JDF 1506 R 5 - 1 8 AGREEMENT FOR GENETIC TESTING District Court Denver Juvenile Court County, Colorado Court Address: In the Interest of: Petitioner: v. Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Pho ne Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom AGREEMENT FOR GENETIC TESTING Petitioner and Respondent agree to the following: 1. The Petitioner or Respondent requests genetic testing and denies that he is the father of the minor child(ren): Name of Child(ren) Sex Date of Birth 2. It is agreed that the Child(ren), Petitioner, and Respondent will submit to genetic tes ting. Name of Lab: Date: Time: Address of Lab: 3. Costs of genetic testing shall initially be paid by: % P etitioner % Respondent 4. If (name of party) fails to appear for the testing, the Court may find him to be the father. 5. The matter will be set for hearing once the test results are received. 6. The parties agree to noti fy the Court, in writing, of any change of address or employment within ten days of the change. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. SIGNATURE ( P rinted name of Petitioner) Signature of Petitioner Date (Printed name of Respondent ) Signature of Respondent Date American LegalNet, Inc. www.FormsWorkFlow.com