RCW 26.09.020 Mandatory Form (07/2017) FL Divorce 204 Petition for Legal Separation (Registered Domestic Partnership ) p. 1 of 10 Superior Court of Washington, County of In re the domestic partnership of: Petitioner (person who started this case) : And Respondent (other domestic partner) : No. Petition for Legal Separation (Registered Domestic Partnership) (PTLGSP) Petition for Legal Separation (Registered Domestic Partnership) Use this form only if your domestic partnership was registered with a state (not a city or county). Do not use this form if you are married or have a state registered domestic partnership that converted into a marriage by law on June 30, 2014. Use the Petition for Legal Separation (Marriage), form FL Divorce 203, instead. 1. Information about the parties Petitioner lives in (county): (state): Respondent lives in (county): (state): 2. Information about the domestic partnership (check all that apply): We registered our domestic partnership in the State of: on (date): . At that time, we lived in (city and state): . We currently live in the same household. We began living in separate households on (date): . 3. Request for legal separation I ask the court for a legal separation and to find that our domestic partnership community ended on (check one): the date this Petition is filed. (date): , which is when (check all that apply): one of us moved to a separate household. we separated our assets and debts. American LegalNet, Inc. www.FormsWorkFlow.com RCW 26.09.020 Mandatory Form (07/2017) FL Divorce 204 Petition for Legal Separation (Registered Domestic Partnership ) p. 2 of 10 we agreed the domestic partnership community ended. other (specify): 4. Jurisdiction over the partners The court has jurisdiction over the domestic partnership because at least one of the partners lives in Washington State, or is stationed in this state as a member of the armed forces. The court has personal jurisdiction over the Respondent because (check all that apply): The Respondent lives in Washington State. The Petitioner and Respondent lived in Washington State while they were registered domestic partners, and the Petitioner still lives in this state or is stationed in this state as a member of the armed forces. The Petitioner and Respondent may have conceived a child together in this state. Other (specify): The court does not have personal jurisdiction over the Respondent. (This may limit the maintenance, or approve a restraining order or protection order.) 5. Is one of the partners pregnant? (Check one): No Yes If Yes , who is pregnant? Petitioner Respondent Note: The law considers the other partner to be the parent of any child born during the registered domestic partnership or within 300 days after it ends. If the other partner is not the parent, either partner may file a Petition to Disprove Parentage of Presumed Parent (form FL Parentage 355) in court. In most cases, the deadline to file the Petition to Disprove is before the child turns four. (See RCW 26.26.116, 26.26.500 26.26.625.) Acknowledgment (and Denial) of Paternity . T hose forms must be notarized and filed with the Washington State Registrar of Vital Statistics to be valid. 6. Children of the domestic partnership My domestic partner and I have no children together who are still dependent. (Skip to 7.) My domestic partner and I have the following children together who are still dependent (only list children you and your partner have together, not children from other relationships): Age Age 1. 4. 2 . 5. 3. 6. a. During the past 5 years have any of the children lived: on an Indian reservation, American LegalNet, Inc. www.FormsWorkFlow.com RCW 26.09.020 Mandatory Form (07/2017) FL Divorce 204 Petition for Legal Separation (Registered Domestic Partnership ) p. 3 of 10 outside Washington state, in a foreign country, or with anyone who is not a party to this case? No. (Skip to b.) Yes. (Fill out below to show where each child has lived during the last 5 years.) Dates Children Lived with In which state, Indian reservation, or foreign country From: To: All children (Nam e/s): Petitioner Respondent Other (name): From: To: All children (Name/s): Petitioner Respondent Other (name): From: To: All children (Name/s): Petitioner Respondent Other (name): From: To: All children (Name/ s): Petitioner Respondent Other (name): From: To: All children (Name/s): Petitioner Respondent O ther (name): b. Other people with a legal right to spend time with a child Do you know of anyone besides you and your partner who has (or claims to have) a legal right to spend time with any of the children? (Check one): No. (Skip to c.) Yes. (Fill out below.) Name of person Children this person may have the right to spend time with All children (Name/s): All children (Name/s): c. Other court cases involving a child Do you know of any court cases involving any of the children? (Check one): No. (Skip to 7.) Yes. (Fill out below.) Kind of case (Family Law, Criminal, Protection Order, Juve nile, Dependency, Other) County and State Case number and year Children All children (Name/s): American LegalNet, Inc. www.FormsWorkFlow.com RCW 26.09.020 Mandatory Form (07/2017) FL Divorce 204 Petition for Legal Separation (Registered Domestic Partnership ) p. 4 of 10 Kind of case (Family Law, Criminal, Protection Order, Juve nile, Dependency, Other) County and State Case number and year Children All children (Name/s): All children (N ame/s): All children (Name/s): 7. Jurisdiction over the children (RCW 26.27.201 .221, .231, .261, .271) Does not apply. My domestic partner and I have no children together who are still dependent. The court can approve a Parenting Plan for the children my domestic partner and I have together because (check all that apply; if a box applies to all of the children, you Exclusive, continuing jurisdiction A Washington court has already made a custody order or parenting plan for the children, and the court still has authority to make other orders for . Home state jurisdiction (check all that apply): lived in Washington with a parent or someone acting as a parent for at least the 6 months just before this case was filed, or if the children are less than 6 months old, they have lived in Washington with a parent or someone acting as a parent since birth. There were times the children were not in Washington in the 6 months just before this case was filed (or since birth if they are less than 6 months old), but those were temporary absences. do not live in Washington months just before this case was filed, and a parent or someone acting as a parent of the children still lives in Washington. do not have another home state. No home state or home state declined No court of any other state (or tribe) has the jurisdiction to make decisions for , or (or tribe) decided it is better to have this case in Washington and: The children and a parent or someone acting as a parent have ties to Washington beyond just living here; and protection, education and relationships in this state. American LegalNet, Inc. www.FormsWorkFlow.com RCW 26.09.020 Mandatory Form (07/2017) FL Divorce 204 Petition for Legal Separation (Registered Domestic Partnership ) p. 5 of 10 Other state declined The courts in other states (or tribes) that might be (chilnames): home state have refused to take this case because it is better to have this case in Washington. Temporary emergency jurisdiction The court can make decisions for because the children are in this state now and were abandoned here or need emergency protection because with abuse. (Check one): A custody case involving the children was filed in the ch(name of state or tribe): . Washington should take temporary emergency jurisdiction over the children until the (or tribe). There is no valid custody orhome state (name of state or tribe): . If no case is filed (or tribe) by the time the children have been in Washington for 6 months, (date): , Washington should have final jurisdiction over the children. Other reason (specify): The court cannot approve a Parenting Plan because the court does not have jurisdiction over the children. 8. Parenting Plan My domestic partner and I have no children to