UCCJEA-14 Affidavit application for registration of an out-of-state custody or visitation order - UCCJEA, Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Forms, Subchapter A. Forms Authorized by Section 205.7, 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), Subtitle D. Forms, TITLE 22. Judiciary, New York Codes Rules Regulations

New York Codes Rules Regulations (Last Updated: March 27,2024)

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

UCCJEA-14 Affidavit application for registration of an out-of-state custody or visitation order - UCCJEA

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]:

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).