Case No.
2. On the Circuit Court for
issued an order in case number , granting custody of the child(ren) to
and visitation to
.
3. Since the most recent court order, circumstances have changed and the order is no longer in the best
interest of the child(ren) because:
4. I/We know of the following cases, or I/we have been involved (as a party, witness, etc.) in the
following cases about me/us, the other party(ies), or the child(ren). Include cases such as custody,
child support, guardianship, domestic violence/protective order, paternity, divorce, visitation (child
access), CINA, delinquency, termination of parental rights, adoption, or other cases.
Result or Status
(if you know)
Attach the most recent court order for these cases.
FOR THESE REASONS, I/we request the court change custody and/or visitation (child access) as follows
(state the changes you are requesting):
and order any other appropriate relief.
CC-DR-007 (Rev. 08/2024) Page 2 of 3
Date of most recent court order
Name(s) of person(s) with custody and relationship to child(ren)
Name(s) of person(s) with visitation and relationship to child(ren)