Title: CAO DV 9-6 Request for Transfer of Wireless Phone Service
Author: Jennifer Foster
Last saved by: Imelda Ramirez
Company: Latah County

No address, email and telephone are given 
because I do not want my information on this request.

Full Name of Party Filing Document

Mailing Address (Street or Post Office Box)

City, State and Zip Code

Telephone

Email Address (if any)

IN THE DISTRICT COURT FOR THE 		 JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 				
MAGISTRATE DIVISION

,
Petitioner

	vs.

						,
Respondent

Case No. 					

REQUEST FOR TRANSFER OF WIRELESS TELEPHONE SERVICE

Petitioner states:  
1.	Respondent, is the account holder for the wireless service account(s) for the following telephone number(s):
 Petitioner’s: (Number)						
 Minor child/ren in Petitioner’s care: 
(Number)					
	(Number)								
	(Number)								.
	Petitioner is not the account holder for the wireless number(s) above.
2.	The current account holder’s information is as follows: 
Respondent’s Name:									
Billing Telephone Number: 								
3.	Petitioner requests an order permitted by I.C. § 39-6318, after notice and hearing, directing the wireless service provider (company name) 										 to transfer the billing responsibility for and rights to the wireless telephone number(s), listed above, to the Petitioner, (Petitioner’s Name) 							.

CERTIFICATION UNDER PENALTY OF PERJURY

I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct.

Date:                                                   

Typed/printed name                                      Signature

REQUEST FOR TRANSFER OF WIRELESS TELEPHONE SERVICE	PAGE 
CAO DV 9-6    07/01/2018