§ Child Custody and Support Judgment
Child Custody and Support Judgment
[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]
Approved for Use in Uncontested Cases Only
IN THE CIRCUIT COURT OF ____________________, MISSOURI
___________ ___________ ___________ __________
(First) (Middle) (Last) (Jr./Sr./III)
Petitioner, Case No.__________
-and-
Division No. __________
___________ ___________ ___________ __________
(First) (Middle) (Last) (Jr./Sr./III)
Respondent.
Child Custody and Support Judgment
Parties
1. [ ] As used herein, “Mother” refers to Petitioner and “ Father” refers to Respondent.
[ ] As used herein, “Father” refers to Petitioner and “Mother” refers to Respondent.
2. Appearances(Check all that apply)
[ ] Petitioner appears in person. [ ] Petitioner appears by attorney. [ ] Guardian ad Litem appears in
person.
[ ] Respondent appears in [ ] Respondent appears by [ ] Cause submitted upon affidavit
person. attorney of Petitioner.
[ ] Third Party __________ [ ] Third Party __________ [ ] Cause submitted upon affidavit
of Respondent.
appears in person. appears by attorney. of Respondent
3. The last four digits of Petitioner's Social Security Number are __________ and the last four digits of Respondent's Social Security Number are __________.
Paternity
4. [ ] Paternity was acknowledged by both parties and father's name appears on the birth certificate of each child listed in
this judgment.
[ ] An administrative order was entered that determined paternity for each child listed in this judgment.
[ ] Father and Mother were married at the time of the birth of each child listed in this judgment and there are no other
existing custody judgments.
[
]
Other ______________________________________________________________________
(Explain)
Children
5. This judgment pertains to the following unemancipated child(ren) hereinafter referred to as “minor child(ren):”
Name of Child Child's Age
Child Custody and Support Judgment--Page 1 of 3
Form CAFC270-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
Child Custody
6. [ ] The court does NOT have “jurisdiction” (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, § 452.700, RSMo et seq.) over the custody arrangements of the minor child(ren) and therefore enters no further orders with respect to the custodial arrangements of the minor child(ren).
[ ]The court has “jurisdiction” (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, § 452.700,
RSMo et seq.) over the custody arrangements of the minor child(ren).
The court approves the provisions of Part A of the parenting plan marked exhibit __________ pertaining to the custodial
arrangements of the minor child(ren) and finds that the custodial arrangements contained in said parenting plan are in the
best interests of the minor child(ren).
Therefore, the court orders the provisions of Part A of the said parenting plan pertaining to the custodial arrangements of
the minor child(ren) and incorporates by reference all of the terms and conditions pertaining to the custodial arrangements
of the minor child(ren) set forth in Part A of said parenting plan as if fully set forth herein.
The sheriff or other law enforcement officers shall enforce the rights of any person to custody or visitation pursuant to §
452.425, RSMo.
Child Support
7. [ ] The court does not have jurisdiction to enter any orders with respect to the support of the minor child(ren).
[ ]The court orders the provisions of Part B of the parenting plan marked exhibit __________, pertaining to the support of the minor child(ren) and incorporates by reference all of the terms and conditions set forth in Part B of said parenting plan
as if fully set forth herein.
Attorney's Fees
8. [ ] Petitioner shall pay to __________ the sum of __________ as and for Respondent's attorney's fees herein.
[ ]Respondent shall pay to __________ the sum of __________ as and for Petitioner's attorney's fees herein.
9. [ ] Petitioner shall pay to __________ the sum of __________ as and for Guardian ad Litem fees in addition to the sum of __________ previously ordered.
[ ]Respondent shall pay to __________ the sum of __________ as and for Guardian ad Litem fees in addition to the sum of __________ previously ordered.
Other Orders
10. [ ] Other orders are as per the attached Exhibit Number __________, which is incorporated by reference as if fully set forth herein.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Court Costs
11. [ ] Court costs are to be paid from the court cost deposit(s) previously posted.
[ ]Court costs are waived.
Child Custody and Support Judgment--Page 2 of 3
Form CAFC270-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
Waiver of Right to Rehearing(If case is heard by a Commissioner pursuant to § 487.010, RSMo et. seq.)
[ ]We, the undersigned parties, do hereby acknowledge receipt of the findings and recommendations of the commissioner,
and waive the right to file a motion for rehearing in this case.
(If heard by a Family Court Judge) (If heard by a Family Court Commissioner)
Findings and Recommendations of Commissioner:
____________________ _____________ ______________________ _______________
Judge Date Commissioner Date
All orders and these findings and recommendations of the
Commissioner are confirmed and adopted as the judgment of
the court.
______________________ _______________
Judge Date
A certified copy of this judgment is to be mailed to the following person(s): (Check all applicable boxes)
[ ]Petitioner's Attorney [ ] Respondent's Attorney [ ] Guardian ad Litem
_________________________ _________________________ _________________________
(Signature of Attorney) (Signature of Attorney) (Signature of Guardian ad Litem)
_________________________ _______________________ _________________________
(Street) (Street) (Street)
______________ ____ ____ ______________ ____ ____ ______________ ____ ____
(City) (State) (Zip) (City) (State) (Zip) (City) (State) (Zip)
_________________________ _________________________ _________________________
(Telephone Number) (Telephone Number) (Telephone Number)
[ ] Petitioner [ ] Respondent [ ] Third Party
_________________________ _________________________ _________________________
(Signature of Petitioner) (Signature of Respondent) (Signature of Third Party)
_________________________ _________________________ _________________________
(Street) (Street) (Street)
______________ ____ ____ ______________ ____ ____ ______________ ____ ____
(City) (State) (Zip) (City) (State) (Zip) (City) (State) (Zip)
_________________________ _________________________ ________________________
(Telephone Number) (Telephone Number) (Telephone Number)
Child Custody and Support Judgment--Page 3 of 3
Form CAFC270-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]