District Court Denver Juvenile Court ___________________________ County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: Division COURT USE ONLY Case Number: Courtroom ORDER RE: MODIFICATION/RESTRICTION OF PARENTING TIME This matter comes before the Court on a Motion of the Petitioner Co-Petitioner/Respondent or Stipulation of the Parties to modify/restrict the parenting time order entered by this Court or a Court of competent jurisdiction in another state. I. The Court following review of the Motion and Response, if applicable, or hearing on _______________________________ (date) finds that: Modifying the parenting time order is or is not in the best interests of the child(ren). The Petitioner Co-Petitioner/Respondent shall pay for all reasonable attorney fees, costs and expenses associated with this action. or Restricting the parenting time order for the Petitioner Co-Petitioner/Respondent is necessary. The child(ren)'s present environment may endanger the child(ren)'s physical health or significantly impair the child(ren)'s emotional development due to the current parenting time schedule. The Petitioner CoPetitioner/Respondent shall pay for all reasonable attorney fees, costs and expenses associated with this action. or The parties stipulation is in the best interests of the child(ren). II. The Court Orders that Parenting Time be modified/restricted, and Orders the following. A new Parenting Plan is attached and becomes an Order of this Court. or The Parenting Plan is modified/restricted as follows: ___________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ A new Child Support Order is attached based on the modification to parenting time. JDF 1424 R7/13 ORDER RE: MODIFICATION/RESTRICTION OF PARENTING TIME © 2013 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com III. If applicable, the Court Orders that Parental contact shall be restricted as follows: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ Date: ________________________________ ______________________________________ Judge Magistrate CERTIFICATE OF MAILING I certify that on __________________ (date), I mailed, faxed, e-filed, or hand-delivered a copy of this Order to the following: Petitioner Petitioner's Attorney Co-Petitioner/Respondent Co-Petitioner/Respondent's Attorney Child Support Enforcement Unit ___________________________________ Clerk JDF 1424 R7/13 ORDER RE: MODIFICATION/RESTRICTION OF PARENTING TIME © 2013 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com