Name of Person Filing: Your Address: Your City, State, Zip Code: Your Telephone Number: ATLAS Number (if applicable): Attorney Bar Number (if applicable): Self, Without a Lawyer or Representing Petitioner or Respondent Attorney for FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: (Name of Petitioner) RESPONSE TO PETITION TO ESTABLISH PATERNITY, CHILD CUSTODY and PARENTING TIME and (Name of Respondent) General Information: 1. INFORMATION ABOUT THE OTHER PARTY, THE PETITIONER Name: Address: County of residence: Date of Birth: Occupation or Job Title: Relationship to minor children for whom the paternity order is requested: Mother Claims to be the Father Is a court-appointed guardian, conservator or “best friend” for the child(ren) 2. INFORMATION ABOUT ME, THE RESPONDENT Name: Address: County of residence: Date of Birth: Occupation or Job Title: Relationship to minor children for whom the paternity order is requested: Mother Claims to be the Father I am the court-appointed guardian, conservator or “best friend” for the child(ren) 3. INFORMATION ABOUT THE MINOR CHILDREN is contained in the Affidavit Regarding Minor Children filed with the Petition or in the Petition itself and incorporated by reference. ©Superior Court of Arizona in Maricopa County March 18, 2008 ALL RIGHTS RESERVED DRP31f Page 1 of 5 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. Statements about Paternity: 4. WHY YOU THINK YOU OR THE OTHER PERSON IS NOT THE FATHER OF THE MINOR CHILD(REN): (Check all boxes that apply) A. AFFIDAVIT: Petitioner and Respondent did not sign an Affidavit or Acknowledgment of Paternity acknowledging that Petitioner or Respondent is the child(ren)'s natural father. B. BIRTH CERTIFICATE: is not named as the natural father on the minor child(ren)'s birth certificate(s), or a father by the name of is named on the minor children’s birth certificates. C. BLOOD TEST: The parties had DNA (Deoxyribonucleic Acid) Testing and (name of father) is shown not to be the minor child(ren)'s natural father. A copy is attached to this Answer. D. PARTIES NOT LIVING TOGETHER: Petitioner and Respondent were not married to each other at any time during the ten months before the birth of the minor child(ren). The parties did not live together during the period(s) when the minor child(ren) could have been conceived. E. NO SEXUAL INTERCOURSE: Petitioner and Respondent were not living together and did not have sexual intercourse at the probable date of conception of the minor child(ren). F. SEXUAL INTERCOURSE: The mother of the minor children had sexual intercourse with someone else during the period in which the minor child(ren) could have been conceived. G. OTHER (explain) 5. ABOUT MARRIAGE AND HUSBAND (if applicable, check one box only). Mother was not married at the time the minor child(ren) were born or conceived or at least 10 months before minor child(ren) were born or conceived, OR Mother was married when minor child(ren) were born or conceived or at least 10 months before the minor child(ren) were born or conceived, but husband is not the father of minor child(ren). (Husband must be included as a party to this court case because of marriage.) 6. SUMMARY OF WHAT I SAY ABOUT THE MINOR CHILDREN THAT IS DIFFERENT FROM WHAT THE PETITIONER ASKED FOR IN THE PETITON: (Summarize what is different between what you say about the minor children, and what the other party said in the Petition.) ©Superior Court of Arizona in Maricopa County March 18, 2008 ALL RIGHTS RESERVED DRP31f Page 2 of 5 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. Other Statements to the Court: 7. MEDICAL EXPENSES: (Check the applicable boxes) There are OR There are not unreimbursed medical expenses incurred by the mother, resulting from the birth of the minor child(ren). If there are, these costs and expenses should be awarded to Plaintiff OR Defendant according to law. 8. OTHER EXPENSES: The parties should be ordered to divide between them any uninsured medical, dental, or health expenses, reasonably incurred for the minor child(ren), in proportion to their respective incomes. 9. DOMESTIC VIOLENCE: (Check the correct box if you are asking for joint custody.) Significant domestic violence 10. has or has not occurred between the parties. VENUE: This is the proper court to bring this lawsuit under Arizona law because it is the county of residence of the Plaintiff or the Defendant or the child(ren). 