PETITION TO MODIFY VISITATION FORM AND INSTRUCTIONS
Purpose
File this Petition to Modify Visitation along with a Notice of Motion to ask the court to order a change in visitation. This form asks the court to hear your request for a change.
What You Have to Do
You must complete this petition and bring it with you to file when you go to get a court date. If your petition goes according to plan, the judge will order a new visitation arrangement on the day you are in court. As was true with the rest of the documents in your case, it is important that you complete this carefully. This petition asks for a new visitation arrangement, so make sure it says what you want it to say. Most of the work has been done for you.
How to Complete the Sheet
You have two choices. You can fill in the form on and then print it out. Or, you can print the form from your computer and fill in the form with a pen or typewriter.
To use your computer to fill in the form, move your mouse over the lines you need to fill in and start typing your information. If you want to erase all of the information you have typed in the form, click on the “form reset” button on the last page of the form.
Please note that you cannot type in the spaces where your signature is required.
Each numbered instruction corresponds to the same number on the Petition to Modify Visitation.
(1)Insert your name. If you are filling out this form on your computer, your name will also appear in (4) and (9).
(2)Insert the name of the other parent
(3)Insert the case number. If you were married to the other parent, then copy the case number from your Judgment of Dissolution of Marriage. If you were never married to the other parent, then copy the case number from the last Visitation Order.
(4)Insert your name if it is not already filled in.
(5)If you were married to the other parent, insert “a Judgment of Dissolution of Marriage.” If you were not married to the other parent, insert “the last Court Order”
(6)If you were married to the other parent, insert the date the Judgment of Dissolution of Marriage was entered. If you were not married to the other parent, insert the date the last Court Order was entered.
(7)Fill in the information about your current visitation arrangements. Copy the visitation schedule from the Dissolution of Marriage, or from your last Court Order. For, example you may have visitation every other weekend, or one weekend a month. You may have visitation on certain holidays, or every other birthday. If you do not have enough room, you may use this form as a guide to create your own form.
(8)Fill in the reasons you are asking the judge to modify the schedule. If there were any dates that you asked to see your children and were not allowed to by the other parent, include those dates here. If you do not have enough room, you may use this form as a guide to create your own form.
(9)Insert your name if it is not already filled in.
(10)This is the first place you will sign your name after you have completed the petition.
(11)This oath swears that everything you have stated in the Petition is true. Insert “he” if you are a man or “she” if you are a woman.
(12)This is the second place you will sign your name after you have completed the petition.
(13)Fill in the date on this line when you sign the petition.
(14)Insert your name.
(15)Insert your street address.
(16)Insert your city, state and ZIP code.
(17)Insert your telephone number.
Make three (3) additional copies of the petition.
IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS
COUNTY DEPARTMENT — DOMESTIC RELATIONS DIVISION
(1) __________________________, |
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Petitioner, |
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No. (3) _______________ |
AND |
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(2) __________________________, |
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Respondent, |
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PETITION TO MODIFY VISITATION
(4)__________________________ petitions this Honorable Court, pursuant to Statute, to modify the existing visitation order, and states that the following is true and correct.
1.That I am the petitioner in this cause.
2.That (5) _________________________________ was entered on
(6)____________________ which awarded me the following visitation:
3.That the visitation schedule needs to be modified because
(8)
WHEREFORE, (9) __________________________ seeks the following relief:
A.That this Court enter an Order modifying the previous visitation schedule; or in the alternative, enter an Order sending us to mediation;
B.That this Court award any further and additional relief it deems just.
(10)______________________________
STATE OF ILLINOIS |
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COUNTY OF COOK |
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Under penalties of perjury as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certifies that the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief and as to such matters the undersigned certifies that (11) _____ is verily believes the same to be true.
(12) ______________________________
DATED: (13) _______________________
(14)
Pro Se
(15)
(16)
(17)
