SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Paternity & Support Branch ________________________________________ PRINT THE OTHER PARENT'S NAME ________________________________________ STREET ADDRESS ________________________________________ CITY, STATE AND ZIP CODE Case No._____________________ IV-D _____________________ PETITIONER, v. ________________________________________ PRINT YOUR NAME ________________________________________ STREET ADDRESS ________________________________________ CITY, STATE AND ZIP CODE SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE'S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. Related Cases: _____________________________ _____________________________ RESPONDENT. ANSWER TO PETITION TO ESTABLISH PATERNITY and/or FOR CHILD SUPPORT I, _________________________________, am the Respondent in this case and answer that PRINT YOUR NAME 1. I ADMIT DENY that this Court has the authority to decide the Petitioner's request. DC Bar Pro Bono Center (revised 10/2016) Answer to Petition to Establish Paternity and/or For Child Support Page 1 of 9 American LegalNet, Inc. www.FormsWorkFlow.com 2. I state the following about Petitioner's claim of paternity: [CHECK ALL THAT APPLY] I ADMIT that I am the father of the following child(ren) named in the Petition: ______________________________________________________________________ __________________________________________________________________ _________________________________________________________________. PRINT CHILD(REN)'S NAME(S) I DENY that I am the father of the following child(ren) named in the Petition: ______________________________________________________________________ __________________________________________________________________ _________________________________________________________________. PRINT CHILD(REN)'S NAME(S) I DO NOT HAVE ENOUGH INFORMATION to admit or deny that I am the father of the following child(ren) named in the Petition: ______________________________________________________________________ __________________________________________________________________ _________________________________________________________________. PRINT CHILD(REN)'S NAME(S) 3. I state the following about the Petitioner's request for support: [CHECK ALL THAT APPLY] The following child(ren) is (are) not living with the Petitioner: ______________________________________________________________________ __________________________________________________________________ _________________________________________________________________. PRINT CHILD(REN)'S NAME(S) The following child(ren) is (are) no longer living: ______________________________________________________________________ __________________________________________________________________ _________________________________________________________________. PRINT CHILD(REN)'S NAME(S) DC Bar Pro Bono Center (revised 10/2016) Answer to Petition to Establish Paternity and/or For Child Support Page 2 of 9 American LegalNet, Inc. www.FormsWorkFlow.com  The following child(ren) is (are) over 21 years of age: ______________________________________________________________________ __________________________________________________________________ _________________________________________________________________. PRINT CHILD(REN)'S NAME(S) The following child(ren), although under 21 years of age, is (are) emancipated because of self-supporting employment, active military duty and/or marriage: ______________________________________________________________________ __________________________________________________________________ _________________________________________________________________. PRINT CHILD(REN)'S NAME(S) I am currently supporting my other child(ren) (through birth or adoption): living in my home DATE OF BIRTH CHILD'S NAME ____________________________________________________________________________ __________________________________________________________________ _________________________________________________________________. through court-ordered child support payments: DATE OF BIRTH COURT NAME & CASE NUMBER CHILD'S NAME ____________________________________________________________________________ __________________________________________________________________ _________________________________________________________________. I am currently incarcerated and I state the following about my incarceration: CASE NAME AND NUMBER COURT NAME AND LOCATION PLACE OF INCARCERATION START DATE ANTICIPATED END DATE ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ ________________________________________________ DC Bar Pro Bono Center (revised 10/2016) Answer to Petition to Establish Paternity and/or For Child Support Page 3 of 9 American LegalNet, Inc. www.FormsWorkFlow.com  I am unable to pay support because: I am disabled and have no income. I lost my job and have no income. Other: ______________________________________________________________________ __________________________________________________________________ Some or all of the child(ren) have medical insurance through: Petitioner or Petitioner's employer: ___________________________________________________________________________ _________________________________________________________________ PRINT CHILD(REN)'S NAME(S) Respondent or Respondent's employer: ___________________________________________________________________________ __________________________________________________________________ PRINT CHILD(REN)'S NAME(S) Medicaid or DC Healthy Families: ____________________________________________________________________________ __________________________________________________________________ PRINT CHILD(REN)'S NAME(S) I do not have my own medical insurance and/or I do not have medical insurance through my employer. I have been supporting the following child(ren): CHILD'S NAME WAYS YOU BEEN SUPPORTING THIS CHILD ____________________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Other: __________________________________________________________________ __________________________________________________________________ DC Bar Pro Bono Center (revised 10/2016) Answer to Petition to Es