Rule 17.200--Form 213: Motion to Disestablish Legal Parent · A party uses this form if a child is born or conceived during the marriage and one of the parties wants the court to find and conclude that one of the parties is not a biological parent of the child and should be disestablished as (should no longer be) a legal parent of the child. · For purposes of this form, legal parent is a person who is recognized by law as a parent to the child because of marriage. · This form can only be used if the party sought to be disestablished is a legal parent of the child because of the marriage of the parties and there is a pending dissolution of marriage action in Iowa. If the party sought to be disestablished is a legal parent of the child because of an affidavit, court order, or action in another state, do not use this form. If you do not understand how to use this form, or if you should use this form, talk to an attorney. In the Iowa District Court for County where your case is filed County Upon the Petition of Equity case no. Petitioner Full name first, middle, last Motion to Disestablish Legal Parent and concerning Respondent Full name first, middle, last I am Check one A. Petitioner B. Respondent 1. Legal Parent Check each that applies A. Petitioner's or Respondent's name is a legal parent but may not be a biological parent of Petitioner's or Respondent's unborn child expected to be born Expected due date . B. Petitioner's or Respondent's name is a legal parent but may not be a biological parent of the following children born during the marriage: List children's initials and birth year First, middle, & last initials of each child (1) (2) (3) Birth year First, middle, & last initials of each child (4) (5) (6) Birth year Check this box if you have attached a sheet listing additional children for whom Petitioner or Respondent is not the biological parent. March 2014 Rule 17.200--Form 213 Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.200--Form 213: Motion to Disestablish Legal Parent, continued 2. Genetic Tests Check each that applies A. B. C. I agree to cooperate with getting any genetic test that the court orders. I understand that I may have to pay for any genetic test that the court orders. Genetic tests* have been done and show Petitioner's or Respondent's name is not the biological parent. *Note on genetic tests: Genetic testing must be done by an accredited laboratory with verified documentation of the chain of custody, and the laboratory must send the evaluation report directly to the clerk of court. See Iowa Code sections 600B.41 and 600B.41A. 3. Request I ask the court to: A. Appoint a guardian ad litem (an attorney) for the child or children. I understand that I may have to pay the costs of the guardian ad litem. B. Order genetic tests if needed and order that Petitioner, Respondent, and children go for testing. C. Find that Petitioner's or Respondent's name , if excluded by genetic testing, is not a biological parent of the child or children, including any unborn child, listed in section 1 above, and that the court disestablish that person as a legal parent of the child or children. 4. Child Support Recovery Unit (CSRU) Check one A. B. CSRU is providing services. Note: You must give a copy of this Motion to CSRU if it is providing services. CSRU is not providing services. Continued on next page March 2014 Rule 17.200--Form 213 Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.200--Form 213: Motion to Disestablish Legal Parent, continued 5. Attorney Help Check one A. B. An attorney did not help me prepare or fill in this paper. An attorney helped me prepare or fill in this paper. If you check B, you must fill in the following information: Name of attorney or organization, if any Attorney's P.I.N. # ­ Ask the attorney Business address of attorney or organization City State ZIP code ( ) ( ) Attorney's email address ­ optional Attorney's phone number Attorney's fax number ­ optional 6. Certification of Service by Mailing or Delivery Section 6 to be completed only if filing in paper or if the other party is exempt from electronic filing. This document, if filed electronically, will automatically be served on registered parties. I, Print your name , certify that on Month Day , 20 Year I mailed or gave a copy of this Motion to the other party or the other party's attorney at this address: Name of person to whom I delivered or mailed it Party's or attorney's mailing address City State ZIP code 7. Oath and Signature I, Print your name , certify under penalty of perjury and pursuant to the laws of the State of Iowa that I have read this Motion and that the information I have provided in this Motion is true and correct. , 20 Signed on: Month Day Year Your signature* Mailing address City State ZIP code ( ) Email address Additional email address ­ if available Phone number * Whether filing electronically or in paper, you must handwrite your signature on this form. If you are filing electronically, scan the form after signing it and then file electronically. March 2014 Rule 17.200--Form 213 Page 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com