JDF 1326 R 2 / 18 STIPULATION REGARDING APPOINTING DECISION Page 1 of 2 District Court Denver Juvenile Court County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: Petitione r: and Co - Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom STIPULATION REGARDING APPOINTMENT OF DECISION - MAKER PURSUANT TO 247 14 - 10 - 128.3, C.R.S. The parties stipulate to the appointment of a Decision - Maker (DM) , pursuant to 14 - 10 - 128.3 , C.R.S. as follows: That shall be appointed as DM in this matter. or That a DM be appointed but request that the C ourt determine who will serve as a DM in this matter. o r Th e onsideration : 1. The parties understand that the DM has binding authority to resolve disputes between the parties as to the implementation or clarification of existing orders concerning: Parenting Time Child support Other s pecific disputed parental decisions as described below: as set forth in: Temporary Order entered by the Court on (date). Permanent Order entered by the Court on (date). Post Decree Order entered by the Court on (date). American LegalNet, Inc. www.FormsWorkFlow.com JDF 1326 R 2 / 18 STIPULATION REGARDING APPOINTING DECISION Page 2 of 2 Other 2. T he parties stipulate to the following regarding payment of the retainer , fees , and costs : 1. he/she require s $ for the initial retainer. The Petitioner will pay the DM directly the amount of $ or % to be applied toward the initial retainer on or before (date). The Co - Petitioner/Respondent will pay the DM directly the amount of $ or % to be applied toward the retainer on or before (date). 2. Thereafter, the DM shall bill his/her hourly rate of $ against the initial retainer, and fees and costs in excess shall remain apportioned as set forth above and shall be paid within 30 days of the date billed, unless other wise ordered by the Court or agreed between the parties. 3. The parties agree to comply with the Or der Appoint ing Decision - Maker issued by this C ourt. 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 City State Zip Code Home Phone Cell Phone ( P rinted name of Co - Petitioner) Signature of Co - Petitioner Date City State Zip Code Home Phone Cell Phone Co - American LegalNet, Inc. www.FormsWorkFlow.com