11. GENERAL DENIAL: I deny anything stated in the complaint that I have not specifically admitted, qualified, or denied. Requests I make to the court: 1. PATERNITY: Order that (name of father) child(ren); is not the natural father of the minor Order that (name of father) child(ren). is the natural father of the minor IN THE EVENT THE COURT ORDERS THAT (name) IS THE NATURAL FATHER, THEN THE COURT SHOULD ALSO ORDER AS FOLLOWS: 2. BIRTH CERTIFICATE: (check the box and complete this sentence if you want this): Order that (name of father) child's birth certificate; 3. name be added to each minor LAST NAME: (check the box and complete this sentence if you want this): Order that each child's last name be changed to the last name of 4. ; CUSTODY AND PARENTING TIME OF CHILDREN: (check the box and complete A or B). Order that: A. SOLE CUSTODY: Sole custody of the minor child(ren) be awarded to subject to parenting time as follows: ©Superior Court of Arizona in Maricopa County March 18, 2008 ALL RIGHTS RESERVED DRP31f Page 3 of 5 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. 1. Reasonable parenting time rights to the parent who does not have custody, as will be described in a Parenting Plan attached to the Final Order. OR 2. Supervised parenting time between the minor children and the other party is in the best interests of the minor children because (explain here reasons for supervision or no parenting time): i. Person to supervise: ii. Requested restrictions on parenting time: (explain here) iii. The cost of supervised parenting time shall be paid by the parent being supervised; the parent having custody; shared equally by the parties. OR 3. No parenting time rights to the parent who does not have custody is in the best interests of the minor child(ren) for the following reasons: OR B. JOINT CUSTODY: Plaintiff and Defendant agree to act as joint custodians of the minor children, as set forth in the Joint Custody Agreement in the Parenting Plan by the parties, signed by both parties. There have been no significant acts of domestic violence by either parent. 5. CHILD SUPPORT: Order that child support be paid by 6. EXPENSES OF MOTHER: Order that Petitioner OR Respondent in a reasonable amount as determined by the Court under the Arizona Child Support Guidelines, payable on the first day of each month, beginning the first day of the month following the signing of the final order. These payments, and a handling fee, shall be paid through the Support Payment/Clearinghouse and collected by automatic wage assignment. Costs for past child support and care for minor child(ren) in the amount of $ to be paid by Petitioner OR Respondent in the amount of $ each month until paid in full. Petitioner OR Respondent pay a reasonable amount to cover unreimbursed expenses incurred by the mother related to the birth of the child(ren). ©Superior Court of Arizona in Maricopa County March 18, 2008 ALL RIGHTS RESERVED DRP31f Page 4 of 5 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. 7. MEDICAL, DENTAL and VISION CARE INSURANCE AND HEALTH CARE EXPENSES FOR MINOR CHILDREN: Order that: Mother should be responsible for providing: Father should be responsible for providing: medical medical dental dental vision care insurance. vision care insurance. Order that Petitioner and Respondent pay for all reasonable unreimbursed medical, dental, vision care, and health-related expenses incurred for the minor child(ren) in proportion to their respective incomes as described on the Parents' Worksheet, which shall be submitted with the Judgment and Order. 8. TESTING and COSTS: Order that if paternity is contested, Petitioner and Respondent be ordered to submit to such blood and tissue tests as may be necessary by this Court to establish paternity. And, that the other party pay all costs and expenses of this lawsuit under Arizona law, A.R.S. 25-809, including blood tests or other genetic testing; filing each child’s birth certificate, attorney’s fees and court costs; 9. OTHER ORDERS I AM REQUESTING (explain request here): OATH OR AFFIRMATION AND VERIFICATION I swear or affirm that the information on this document is true and correct under penalty of perjury. (10) Signature Date Sworn to or Affirmed before me this: by (date) My Commission Expires: (or SEAL – below) Deputy Clerk or Notary Public I swear or affirm under penalty of perjury that I mailed a copy of my Response to the other party on: . (Month, Day, Year) Name of Person who mailed Response ©Superior Court of Arizona in Maricopa County March 18, 2008 ALL RIGHTS RESERVED DRP31f Page 5 of 5 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com