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Petition For Allocation Of Parental Responsibilities To Grandparents Pursuant To Section 14-10-123, C.R.S. Form. This is a Colorado form and can be use in Domestic Relations Statewide.
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Tags: Petition For Allocation Of Parental Responsibilities To Grandparents Pursuant To Section 14-10-123, C.R.S., JDF 1703, Colorado Statewide, Domestic Relations
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
District Court ____________________________ County, Colorado
Court Address:
:
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
In re the Parental Responsibilities concerning:
_______________________________________________
Petitioner(s):
v.
:
:
:
Respondent(s):
Defendant(s)
:
......................................................
Attorney or Party Without Attorney (Name and Address):
COURT USE ONLY
Case Number:
THE PEOPLE OF THE STATE OF NEW YORK
Phone Number:
E-mail:
Division
Courtroom
FAX Number:
Atty. Reg. #:
PETITION FOR ALLOCATION OF PARENTAL RESPONSIBILITIES TO GRANDPARENT(S)
TO
(PURSUANT TO §14-10-123, C.R.S.)
The Petitioner(s), as grandparent(s) of the minor child(ren) named above, seek(s) allocation of parental
responsibilities
GREETINGS: for the minor child(ren), including decision-making and parenting time, and any other orders
necessary to effectuate the best interest of the children, pursuant to §14-10-123, C.R.S.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
1. Information about Petitioner (1):
Check if in Military
,
the Honorable
at the
Court
located at
County of of Birth: ___________________________ Social Security Number: _____________________________
Date
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Current Mailing Address: give evidence as a witness in this action on the part of the
or adjourned date, to testify and __________________________________________________________________
City & Zip: ______________________________________________________________________________
Home Phone #: ____________________ Work Phone #: ___________________ Cell #: ________________
Your has the comply relationship with the punishable as a
Petitionerfailure tofollowing with this subpoena isminor child(ren): contempt of court and will make you liable to
the party on whose behalf this subpoena OR issued for a maximum penalty of $50 and all damages sustained as a
child(ren)’s grandmother, was
result of your failure to comply.
child(ren)’s grandfather
Information about Petitioner (2):
Witness, Honorable
Court in
County,
day of
Check if in Military
, one of the Justices of the
, 20
Date of Birth: ___________________________ Social Security Number: _____________________________
Current Mailing Address: ___________________________________________________________________
City & Zip: ______________________________________________________________________________
(Attorney must sign above and type name below)
Home Phone #: ____________________ Work Phone #: ___________________ Cell #: ________________
Co-Petitioner has the following relationship with the minor child(ren):
Attorney(s) for
child(ren)’s grandmother, OR
child(ren)’s grandfather
2. Information about Respondent (1):
Office and P.O. Address
Date of Birth: ___________________________Social Security Number: _____________________________
Current Mailing Address: ___________________________________________________________________
City & Zip: ______________________________________________________________________________
Telephone No.:
Facsimile No.:
Home Phone #: ____________________ Work Phone #: ___________________ Cell #: _________________
JDF 1703
10/03
E-Mail Address:
Mobile Tel. No.:
PETITION FOR ALLOCATION OF PARENTAL RESPONSIBILITIES TO GRANDPARENT(S)
PURSUANT TO §14-10-124(1.5), C.R.S.
Page 1 of 4
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Respondent has the following relationship with the minor child(ren):Calendar No.
child(ren)’s mother, OR
:
JUDICIAL SUBPOENA
child(ren)’s father, OR
Plaintiff(s)
other relationship please identify _____________________________________________________
-against-
:
Information about Respondent (2):
:
Date of Birth: __________________________ Social Security Number: _____________________________
:
Current Mailing Address: ___________________________________________________________________
Defendant(s)
:
. . . . . City .& Zip:._______________________________________________________________________________
... .... ........................................
Home Phone #: ____________________ Work Phone #: ___________________ Cell #: ________________
Respondent has the following relationship with the minor child(ren):
child(ren)’s mother, OR
THE PEOPLE OF THE STATE OF NEW YORK
child(ren)’s father, OR
other relationship please identify _____________________________________________________
TO
3. The minor child(ren) is/are:
GREETINGS:
Name
Present Address
Sex Date of Birth Soc. Sec. No.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
Your failure to comply with this subpoena is punishablecare of the parent(s). and will make you liable to
4. Check one:
The child(ren) is/are not in the physical as a contempt of court
the party on whose behalfThe child(ren) has/have been in the physical care ofof $50 and all damages six monthsas a
this subpoena was issued for a maximum penalty Petitioner(s) for a least sustained or
result of your failure to comply. if such action is commenced within six months of the termination of such physical
more,
care.
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
5. Identify below the name and address of each person that the child(ren) has/have lived with over the past five
years. Please identify the relationship to the child(ren).
Name
(Attorney must sign above and type name below)
Address (City/Sate/Zip Code)
Time Period
(Month/Year)
Type of
Relationship
to Child(ren)
Attorney(s) for
Office and P.O. Address
JDF 1703
10/03
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
PETITION FOR ALLOCATION OF PARENTAL RESPONSIBILITIES TO GRANDPARENT(S)
PURSUANT TO §14-10-124(1.5), C.R.S.
