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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