IN DISTRICT COURT, ____________________ COUNTY, NORTH DAKOTA __________________________________, } Plaintiff, } } vs. } } ___________________________________ } Defendant. } AFFIDAVIT IN SUPPORT OF MOTION FOR VISITATION ASSISTANCE Civil No. ____________________ COUNTY OF _______________________ } } SS STATE OF NORTH DAKOTA } My name is ___________________________________________. In answering the following questions I understand that I am under oath and that I must tell the truth. 1. A Protection or Restraining Order involving me, the other party, or the children: ( ) is not currently in effect in any state. ( ) is in effect from ____________________County, in the State of _______________, and its file number is _____________________. 2. The following child(ren) are involved in this case (attach another sheet, if necessary): Name of child Date of Birth My Relationship to Child ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 3. The child(ren) live in the State of _______________________, and have lived there since the month of ___________________, 20____. The child(ren) live with ___________________________, who is related to them as _______________________. The address of the child(ren) is: Street Address: __________________________________________________________ City/State/Zip: __________________________________________________________ I have ___ have not ___ attended a children of divorce class (Check one please). American LegalNet, Inc. www.FormsWorkFlow.com 4. I have a visitation problem. It is:_____________________________________________ _______________________________________________________________________ _______________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________. For items 5-14 in parts I, ii, and iii, check only those that apply – the same as on your motion, brief, and notice of motion for visitation assistance form. I. ( If you only want the court to enforce the current order. ) 5. I ask that the other party be ordered to follow the existing visitation order because the other party has disobeyed it as follows:_______________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ _________________________________________________________________. II. If you want the court to change the existing order. ( ) 6. ( 7. ) I believe that the changes in the current visitation schedule I am requesting are in the best interests of the minor child(ren) for reasons that were unknown to the court, or that have arisen since the last order. Those reasons are:______________________________________________________________ _________________________________________________________________ _______________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________. I believe that it is in the best interests of the child(ren) that the existing visitation order be changed from "reasonable visitation" to the following specific visitation schedule: a. Weekends: __________________________________________________ ___________________________________________________________. b. Week nights or after school: ____________________________________ ___________________________________________________________. c. Holidays: ___________________________________________________ ___________________________________________________________. American LegalNet, Inc. www.FormsWorkFlow.com d. e. Mail/electronic contact: _______________________________________ ___________________________________________________________. h. 8. Telephone contact: ___________________________________________ ___________________________________________________________. g. ) School holidays: _____________________________________________ ___________________________________________________________. f. ( Summer: ___________________________________________________ ___________________________________________________________. Other: _____________________________________________________ ___________________________________________________________. I believe that it is in the best interests of the child(ren) that the existing visitation schedule be changed to the following specific schedule: a. b. Summer: ___________________________________________________ ___________________________________________________________. e. School holidays: _____________________________________________ ___________________________________________________________. f. Telephone contact: ___________________________________________ ___________________________________________________________. g. Mail/electronic contact: _______________________________________ ___________________________________________________________. h. 9. Holidays: ___________________________________________________ ___________________________________________________________. d. ) Week nights or after school: ____________________________________ ___________________________________________________________. c. ( Weekends: __________________________________________________ ___________________________________________________________. Other: _____________________________________________________ ___________________________________________________________. I ask that the existing visitation order be changed to provide for drop offs and pick ups of the child(ren) to occur at a visitation exchange center, and for both parties to be ordered to follow all of the rules of the visitation exchange center, American LegalNet, Inc. www.FormsWorkFlow.com because:___________________________________________________________ __________________________________________________________________ _________________________________________________________________. ( ) 10. I ask that the existing visitation order be changed to provide for the transportation of the child(ren) for visitation as follows:________________________________ _______________________________ because ___________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________. ( ) 11. I believe that it is in the best interests of the child(ren) that the existing visitation order be changed to require supervised visitation because:___________________ __________________________________________________________________ __________________________________________________________________ _________________________________________________________________. ( ) 12. I believe that it is in the best interests of the child(ren) that the existing visitation order be changed to allow unsupervised visitation because:__________________ __________________________________________________________________ __________________________________________________________________ _________________________________________________________________. III. Costs. ( ) 13. I ask that the other party be ordered to pay me for my Court costs and attorney fees which total $__________, because:_________________________________ _________________________________________________________________. ( ) 14. I ask the Court to order the party to pay me for my other expenses which total $__________, because the other party wrongfully disobeyed the visitation order, and caused me to have these expenses that I would not have otherwise had. American LegalNet, Inc. www.FormsWorkFlow.com Additional: ( ) 15. I believe the following information would be helpful to the Court in understanding this visitation problem:___________________________________ __________________________________________________________________ __________________________________________________________________ _________________________________________________________________. ________________________________________ My Signature (Sign only in presence of notary public or Clerk of Court) ________________________________________ Street Address ________________________________________ City/State/Zip Subscribed and sworn to before me on this day: _____________________________ __________________________________________ Notary Public or Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com