Title: Name Change Hearing [file: name
Author: Elizabeth Brandt
Last saved by: Imelda Ramirez
Company: University Of Idaho

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 				

,
		Petitioner,
	vs.

						,
		Respondent.

Case No. 					

REQUEST FOR HEARING
ON REGISTRATION
OF A CHILD CUSTODY
DETERMINATION

1.	I request a hearing to contest the validity of the registered child custody determination filed by (name of person who filed application for registration):
							.
2.	The reason I contest the registration is:
	 (check the box that explains your reason)
	  The issuing court did not have jurisdiction under the UCCJEA; or
	  The child custody determination sought to be registered has been vacated, stayed or modified by a court having jurisdiction to do so under the UCCJEA, in the following court 						, in case number 				, on the 	 day of 					;  and/or
	  I was entitled to notice, but notice was not given in accordance with the standards of section 32-11-108 Idaho Code, in the proceedings before the court that issued the order for which registration is sought.
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

CERTIFICATE OF SERVICE

I certify that on (date) 			 I served a copy to: (name all parties in the case other than yourself)

(Name)

(Street or Post Office Address)

(City, State, and Zip Code)

•	By mail
•	By fax (number) 			
•	By personal delivery
•	Overnight delivery/Fed Ex

(Name)

(Street or Post Office Address)

(City, State, and Zip Code)

•	By mail
•	By fax (number) 			
•	By personal delivery
•	Overnight delivery/Fed Ex

Typed/printed name | Signature

REQUEST FOR HEARING ON REGISTRATION OF		PAGE 
A CHILD CUSTODY DETERMINATION
CAO FLE 3-1 07/01/2016