Superior Court of Washington County of In re: No. Child(ren), Petitioner(s), and Request for Child Custody Determination Registration Under UCCJEA (RQCUSDR) Respondent(s). To: County Superior Court And: , Respondent , Respondent , Respondent , Respondent 1.1 The petitioner, , requests that the court register the attached child custody determination under the Uniform Child Custody and Enforcement Jurisdiction Act, RCW 26.27.441. Two copies, including one certified, of the child custody determination and all modifications of that child custody determination are attached. 1.2 The respondent, , is the [ ] parent [ ] person acting as a parent who has been awarded [ ] custody [ ] visitation in the child custody determination. 1.3 The determination sought to be registered has not been modified. Req for Reg Under UCCJEA (RQCUSDR) - Page 1 of 2 WPF DRPSCU 08.0500 (6/2006) - RCW 26.27.441 American LegalNet, Inc. www.USCourtForms.com 1.4 Identifying information concerning the petitioner and respondent required by RCW 26.27.281, is confidential pursuant to GR 22, and is contained in the verified and signed Confidential Information Form that must be filed with the court. I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at , [City] [State] on [Date]. Signature of Petitioner or Lawyer/WSBA No. Print or Type Name Req for Reg Under UCCJEA (RQCUSDR) - Page 2 of 2 WPF DRPSCU 08.0500 (6/2006) - RCW 26.27.441 American LegalNet, Inc. www.USCourtForms.com