Questionnaires 

Declaration for Uniform Child Custody Jurisdiction Enforcement Act 

This form is necessary for all cases with children. 

QUESTIONNAIRE 2 of 4 - Questionnaire Declaration for Uniform Child Custody Jurisdiction Enforcement Act 

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
Declaration UCCJEA (one per child)
Name*
Phone*
Email Address
*
Number of Children
Child	This questionnaire is for Child 1. This questionnaire is for Child 2. This questionnaire is for Child 3. This questionnaire is for Child 4. This questionnaire is for Child 5. This questionnaire is for Child 6.
Child's Name
Relationship to Filer
City, State of Birth
Date of Birth
Sex	Male Female
Child's Current Primary Address
THIS ADDRESS IS CONFIDENTIAL	Yes. No. The other parent already has this.
Your previous five years complete addresses with move in & out dates
Other Proceedings	There has never been a proceeding with this child. I will carefully read line 4 & 5 of the FL-105 A guardianship case is on file A restraining order case is on file. A juvenile delinquency case is on file. An adoption file is on file. A criminal case is on file. I have information regarding another case. case to provide.
Other Parties	Someone else has physical custody. Someone else has custody rights. Someone else has visitation rights. I will carefully read line 6 and provide information.

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