‰District Court ‰Denver Juvenile Court _________________________________________ County, Colorado Court Address: In the Interest of: Petitioner: v. Respondent: Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg. #: Courtroom SUMMONS TO DISCLAIM PATERNITY To the Respondent named above this Summons serves as a notice to appear in this case. You are hereby notified that a Petition has been filed in this Court in which it is represented that the Petitioner is disclaiming that __________________________________ (name of party) is the biological father of the named children in the Petition. The Petition, requests that the Court enter judgment and grant such further relief as the Court deems proper, including requiring you to pay costs of this action. Your response must be accompanied with the applicable filing fee of $158.00. You are hereby summoned to appear for a hearing in Division ______ of the District Court or Denver Juvenile Court, at the above address, on _________________________ (date), at ________ (time), at which time an Order may be entered identifying whether the Petitioner/Respondent is/is not the biological father of the children identified in the Petition and any other orders as appropriate. You are hereby advised that, pursuant to state statute §19-4-105, C.R.S., this request for genetic tests shall not prejudice the requesting party in matters concerning allocation of parental responsibilities pursuant to §14-10-124(1.5), C.R.S. If genetic tests are not obtained prior to a legal establishment of paternity and submitted into evidence prior to the entry of the final order establishing paternity, the genetic tests may not be allowed into evidence at a later date. If you fail to appear at the stated time and place, the Court may enter orders as addressed in the Petition. Date: _______________________________ ______________________________________ ‰Signature of the Clerk of Court/Deputy _____________________________________ ‰Signature of the Attorney for the Petitioner (if any) JDF 1515 R7/08 SUMMONS TO DISCLAIM PATERNITY Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com ‰District Court ‰Denver Juvenile Court __________________________________County, Colorado Court Address: In the Interest of: Petitioner: v. Respondent: Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg. #: Courtroom SUMMONS TO DISCLAIM PATERNITY – RETURN OF SERVICE I declare under oath that I am 18 years or older and not a party to the action and that I served this Summons, a copy of the Petition, and if applicable the ‰Case Management Order, and ‰Other (Please identify): _________________________________________________________ in this case on the Respondent in _______________________ (County) __________________ (State) on ______________ (date) _______ (time) at the following location: ______________________________________________________________________ By (Check one): ‰ By handing it to a person identified to me as the Respondent. ‰ By leaving it with _________________________________________ (Type or write name legibly), who is designated to receive service for the Respondent because of the following relationship with the Respondent: ___________________________________________________ as provided for in C.R.C.P. 4(e). ‰ I attempted to serve the Respondent on _______ occasions but have not been able to locate the Respondent. Return to the Petitioner is made on ___________________ (date). ‰ I attempted to leave it with Respondent who refused service. ‰ Private process server ‰ Sheriff, _________________________County ______________________________________ Signature of Process Server Fee $ ____________ Mileage $ ________ _____________________________________ Name (Print or type) Subscribed and affirmed, or sworn to before me in the County of ______________________, State of ________________, this ___________ day of _______________, 20 _______. My Commission Expires: __________________ JDF 1515 R7/08 SUMMONS TO DISCLAIM PATERNITY ______________________________________ Notary Public/Clerk Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com