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): Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg. #: Courtroom PETITION FOR PATERNITY I, _______________________________________ Petitioner, ask this Court to find to be the father of the child(ren) named in this Petition, and state that: 1. Information about the Petitioner: Mother Date of Birth: _____________________ Father Petitioner or Respondent Check if in Military Length of Residence in Colorado: _________________________ Current Mailing Address: ___________________________________________________________________________ City & Zip: _______________________________________________________________________________ Home Phone #: ____________________ Work Phone #: ___________________ Cell #: _________________ 2. Information about the Respondent: Mother Date of Birth: _____________________ Father Check if in Military Length of Residence in Colorado: _________________________ Current Mailing Address: ___________________________________________________________________________ City & Zip: _______________________________________________________________________________ Home Phone #: ____________________ Work Phone #: ___________________ Cell #: _________________ 3. Respondent, is the other biological parent of the following child(ren): Full Name of Child Present Address Sex Date of Birth 4. The Court has jurisdiction over the Respondent. 5. The minor child(ren) live(s) in this County. 6. Each party has a continuing duty to inform the Court of any proceeding in this or any other state that could affect the current proceeding. JDF 1501 R1/06 PETITION FOR PATERNITY Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com 7. I have participated in the following proceeding(s) regarding the child(ren) as a party or a witness, or in any other capacity concerning the allocation of parental responsibilities including decision-making and parenting time with the child(ren). Identify name of court, case number, state, date, and type of proceeding if any. Name of Court Case Number State Date of Proceeding Type of Proceeding 8. I have know of the following proceeding(s) that could affect the current proceeding including, but not limited to proceedings relating to domestic violence or domestic abuse, enforcement of Court orders, protection/restraining orders, termination of parental rights, and adoptions. Identify name of court, case number, state, date, and type of proceeding if any. Name of Court Case Number State Date of Proceeding Type of Proceeding 9. 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) Identify name and address of those persons, if any. Full Name of Person Address (Street, City/State, Zip Code) 10. Identify below the name and address of each person that the child(ren) has/have lived with over the past five years. Identify the relationship to the child(ren). Name of Person Address (City/Sate/Zip Code) Time Period (Month/Year) Type of Relationship to Child(ren) 11. I seek the following: Determination that Petitioner Respondent is the father. Order that the Birth Certificate(s) be changed to show JDF 1501 R1/06 PETITION FOR PATERNITY Petitioner Respondent as the father. Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com Child support ordered. Child support by income assignment to Petitioner’s Respondent’s employer. Past child support including birthing expenses. Medical support for the minor child(ren). Allocation of parental responsibilities (decision-making and parenting time) be addressed. Costs be addressed. Other _______________________________________________________________________________ 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 either party? No The Yes If your answer was Yes, complete the following: Protection/Restraining Order was Temporary Permanent and issued against _________________________________________, in the County of ____________________________ State of ________________________________, in case number ______________________. What was the subject matter of the Protection/Restraining Order or Emergency Protection Order? _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ VERIFICATION AND ACKNOWLEDGEMENT I, _____________________________________________, declare under oath that I am the Father Mother of the minor child(ren) of this action; and that the statements contained in this PETITION FOR PATERNITY are true to the best of my knowledge and belief. Date: ________________________________ __________________________________________ Signature of Petitioner Subscribed and affirmed, or sworn to before me in the County of ______________________, State of ________________, this ___________ day of _______________, 20 ______. My Commission Expires: ____________________ ___________________________________ Notary Public/Deputy Clerk JDF 1501 R1/06 PETITION FOR PATERNITY Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com