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 PETITIONER, v. ________________________________________ PRINT YOUR NAME ________________________________________ STREET ADDRESS PS _____________________ IV-D _____________________ Related Cases: _____________________________ _____________________________ ________________________________________ CITY, STATE AND ZIP CODE SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. 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 Program (revised 03.05) 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 Program (revised 03.05) 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 CHILD’S NAME DATE OF BIRTH ____________________________________________________________________________ __________________________________________________________________ _________________________________________________________________. through court-ordered child support payments: CHILD’S NAME DATE OF BIRTH COURT NAME & CASE NUMBER ____________________________________________________________________________ __________________________________________________________________ _________________________________________________________________. 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 Program (revised 03.05) 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 Program (revised 03.05) Answer to Petition to Establish Paternity and/or For Child Support Page 4 of 9 American LegalNet, Inc. www.FormsWorkFlow.com Request for Relief I RESPECTFULLY REQUEST that [CHECK ALL THAT APPLY] The Court dismiss the Petition to Establish Paternity and/or for Child Support. The Court order a genetic test to determine paternity for the following child(ren) named in the Petition: ____________________________________________________________________________ __________________________________________________________________ _________________________________________________________________. PRINT CHILD(REN)’S NAME(S) The Court consider the child(ren)’s needs, my ability to pay, and all other relevant factors under the Child Support Guideline of the District of Columbia and other applicable laws in setting the kind and amount of support. The Court order ______________________________________________________ ________________________________________________________________________ _______________________________________________________________________. PRINT ANYTHING ELSE YOU WANT THIS COURT TO DO. I ALSO REQUEST that the Court award any other relief it considers fair and proper. [CHECK ONE] I do not know of any proceedings in the District of Columbia or in any state or territory involving the same claim or subject matter as this case. I do know of proceedings in the District of Columbia or in any state or territory involving the same claim or subject matter as this case, as listed on the first page of this Answer (“Related Cases”). DC Bar Pro Bono Program (revised 03.05) Answer to Petition to Establish Paternity and/or For Child Support Page 5 of 9 American LegalNet, Inc. www.FormsWorkFlow.com Respectfully Submitted, ____________________________________ SIGN YOUR NAME ___________________________________________ STREET ADDRESS ___________________________________________ CITY, STATE AND ZIP CODE ___________________________________________ TELEPHONE NUMBER SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. I, _________________________________, solemnly swear or affirm under criminal penalties for the making of a false statement that I have read the foregoing Petition to Establish Paternity and/or For Child Support and that the factual statements made in it are true to the best of my personal knowledge, information and belief. ___________________________________ ______________________________ SIGN YOUR NAME DATE ___________________________________ PRINT YOUR NAME DC Bar Pro Bono Program (revised 03.05) Answer to Petition to Establish Paternity and/or For Child Support Page 6 of 9 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT ________________________________________ PRINT PETITIONER’S/PLAINTIFF’S NAME Case No. PETITIONER/PLAINTIFF, ___________________ v. _________________________________ PRINT RESPONDENT’S/DEFENDANT’S NAME RESPONDENT/DEFENDANT. RULE 5 CERTIFICATE OF SERVICE IF YOU HAVE ALREADY SERVED THE OTHER PARTY, YOU CAN FILL OUT AND FILE THIS CERTIFICATE OF SERVICE ON THE SAME DAY YOU FILE YOUR PAPERS. IF YOU HAVE NOT ALREADY SERVED THE OTHER PARTY, YOU MUST FILL OUT AND FILE THIS CERTIFICATE OF SERVICE AFTER YOU SERVE THE OTHER PARTY. I certify that I served a copy of my Answer to Petition to Establish Paternity and/or for Child Support to the other party or the other party’s attorney on _________________________. PRINT DATE OF SERVICE The papers were delivered [CHECK ONE] by handing it to the other party by first class mail to: ________________________________________________________________________ PRINT NAME OF PERSON SERVED WITH PAPERS ________________________________________________________________________ STREET ADDRESS CITY, STATE AND ZIP CODE DC Bar Pro Bono Program (revised 03.05) Answer to Petition to Establish Paternity and/or For Child Support Page 7 of 9 American LegalNet, Inc. www.FormsWorkFlow.com by fax to: ________________________________________________________________________ PRINT NAME OF PERSON SERVED WITH PAPERS ________________________________________________________________________ FAX NUMBER by leaving a copy at the other party’s workplace with a clerk or person in charge, or because there was no one in charge, by leaving it in a conspicuous place: ________________________________________________________________________ PRINT NAME OF PERSON SERVED WITH PAPERS ________________________________________________________________________ STREET ADDRESS CITY, STATE AND ZIP CODE by leaving a copy at the other party’s home with a person of suitable age and discretion who lives there: ________________________________________________________________________ PRINT NAME OF PERSON SERVED WITH PAPERS ________________________________________________________________________ STREET ADDRESS CITY, STATE AND ZIP CODE _____________________________ _____________________________ SIGN YOUR NAME DATE DC Bar Pro Bono Program (revised 03.05) Answer to Petition to Establish Paternity and/or For Child Support Page 8 of 9 American LegalNet, Inc. www.FormsWorkFlow.com RULE 4(a)(2) and DC CODE §46-206 CERTIFICATE OF SERVICE WHEN YOU FILE YOUR PETITION OR MOTION TO MODIFY, THE FAMILY COURT CENTRAL INTAKE CENTER WILL ISSUE A NOTICE OF HEARING AND ORDER DIRECTING APPEARANCE (NHODA) THAT YOU MUST SERVE ON THE OTHER PARTY WITH A COPY OF YOUR PETITION OR MOTION. YOU MUST SERVE THE OTHER PARTY BEFORE THE HEARING DATE GIVEN ON YOUR NHODA. HERE ARE THE WAYS YOU CAN SERVE THIS PETITION OR MOTION TO MODIFY AND THE NHODA: by having someone else, who is over 18 years old and not a party to the case (NOT you), hand it to the other party; or by having someone else, who is over 18 years old and not a party to the case (NOT you), leave a copy at the other party’s home with a person of suitable age and discretion who lives there; or by having someone else, who is over 18 years old and not a party to the case (NOT you), leave a copy at the other party’s workplace with a person of suitable age and discretion; or by mailing it to the other party by certified mail, return receipt requested and by first-class mail on the same day. IF THE RETURN RECEIPT (“GREEN CARD”) COMES BACK TO YOU, AND IT IS SIGNED BY THE OTHER PARTY OR BY A PERSON OF SUITABLE AGE AND DISCRETION WHO LIVES WITH THE OTHER PARTY, FILE IT WITH THE FAMILY COURT CENTRAL INTAKE CENTER. IF THE RETURN RECEIPT (“GREEN CARD”) DOES NOT COME BACK TO YOU, BUT THE FIRSTCLASS MAIL ALSO DOES NOT COME BACK TO YOU, THE SERVICE IS STILL OKAY. AFTER YOU SERVE THE OTHER PARTY, YOU MUST COMPLETE THE CERTIFICATE OF SERVICE PORTION FOUND AT THE BOTTOM OF THE NHODA AND FILE IT WITH THE FAMILY COURT CENTRAL INTAKE CENTER. DC Bar Pro Bono Program (revised 03.05) Answer to Petition to Establish Paternity and/or For Child Support Page 9 of 9 American LegalNet, Inc. www.FormsWorkFlow.com