COMPLAINT FOR CUSTODY
(Md. Code, Family Law Art., § 5-203)
MDEC counties only: 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 there is no court order for child custody to which you are a party. 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).
I/We state that:
1. I am/We are the
☐ mother ☐ father ☐
of
the following minor child(ren):
2. is the ☐ mother ☐ father
☐ of the minor child(ren).
is the
☐ mother ☐ father
☐ of the minor child(ren).
3. Th
e child(ren) live(s) at
with .
CC-DR
-004 (Rev. 01/2021) Page 1 of 4
Relationship (for example, aunt, grandfather, guardian)
Relationship (for example, aunt, grandfather, guardian)
Name of person(s) and relationship to child(ren)
Relationship (for example, aunt, grandfather, guardian)
☐ Mark this box if this form contains Restricted Information.
COMCU