Full Name of Party Filing This Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Number Email Address (if any) IN THE DISTRICT COURT OF THE JUDICIAL DISTRICT OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF State of Idaho, Department of Health and Welfare, Division of Child Support Enforcement, Petitioner, vs. _____________________________________, Respondent. Case No.: __________________________ MOTION FOR INTERVENTION Under Rule 211, I.R.F.L.P. I, (your name) court's permission to intervene as a party in this case and certifies: , ask the 1. The above-entitled action was filed by the State of Idaho, Department of Health and Welfare to establish paternity and order support of the following child/ren: Name(s) of Child/ren Date(s) of Birth MOTION FOR INTERVENTION CAO GCS 4-1 07/01/2016 PAGE 1 American LegalNet, Inc. www.FormsWorkFlow.com 2. I am the mother father of the minor child/ren and have an unconditional right to intervene in this action. 3. I want to modify the child support provisions of the Court's most recent Child Support Order, based upon a substantial and material change in the circumstances of one or both parents, and/or obtain an order respecting custody of the minor child/ren. 4. Both as a matter of right and in the interest of judicial economy, I should be allowed to intervene in this case in order to file documents. 5. I ask that the future case caption name both parents as Co-Respondents. 6. I ask that the Court grant this Motion without requiring a hearing. or I ask that the Court set a hearing and I am filing a Notice of Hearing. CERTIFICATION UNDER PENALTY OF PERJURY I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct. Date: Typed/Printed Name Signature MOTION FOR INTERVENTION CAO GCS 4-1 07/01/2016 PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I certify that on (date) yourself) , I served a copy to: (name all parties in the case other than State of Idaho, Department of Health And Welfare, Division of Child Support Enforcement (Street or Post Office Address) By mail By personal delivery By fax (number) (City, State, and Zip Code) (Name) By mail By personal delivery By fax (number) (Street or Post Office Address) (City, State, and Zip Code) (Name) (Street or Post Office Address) By mail By personal delivery By fax (number) (City, State, and Zip Code) Typed/printed name Signature MOTION FOR INTERVENTION CAO GCS 4-1 07/01/2016 PAGE 3 American LegalNet, Inc. www.FormsWorkFlow.com