Form FL-105/GC-120, Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) Completed Form Examples and Samples

Memorandum for File: Re: Custody Proceeding - Sarah Jenkins (Petitioner) and Mark Jenkins (Respondent). Sarah came into the office today to discuss the upcoming custody filing for their two children. The oldest, Leo Jenkins, born June 12, 2018, in San Diego, CA, and the younger daughter, Maya Jenkins, born March 5, 2021, in San Diego, CA, have lived exclusively with Sarah at 442 Maple Lane, Sacramento, CA since September 2021. Prior to that move, the family resided together in a condo in San Diego from their births through August 2021. Sarah is represented by our firm, Law Offices of Miller & Associates, located at 800 J Street, Sacramento, CA 95814. She confirmed there are no other active custody cases pending, although there is a standing family law restraining order issued by the Sacramento Superior Court (Case #FAM-99821-X) that expires on December 31, 2027. She mentioned that her mother, Mrs. Elena Rodriguez, occasionally helps with childcare during weekends but has no formal custody rights. We need to prepare the FL-105 form for the Sacramento County Superior Court immediately to initiate these proceedings.

Dear Sarah, following up on our meeting regarding your custody filing for your children, Leo Miller (born June 12, 2018 in San Diego, CA) and Mia Miller (born August 20, 2020 in San Diego, CA). As we discussed, they have lived exclusively with you for the past five years. Since February 2021, you have been residing at 452 Oak Lane, Riverside, CA 92501. Prior to that, from January 2019 to February 2021, you lived at 1200 Pacific Blvd, San Diego, CA 92101. Before the move in 2019, you were living in a rental in Chula Vista. Please note that for privacy reasons regarding the recent domestic violence incident, we need to keep your current address confidential on the court forms; the court is aware of the protective order issued in Riverside County Superior Court (Case #CR-998877), which expires on December 31, 2027. Regarding past legal matters, there was a minor probate guardianship case in San Diego back in 2019 (Case #PG-12345), but that was dismissed shortly after. No other person currently has physical custody or claims rights to the children aside from you and Mark Miller, who has visitation rights per our informal arrangement. I'm busy finalizing the paperwork, but please confirm these dates so I can finalize the UCCJEA declaration by Friday.