Page 2 of 4
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
6. The Petitioner(s) are requesting allocation of parental responsibilityCalendar No.
for the following reasons:
_______________________________________________________________________________________
:
JUDICIAL SUBPOENA
Plaintiff(s)
_______________________________________________________________________________________
-against-
:
_______________________________________________________________________________________
_______________________________________________________________________________________
:
_______________________________________________________________________________________
:
_______________________________________________________________________________________
Defendant(s)
:
......................................................
7. I/we have participated in the following proceeding(s) regarding the child(ren) as a party or a witness, or in any
other capacity concerning issues of custody/allocation of decision-making, or visitation/parenting time with the
child(ren) (list the Court name, case number, state, date and type of proceeding):
THE PEOPLE OF THE STATE OF NEW YORK
Name of Court
Case Number
State
TO
Date of
Proceeding
Type of Proceeding
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of know of the following proceeding(s) that could affect the current proceeding including, but not limited to
8. I/we
in room
20
, at
o'clock in the
noon, and at any recessed
proceedings , onDissolutionday Marriage/Legal, Separation, enforcement or Court orders, domestic violence or
for the
of of
or adjourned date, to testify and give evidenceorders, termination of parental rights,of the adoptions (list the Court
domestic abuse, protection/restraining as a witness in this action on the part and
name, case number, state, type of proceeding):
Name of Court
Case Number
State
Type of Proceeding
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.
Witness, Honorable
Court in
County,
, one of the Justices of the
day of
, 20
9. Each party has a continuing duty to inform the Court of any proceeding(s) in this or any other state
that could affect the current proceeding.
(Attorney must sign above and type name below)
10. The following people are not parties in this matter but have physical custody of the child(ren) or claim rights of
parental responsibilities, legal custody or physical custody, or visitation/parenting time with the child(ren)
Attorney(s) for
(names and addresses of those persons):
Name of Person
Address (City/State & Zip Code)
Office and P.O. Address
JDF 1703
10/03
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
PETITION FOR ALLOCATION OF PARENTAL RESPONSIBILITIES TO GRANDPARENT(S)
PURSUANT TO §14-10-124(1.5), C.R.S.
Page 3 of 4
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Calendar No.
11. The best interests of the child(ren) would be served by allocating parental responsibilities to the Petitioner(s)
as follows and for the following reasons:
Plaintiff(s)
:
JUDICIAL SUBPOENA
_______________________________________________________________________________________
-against-
:
_______________________________________________________________________________________
_______________________________________________________________________________________
:
_______________________________________________________________________________________
:
Defendant(s)
:
. .12. . REQUIRED. NOTICE OF PRIOR .PROTECTION/RESTRAINING ORDERS.
.. ......... ................ ......................
Have any Temporary or Permanent Protection/Restraining Orders to prevent domestic abuse or any Criminal
Protection/Restraining Orders or Emergency Protection Orders been issued against any of the parties by any
Court within THE STATE to NEW YORK
THE PEOPLE OFtwo years priorOF the filing of this Petition?
No
Yes
If your answer was Yes, complete the following:
TO
Temporary
Permanent and issued against
The Protection/Restraining Order was
_____________________________________________________ in the County of ___________________,
State of ________________, in case number _____________.
GREETINGS: the subject matter of the Protection/Restraining Order or Emergency Protection Order?
What was
______________________________________________________________________________________
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
the Honorable
at the
Court
______________________________________________________________________________________ ,
located at
County of
______________________________________________________________________________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
13. Provide any information on any past or current criminal child abuse cases, if applicable:
_______________________________________________________________________________________
_______________________________________________________________________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.seek(s) an order regarding an allocation of parental responsibilities , including
Wherefore, the Petitioner(s)
decision-making and parenting time, and any other orders necessary to effectuate the best interests of the
child(ren).
Witness, Honorable
, one of the Justices of the
Court in
County,
day of
, 20
VERIFICATION AND ACKNOWLEDGEMENT
I swear/affirm under oath that I have read the foregoing document and that the information provided/agreement
set forth therein is true and correct to the best of my knowledge.
(Attorney must sign above and type name below)
______________________________________
Petitioner Signature
Date
____________________________________
Petitioner
Attorney(s)Signature
for
Date
______________________________________
____________________________________
Petitioner’s Attorney Signature, if any
Petitioner’s Attorney Signature, if any
Subscribed and affirmed, or sworn to before me
in the County of ________________________,
State of ____________________, this _______
day of ________________, 20 ____.
Subscribed and affirmed, or sworn to before me
Office and P.O. Address
in the County of _________________________,
State of ___________________, this ________
day of ________________, 20 ____.
Telephone No.:
My commission expires: __________________
Facsimile No.:
______________________________________
______________________________________
E-Mail Address:
Notary Public/Clerk
Notary Public/Clerk
Mobile Tel. No.:
JDF 1703 10/03 PETITION FOR ALLOCATION OF PARENTAL RESPONSIBILITIES TO GRANDPARENT(S)
Page 4 of 4
My commission expires: __________________
PURSUANT TO §14-10-124(1.5), C.R.S.
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