Free IN DISTRICT COURT, _________________________ COUNTY, NORTH DAKOTA - North Dakota

IN DISTRICT COURT, __________________ COUNTY, NORTH DAKOTA

________________________________ Plaintiff,

AFFIDAVIT IN SUPPORT OF MOTION FOR VISITATION ASSISTANCE

vs. Civil No. ________________ _________________________________ Defendant.

COUNTY OF ____________________ 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 or the other party and/or the child(ren): _____ 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)

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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. 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:

_______ 6.

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_______ 7.

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: Weekends:

Week nights or after school:

Holidays:

Summer:

School Holidays:

Telephone Contact:

Mail/electronic contact:

Other:

_______ 8.

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: Weekends:

Week nights or after school:

Holidays:

Summer:

School Holidays:

Telephone Contact:

Mail/electronic contact:

Other:

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_______ 9.

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, 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.

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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 this ________day of ___________________________, 20_______.

Notary Public or Clerk of Court

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