MOTION TO AMEND OR REVIEW ORDER - Judiciary of Virginia
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MOTION TO AMEND OR REVIEW ORDER
Case No. .............................................................................
Commonwealth of Virginia
[ ] General District Court
................................................................................................................................... [ ] Juvenile and Domestic Relations District Court
......................................................................................................................................................................................................................................................
COURT ADDRESS
This motion is filed in connection with Case No.
....................................................................................
[ ] In re ..................................................................................................................................................................................................................................
NAME OF CHILD
[ ]
........................................................................................................
v.
.........................................................................................................
PERSON FILING MOTION [ ] MOTHER [ ] FATHER [ ] OTHER
OTHER PARTY [ ] MOTHER [ ] FATHER [ ] OTHER
.................................................................................................................
.........................................................................................................
ADDRESS/LOCATION
ADDRESS/LOCATION
.................................................................................................................
.........................................................................................................
.................................................................................................................
.........................................................................................................
TELEPHONE NUMBER
TELEPHONE NUMBER
I respectfully represent to the Court that an order dated
by the [ ] above-named Court [ ]
...................................................................................................
DATE
was entered
................................................................................................................................................................................
Court.
That order states as follows:
......................................................................................................................................................................................................................................................
REQUIREMENTS OF ORDER
[ ] I request that the attached order be changed, amended, and/or modified as follows:
......................................................................................................................................................................................................................................................
REQUESTED CHANGES, AMENDMENTS AND/OR MODIFICATIONS TO ORDER
[ ] I request these changes for the following reason(s):
......................................................................................................................................................................................................................................................
[ ] I request a hearing on the modifications of the above order proposed by the Department of Social Services and
that the Court take whatever other action it deems necessary.
_____________________________________________________________
PRINTED NAME OF PERSON FILING MOTION
..............................................................................
DATE
FORM DC-630 FRONT 10/23
____________________________________________________
SIGNATURE OF PERSON FILING MOTION
Case No. .............................................................................
Additional parties to receive notice:
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡...
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡..
OTHER
OTHER
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡
ADDRESS/LOCATION
ADDRESS/LOCATION
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡.
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡
¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡¡.
TELEPHONE NUMBER
TELEPHONE NUMBER
________________________________________________________________________________________________________________________________________________
NOTICE
......................................................................................................................................................................................................................................................
(PARTY TO BE SERVED)
You are hereby notified that on
...............................................................................................................,
a hearing will be held by this
DATE AND TIME
Court to consider a motion to change, amend, and/or modify the terms of an order as described in the Request on
the reverse side.
.....................................................................
____________________________________________________________
DATE
CLERK
SERVICE OF PROCESS ON PARTY TO BE SERVED
[ ] Personal service
Being unable to make personal service, a copy was delivered in the following manner:
[ ] Delivered to family member (not temporary sojourner or guest) age 16 or older at usual place of
abode of party named above after giving information of its purport (List name, age of recipient and
relation of recipient to party named above.)
............................................................................................................................................................................................................................
[ ] Posted on front door or such other door as appears to be the main entrance of usual place of abode,
address listed above. (Other authorized recipient not found.)
[ ] Not found
CASES TO ENFORCE CHILD SUPPORT ONLY:
[ ] Delivered to
[ ] residential
...........................................................................................................................
the
[ ] business address of record.
..............................................................................
_________________________________________________________________
DATE
SERVING OFFICER
for
FORM DC-630 REVERSE 10/21
_____________________________________________________________
................
................
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