New York Codes, Rules and Regulations › Title 22 - JUDICIARY › Subtitle D - Forms › Chapter IV - Forms of the Family Court of the State of New York and Adoption Forms of the Family Court of the State of New York (cf. s205.7) › Subchapter A - Forms Authorized by Section 205.7 › Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Forms › Form UCCJEA-14 - Affidavit application for registration of an out-of-state custody or visitation order - UCCJEA

Current through Register Vol. 46, No. 28, July
					 10, 2024
DRL § 77-d Form UCCJEA-14
(Affidavit Application for Registration of
						a
Custody or Visitation
						Order--UCCJEA)
8/2002
FAMILY COURT OF THE STATE OF NEW
						YORK
COUNTY OF
________
In the Matter of the Registration of
						an
Out-of-State Custody Visitation Order
						under the Uniform Child Custody Jurisdiction and Enforcement Act Docket
						No.
AFFIDAVIT APPLICATION FOR
REGISTRATION OF AN
OUT-OF-STATE CUSTODY
VISITATION ORDER--UCCJEA
Petitioner
-against-
Respondent
________
STATE OF NEW YORK)
) ss.:
COUNTY OF)
1. I [specify name]: am the Petitioner in
						this application to register the attached out-of- state order of [check
						applicable box(es)]: custody visitation, that had been issued by [specify
						court, state or other jurisdiction and date]:
2. The child(ren) who (is)(are) the
						subject of the attached order (is)(are):
Name(s) Date(s) of Birth
3. I reside at [specify address or, if
						ordered to be kept confidential pursuant to Domestic Relations Law §§
						76-h, 254 or Family Court Act § 154-b, the name and address of the agent
						designated for service of process and papers]:
4. The Respondent [specify name]: resides
						at [specify last-known address or, if ordered to be kept confidential pursuant
						to Domestic Relations Law §§ 76-h, 254 or Family Court Act §
						154-b, the name and address of the agent designated for service of process and
						papers]:
5. The name(s) and address(es) of any
						person(s) who were awarded custody or visitation in the order sought to be
						registered are as follows [specify]: [FN1]
Name(s) Relationship to Child(ren)
						Address
Form UCCJEA-14 Page 2
6. To the best of my knowledge and belief,
						the attached order that I am seeking to register is in effect and has not been
						stayed or modified.
7. a. This order has been registered in
						the following other jurisdictions [specify]:
b. Registration of this order was denied
						in the following jurisdiction(s) [specify and indicate date]:
c. An application for registration of this
						order is pending in the following jurisdiction(s) [specify and indicate status
						of application]:
WHEREFORE, for the reasons stated above, I
						am requesting this Court to register the above-mentioned order in accordance
						with Section 77-d of the Uniform Child Custody Jurisdiction and Enforcement Act
						[Domestic Relations Law Art. 5-A].
_______________
Name
Sworn to before me this day of
________
(Deputy) Clerk of the Court
Notary Public
NOTICE: Attach two copies of the order
						sought to be registered, at least one of which is certified. A sworn, notarized
						letter, containing the above information may be submitted instead of this
						affidavit. A "child custody or visitation determination" eligible for
						registration under Domestic Relations Law § 77-d includes a "judgment,
						decree, or other order of a court providing for the legal custody, physical
						custody, or visitation with respect to a child," including a "permanent,
						temporary, initial and modification order," but not including an order relating
						to child support or other monetary obligations. See Domestic Relations Law
						§ 75-a(3). The order may have been entered in a "proceeding for divorce,
						separation, neglect, abuse, dependency, guardianship, paternity, termination of
						parental rights, and protection from domestic violence," but does not include a
						juvenile delinquency, person in need of supervision or contractual emancipation
						enforcement proceeding or a proceeding to enforce an out-of-state custody or
						visitation order. See Domestic Relations Law § 75- a(4).
[FN1] Do not include address if ordered to
						be kept confidential pursuant to Domestic Relations Law §§ 76-h, 254
						or Family Court Act § 154-b. An application for address confidentiality,
						General Form 21, available at www.courts.state.ny.us (Family Court forms), may
						be filed with this affidavit, if disclosure would place the health or safety of
						a party or child unreasonably at risk.