0 Rule 6.751 — Form 5 July 2003 IN THE SUPREME COURT OF IOWA IN THE INTEREST OF Supreme Court No. __________________ Juvenile Court No. ___________________ ______________________, CHILD(REN) RESPONSE TO PETITION ON APPEAL (CROSS-APPEAL) 1. This Response to the Petition on Appeal is filed on behalf of ____________________, the mother/father/child/ State/Intervenor/other _______________________, in the above-identified proceeding. 2. The appellee’s attorney, _________________________, is/is not the attorney who represented appellee at trial. 3. The relevant date(s) regarding this appeal: _______ are correctly stated in the Petition on Appeal. _______ are corrected by appellee as follows: ________________________________________________________ _____________________________________________________________________________________________ 4. The statement of material facts as they relate to the issues presented for appeal is: _______ accurate as set forth by appellant and accepted by the undersigned appellee; OR _______ requires additions/corrections, as follows: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ 5. Appellee’s response to the legal issues presented for appeal are as follows: a. Issue I: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Appellee states that: _______ error was preserved as alleged in the Petition on Appeal. _______ error was not preserved. If so, please explain briefly: __________________________________________________________________________________________ __________________________________________________________________________________________ Legal authority for Issue I supporting appellee’s response: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkflow.com b. Issue II: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Appellee states that: _______ error was preserved as alleged in the Petition on Appeal. _______ error was not preserved. If so, please explain briefly: __________________________________________________________________________________________ __________________________________________________________________________________________ Legal authority for Issue II supporting appellee’s response: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 6. The undersigned requests the appellate court issue an opinion affirming the order of the juvenile court in this matter. __________________________________________________ Attorney for appellee. Name, address, telephone. PROOF OF SERVICE AND CERTIFICATE OF FILING I certify that on the ____________________________ day of __________________________________, 20 _____, I served this document by ( _________ mailing) ( _________ personally delivering) a copy to all parties or attorneys whose names and addresses are shown below. I further certify that on the _________________________ day of ________________________________, 20 _____, I filed this Response to Petition on Appeal by ( ________ mailing) ( _________ personally delivering) eighteen copies of it to the Clerk of the Iowa Supreme Court, Iowa Judicial Branch Building, 1111 East Court Avenue, Des Moines, Iowa 50319. __________________________________________________ Signature of person filing and serving response. Name, address, telephone. Persons served: American LegalNet, