Title: IN THE DISTRICT COURT OF THE JUDICIAL DISTRICT OF
Author: FThompson
Last saved by: Imelda Ramirez
Company: Idaho Supreme Court

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

,
		Petitioner,
	vs.

						,
		Respondent.

Case No. 					

APPLICATION FOR REGISTRATION
OF A CHILD CUSTODY
DETERMINATION

I, (your name) 						, the Petitioner/Respondent, and pursuant to Idaho Code §32-11-305, apply for registration of a child custody determination of a court of another state.
1.	I live at 									  
2.	I wish to register a child custody determination in accordance with the Uniform Child Custody Jurisdiction and Enforcement Act, I.C. §32-11-305.
3.	To the best of my knowledge and belief the order I seek to register has not been modified.
4.	The name and address of any other parent or person acting as a parent who has been awarded custody or visitation in the child custody determination sought to be registered is:  (name/s) 							, (address) 																			.
5.	I understand that false statements in this sworn statement may subject me to the penalties for perjury pursuant to Idaho Code §18-5409, which includes imprisonment in the state prison for not less than one nor more than 14 years. 
6.  I am of legal age, able to read and write the English language, legally competent, and have sought whatever legal advice I desired before signing this document.  I understand the contents of this document, and the same are true and correct to the best of my knowledge and belief.  
7.  I am furnishing two (2) copies, including one (1) certified copy, of the determination sought to be registered.
8.  I understand that notice of my request for registration will be given to the person/s listed in item 4 of this Affidavit.  

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

APPLICATION FOR REGISTRATION OF A   						PAGE 
CHILD CUSTODY DETERMINATION  I.C.§32-11-305
CAO FLE 1-2   07/01/2016