§ Petition, Consent and Order for MotherAppointment as s Next Friend
Petition, Consent and Order for Mother’s Appointment as Next Friend
[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]
In what Missouri county will this case be In the Circuit Court of MISSOURI
filed?
If this case has already been filed, what is the Case Number Division Number
case number of the pending case?
The Parties 1. I am the mother of the child(ren) listed below and consent to my appointment as next friend of the
child(ren). I request that I be appointed as next friend for the child(ren). My name and address is:
____________________ ____________ ________________
(Mother's First Name) (Middle Name) (Mother's Last Name)
______________________________________________________________
(Street)
__________________________________ _________________ ________
(City) (State) (Zip)
_________________________________ ____________________________
(Telephone Number) (E-Mail Address)
2. The following child(ren) is/are PLAINTIFF(S) in this case and each child who is age 14 years or
older requests that I be appointed as next friend for him or her in this case
a. _____________________________________ Birth Date: __________
(Child's full name as it appears on the birth certificate) (mm/dd/ yyyy)
_______________ CHILD SIGN HERE (if age 14 or older)
b. _____________________________________ Birth Date: __________
(Child's full name as it appears on the birth certificate) (mm/dd/ yyyy)
_______________ CHILD SIGN HERE (if age 14 or older)
c. _____________________________________ Birth Date: __________
(Child's full name as it appears on the birth certificate) (mm/dd/ yyyy)
_______________ CHILD SIGN HERE (if age 14 or older)
d. _____________________________________ Birth Date: __________
(Child's full name as it appears on the birth certificate) (mm/dd/ yyyy)
_______________ CHILD SIGN HERE (if age 14 or older)
e. _____________________________________ Birth Date: __________
(Child's full name as it appears on the birth certificate) (mm/dd/ yyyy)
_______________ CHILD SIGN HERE (if age 14 or older)
f. _____________________________________ Birth Date: __________
(Child's full name as it appears on the birth certificate) (mm/dd/ yyyy)
_______________ CHILD SIGN HERE (if age 14 or older)
Petition, Consent and Order for Mother's Appointment as Next Friend--Page 1 of 2
Form CAFC751-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
3. [ ] The child(ren) reside(s) with me.
[ ]The child(ren) reside(s) with the following person(s) at the following address:
____________________ ____________ _________________ _________
(First Name) (Middle Name) (Last Name) (Jr./Sr./III)
______________________________________________________________
(Street)
__________________________________ _________________ ________
(City) (State) (Zip)
_________________________________ ____________________________
(Telephone Number) (E-Mail Address)
____________________________________ ____________________________________
MOTHER SIGN HERE PRINT YOUR NAME HERE
ATTORNEY INFORMATION (To be completed by your attorney) Do not enter any
information here if
____________________________ ____________________ you are filing this
Attorney--SIGN HERE Missouri Bar Number case without the assistance of a lawyer.
__________________________________________________ This information should be
Attorney for Movant--PRINT YOUR NAME HERE completed by your attorney.
__________________________________________________
(Street)
_______________________________ ___________ _____ [ ] I have assisted
(City) (State) (Zip) Plaintiff(s) in the preparation of these
________________ ____________ ___________________ pleadings, but I am
(Telephone Number) (Fax Number) (Email Address) not entering my appearance on behalf
of Plaintiff(s).
Mother is appointed as next friend for the minor child(ren) listed
above.
So Ordered:
___________________________ ___________
Judge/Commissioner Date
Petition, Consent and Order for Mother's Appointment as Next Friend--Page 2 of 2
Form CAFC751-01/01/ This form is available for free at www.selfrepresent.mo.gov
2011
[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]