Superior Court of Washington County of No. In re: Petitioner, and Respondent. Petitioner’s Notice of Hearing for Adequate Cause Determination (Optional Use) (NTHG) [ ] Clerk’s Action Required To the Clerk of Court and to: 1. Please note that the court will be asked to determine if adequate cause exists to modify/adjust the custody decree/parenting plan/residential schedule as requested in the petition filed in this case. 2. A hearing has been set for the following date, time and place. Date: Place: _________________________________ _________________________________ Time: ________________a.m./p.m. Room/Department: ______________ 3. This request is based on the declaration in the Petition for Modification/Adjustment of Custody Decree/Parenting Plan/Residential Schedule [ ] and on the additional declarations served on the nonmoving party. 4. You may serve and file a response and opposing declarations prior to the hearing date. If the court determines that adequate cause for hearing the petition is established by the declarations, it will set a date for hearing on an order to show cause why the petition should not be granted. 5. If you do not file a response to the petition, opposing declarations, or a notice of appearance, an order may be entered without further notice to you finding you in default and granting the relief requested in the petition. Dated: Notice to party: You may list an address that is not your residential address where you agree to accept legal documents. Any time this address changes while this action is pending, you must notify the opposing parties in writing and file an updated Confidential Information Form (WPF DRPSCU 09.0200) with the court clerk. Signature of Party or Lawyer/WSBA No. Print or Type Name _______________________________________ [Address] Petitioner’s Not of Hrng (Adequate Cause) (NTHG) - Page 1 of 1 WPF DRPSCU 07.0250 (6/2006) - RCW 26.09.260; .270; 26.10.200 American LegalNet, Inc. www.USCourtForms.com