . Name(s) of minor child(ren) involved: Name(s) and address(es) of person(s) claiming custody or visitation rights: If more room is needed, attach additional sheets. American LegalNet, Inc. www.FormsWorkFlow.com REV 4/17/19 JCB D-8 PETITION 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Your Information Complete the information about you below. Fully describe your last contact with the minor child(ren), the date, whether it was in person or by telephone, who was present at the time of the contact, etc. The Other Parent222s Information Complete the information about the other parent below. If you do not know the other parent222s information, put unknown in the spaces below. Fully describe the other parent222s last contact with the minor child(ren), the date, whether it was in person or by telephone, who was present at the time of the contact, etc. 3. I reside at the following address WITH 226OR226 WITHOUT the minor child(ren): If more room is needed, attach additional sheets. 4. The other parent resides at the following address WITH 226OR226 WITHOUT the minor child(ren): If more room is needed, attach additional sheets. American LegalNet, Inc. www.FormsWorkFlow.com REV 4/17/19 JCB D-8 PETITION 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Paternity Place an 223X224 in the box of all that apply. Legal Custody of the Minor Child(ren) Place an 223X224 in the box to select ONLY ONE of the options below. Physical Custody of the Minor Child(ren) Place an 223X224 in the box to select ONLY ONE of the options below. 5. The paternity of the minor child(ren) has/ have been established by: A VOLUNTARY ACKNOWLEDGEMENT OF PATERNITY signed by both parents at the time of birth. 226OR226 PATERNITY WAS ESTABLISHED THROUGH A COURT PROCEEDING: Name of court: Address of court: Date proceeding was held: Case Number of court proceeding: 6. Who should have legal custody of the minor child(ren)? BOTH PARENTS: JOINT LEGAL CUSTODY 226OR226 ME: SOLE LEGAL CUSTODY 226OR226 THE OTHER PARENT: SOLE LEGAL CUSTODY 7. Who should have physical custody of the minor child(ren)? BOTH PARENTS: JOINT PHYSICAL CUSTODY 226OR226 ME: PRIMARY PHYSICAL CUSTODY 226OR226 THE OTHER PARENT: PRIMARY PHYSICAL CUSTODY American LegalNet, Inc. www.FormsWorkFlow.com REV 4/17/19 JCB D-8 PETITION 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (Day of the week) (Time) (Location) (Time) (Location) (Time) (Location) (Time) Custody / Visitation and Exchange Schedule Place an 223X224 in the box to select ONLY ONE of the custody schedules provided below. A more detailed description of each custody schedule is provided in Appendix A. If you select Option 4, or would like to modify Options 1-3, write in your proposed custody / visitation schedule below. 8. Option 1 Week On / Week Off: (Joint Custody) The minor child(ren) will spend one week with you and then the following week they will spend with the other parent. This schedule will alternate weekly throughout the year. The exchange will take place on at A.M. 226OR226 P.M. The parties will exchange the minor child(ren) at . Option 2 Repeating Two / Two / Three: (Joint Custody) The minor child(ren) will spend two days with you, then two days with the other parent, three days with you, two days with the other parent, two days with you, three days with the other parent, alternating throughout the year. The first exchange will take place on the first Friday following this Court222s Order. The exchanges will take place at A.M. 226OR226 P.M. The parties will exchange the minor child(ren) at . NOTE: This schedule is often used when the parents have a young child or children. Option 3 Three Weekends A Month: (Primary Custody) The minor child(ren) will spend the first three full weekends (starts on the first Friday of the month) with ME 226OR226 THE OTHER PARENT. Remaining weekdays and weekends will be spent with the other parent. The exchange will take place on Friday at A.M. 226OR226 P.M. and Sunday at A.M. 226OR226 P.M. The parties will exchange the minor child(ren) at . American LegalNet, Inc. www.FormsWorkFlow.com REV 4/17/19 JCB D-8 PETITION 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Option 4 Schedule Described Below: I request the following schedule (Include instructions for transportation and exchange with times and locations): If more room is needed, attach additional sheets. American LegalNet, Inc. www.FormsWorkFlow.com REV 4/17/19 JCB D-8 PETITION 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Holiday Visitation Schedule Please fill out the below holiday visitation schedule. Undesignated religious or school holidays shall follow the parent222s regular timeshare schedule, unless detailed below. For example, Christmas typically falls during the 1st half of Winter Break. If nothing is identified in 223Other224, the parent who has the 1st half of the break, has the minor child(ren) for Christmas. 9. Check box if this holiday applies Holiday Exchange Times Even Numbered Years Odd Numbered Years 1 st Half Spring Break Begins upon release of school and ends at 9 a.m. halfwa