UCCJEA Forms from States Outside of Wisconsin
All the forms shown below are official, court-approved forms for the states indicated. Some of the forms are available in Interactive Adobe Acrobat format that can be completed and printed out on line. Others must be printed out or downloaded in blank. The interactive forms are indicated with a F-PDF symbol. Non-interactive forms are indicated either with a PDF or a DOC symbol.
UCCJEA Affidavit (Model Act §209/ Wis.Stats.§822.29)
- Alaska (Form DR-150)
- Arizona (No single statewide form, but county forms do exist)
(Graham County) (Form DRCVG13f)
(Maricopa Co.) (Form drcvg13f)
(Pima County) (Form DWC Extract)
(Pinal County) (Form DO ARC COSC) - California (Form FL-105)
Attachment to FL-105 (Form FL-105a) - Connecticut (Form JD-FM 164)
Addendum to Affidavit Concerning… (Form JD-FM 164A) - Colorado (Form JDF 404)
or (MS Word version)
- District of Columbia (Attachment B-Child Custody)
- Florida (Form 12.902d)
or [Form 12.902d – RTF version]
- Hawaii (No single statewide form, but some circuit forms do exist)
(1st Cir.) Custody/Visitation Statement (Form 1F-P-704)
(2d Cir.) Custody/Visitation Statement (Form 2F-P-338) - Iowa (DAB-150-IA Unofficial UCCJEA Affid.) [created by Atty. Blumberg]
- Kansas UCCJEA Affidavit
[UCCJEA Affidavit ] (DOC)
(UCCJEA Affid for PFA Cases)[UCCJEA Affid for PFA Cases] (DOC)
- Louisiana (Baton Rouge) (Form P)
- Michigan (Form MC 416)
- Nevada (No single statewide form, but county forms do exist)
(Clark County) [UCCJEA Declaration]
(Washoe County) [UCCJEA Declaration]
(Nye & 5th Distr.) [Declaration under UCCJEA] - New Hampshire (Form 2660-dfps)
- New York (Form UCCJEA-3)
- North Carolina (Form AOC-CV-609)
- Ohio (Form Affidavit 3)
- Oklahoma (UCCJEA Form)
- Oregon No single specific form. However… the
affidavit is incorporated in most other forms (General Form Bank) - Vermont [Two similar forms]: (Form 88)
and (Form 834)
- Virginia (Form DC-620)
Confidential Non-Disclosure Addendum (Form DC-621) - Washington (Form DV1-030)
Temporary Emergency Orders (Model Act§204/ Wis.Stats.§822.24)
- Oregon
Motion & Declaration for Temp. Emerg. Orders (Form Motion-Decl. 16A)
Registration of Other State’s Custody Determination (Model Act §305 / Wis Stats §822.35)
– Requests for & Notices of Registration
- Alaska (Form DR-438)
- California (Form FL-580)
- Colorado (Form JDF-1224)
Notice of Registration (Form JDF-1226) - Delaware (Form 182) (DOC)
- Idaho (Form CAO FLE 1-2)
- Maryland (Form DR 79)
- Maine (Form FM- 058)
- Maryland (Form CC-DR 079)
- Michigan (UCCJEA Form 1)
Wayne County Form (Forms UCCJEA 1 – 4)
Statewide Clerk’s Notice of Registration (Form CC 388) - New Hampshire (Form 2063-fs)
- New Mexico (Registration Form)
- Nevada [Clark County] (Registration form)
[Clark County] (Clerk’s Notice of Registration) - New York (Form UCCJEA-14)
Clerk’s Notice (Form UCCJEA-15) - North Carolina (Form AOV-CV-660)
Clerk’s Notice (Form AOC-CV-661)
Affid. of Service of Notice… (Form AOC-CV-662) - Ohio (Colombiana County) (Form Registration Affidavit)
- Oregon [Letter Requesting Registration] (Form Letter 5C)
Affidavit in support of registration (Form Affidavit 5C )
Notice to Accompany (Form Notice5C)
Affidavit of Service (Form AffServ5C) - South Carolina (Form SCCA458A)
- Utah (Registration Request Form)
Clerk’s Notice (Notice Form) - Virginia (Form DC-582)
- Washington (Form RQCUSDR)
Clerk’s Notice (Form NTCUSDR)
Objections to Registration(Model Act §305 / Wis Stats §822.35)
- Alaska (Form DR-484)
Notice/Order Confirming (Form DR-485) - California (Form FL-585)
- Colorado (Form JDF-1227)
Confirmation/Order After Hearing (Form JDF-1225) - Delaware (Form 184) (DOC)
- Michigan [Statewide objection form not available on line]
Statewide Order After Hearing (Form CC 389)
Wayne County Objection form (Form UCCJEA-6)
Wayne County Confirmation/Orders After Hearing (Forms 7-8) - New Hampshire (Form 2685-fs)
- New York (Form UCCJEA-16)
Clerk’s Notice of Hearing (Form UCCJEA-17)
Order After Hearing (Form UCCJEA-18)
Confirmation/Certif. (Form UCCJEA-19) - North Carolina (Form AOC-CV-663)
Order Confirming Reg. (Form AOC-CV-664) - Oregon Notice of Confirmation (Form Confirmation5C)
Affidavit of Service (Form AffServ-5C) - Utah Notice of Confirmation (Notice Form)
Order after Hearing on Objections (Findings/Order Form) - Washington (Form RQTH)
Clerk’s Notice(Form NTCCR)
Confirmation/Certif. (Form ORCCUSD) (DOC)
Expedited Enforcement (Model Act §308 & 311 / Wis Stats §822.38 & .41)
- Arizona (Graham County Form-C7)
- Maine (Form FM-008)
Application for Warrant (Form /FM-181) - Maryland (Form CC-DR-078)
Addendum Seeking a Warrant (Form CC-DR-080) - Michigan (Wayne County) (Form UCCJEA-9)
- New Hampshire (Form 2659-fs)
- New Mexico (Instructions & Forms)
- New York (Form UCCJEA-11)
Order to Appear (Form UCCJEA-12)
Warrant To Pick Up Child & Arrest Party (Form UCCJEA-6) - North Carolina (Form AOC-CV-665)
Order for Hearing on Petition… (Form AOC-CV-666)
Warrant Directing Law Enforcement… (Form AOC-CV-667)
Order Allowing or Denying Expedited… (Form AOC-CV-668) - Washington (Form PT)
Order to Appear (Form ORTSC)
Order After Hearing(Form ORSC)
Modification (Model Act §202/203 / Wis Stats §822.22 & .23)
- Oregon
Ex Parte Motion for Order to Show Cause for Modification (Form Motion)