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)
  Other Counties (Forms usually incorporated into custody petitions)
• 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)
• Delaware (Form 346) ^(DOC)
• 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)
• Idaho No stand-alone form, but it’s built into Petition for … Custody/Visitation/Support– (Form CAO P 1-2)
• 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)
• Maryland No stand-alone form, but it’s built into: Complaint for Custody – (Form CC-DR-004)
  and Counter-complaint for Custody/Support – (Form CC-DR-095)
• Michigan (Form MC 416)
• Montana  No stand-alone form, but it’s built into Petition for Parenting Plan– (Form MP-114) ^(DOC)
• Nebraska No stand-alone form, but it’s built into: Complaint for Dissolution – (Form DC 6:5.1
  and Complaint for Paternity, Custody etc.- (Form DC 6:8.3)
• 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-DFP) and (Form 2656-DFP)
• New Mexico  No stand-alone form, but it’s built into Petition for Dissolution -(Form 4A-103)
• New York (Form UCCJEA-3)
• North Carolina (Form AOC-CV-609) 
• North Dakota No stand-alone form, but it’s built into Complaint (Dissolution) -(Stip DWC Form 2)
• Ohio (Form Affidavit 3)
• Oklahoma (UCCJEA Form)
• Oregon No single specific form. However, the affidavit is incorporated
  into most other pleading forms. See. (General Form Bank)
• Vermont [Two similar forms]: (Form 88) and (Form 834)
• Virginia (Form DC-620)
  Confidential Non-Disclosure Addendum (Form DC-621)
• Washington  Decl. about Child Custody Jurisd. –(Form FL All Family 138)
  Form for use in DV cases – (Form WPF DV-1.030)
• West Virginia No stand-alone form, but it’s built into Petition for Divorce (Form SCA-FC-100)
• Wyoming No stand-alone form, but it’s built into Complaint-Divorce (Form CWCP 7)^(DOC)
  Petition to Modify (Form CCMP 0 CS) ^(DOC)   and
  Petition to Establish Custody, Visitation… (Form ECVSP 6) ^(DOC)

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)
• Kentucky Clerk’s Notice of Registration (Form AOC-165)
• 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)
• Montana  (Letter Requesting Registration & Clerk’s Notice) ^(DOC)
• 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)
  Clerk’s Notice (Form SCCA 458B) ^(DOC)
• Utah Request to Register – (Form 1250FAJ) ^DOC
  Clerk’s Notice – (Form 1251FAJ) ^DOC
• Virginia (Form DC-582)
• Washington  Petition to Register… (Form FL UCCJEA 801)
  Notice of Registration – (Form FL UCCJEA 802)
  Clerk’s Proof of Mailing – (Form FL UCCJEA 803) ^(DOC)

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)
• Kentucky Confirmation of Registration (Form AOC-166)
• 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)
• South Carolina Notice of Confirmation (Form SCCA 458C) ^(DOC)
• Utah Objection/Request for Hearing – (Form 1252FAJ)
  Notice of Confirmation – (Form 1254FAJ) ^(DOC)
  Order after Hearing on Objections – (Form 1253FAJ) ^(DOC)
• Washington Objection & Notice of Hearing (Form FL UCCJEA 804) ^(DOC)
  Order after Hearing (Form FL UCCJEA 805) ^(DOC)
  Notice of Confirmation (without hearing) – (Form FL UCCJEA 806) ^(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) 
• Virginia  No petition form exists, but any petition must attach this Supplement To Petition – (Form DC-584) .
• Washington  Petition to Enforce (Form FL UCCJEA 811) ^(DOC)
  Order to Go to Court (Form FL UCCJEA 812) ^(DOC)
  Order After Hearing (Form FL UCCJEA 815) ^(DOC)

Modification (Model Act §202/203 / Wis Stats §822.22 & .23)

• Oregon
  Ex Parte Motion for Order to Show Cause for Modification (Form Motion)