Your name(s)
CIRCUIT COURT FOR , MARYLAND
Located at Telephone
PETITION TO MODIFY ☐ CUSTODY ☐ VISITATION (CHILD ACCESS)
(Md. Code, Family Law Art., § 1-201)
If this submission contains Restricted Information (confidential by statute, rule or court order) you
must file a Notice Regarding Restricted Information Pursuant to Rule 20-201.1 (form MDJ-008) with
this submission, and check the Restricted Information box on this form.
NOTE: Use this form if you are a party in a court order for child custody or visitation (child access) and
you want the court to change it. If you need a copy of that order, ask a court clerk. Attach a completed Civil
Domestic Case Information Report (CC-DCM-001). You must “serve” the other party(ies) with a copy of
this paperwork. See General Instructions (CC-DRIN) for information on service of process, filing fees, and
other topics. Also see Maryland Parenting Plan Instructions (CC-DRIN-109) and Maryland Parenting Plan
Tool (CC-DR-109). Visit mdcourts.gov/custody and mdcourts.gov/parentingplans.
I/We, , state that:
1. I am/We are the ☐ mother ☐ father ☐
of the following minor child(ren):
Name(s)
Date(s) of birth
CC-DR-007 (Rev. 08/2024) Page 1 of 3
Relationship (for example, aunt, grandfather, guardian)
City/County
Court Address
vs.
Defendant 1
Plaintiff 1
Street Address
Street Address
City, State, Zip
Telephone
City, State, Zip
Telephone
Defendant 2
Plaintiff 2
Street Address
Street Address
City, State, Zip
Telephone
City, State, Zip
Telephone
☐ Mark this box if this form contains Restricted Information.
POMNS
POMOS
Case No.
E-mail
E-mail
E-mail
E-mail
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.
Court
Case No.
Kind of Case
Year Filed
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
City/County
Name(s) of person(s) with custody and relationship to child(ren)
Name(s) of person(s) with visitation and relationship to child(ren)
POMNS
POMOS
Case No.
☐ I/We also request a change in the current child support order.
If parents’ combined gross monthly income (before taxes/not take home pay) is $30,000 or
less, attach Financial Statement (Child Support Guidelines) (CC-DR-030); if combined gross
monthly income is more than $30,000, attach Financial Statement (General) (CC-DR-031).
I/We solemnly affirm under the penalties of perjury that the contents of this document are true to the best of
my/our knowledge, information, and belief.
CC-DR-007 (Rev. 08/2024) Page 3 of 3
Signature
Printed Name
Telephone Number
City, State, Zip
Date
Street Address
E-mail
Fax
Signature
Printed Name
Telephone Number
City, State, Zip
Date
Street Address
E-mail
Fax
POMNS
POMOS
Reset
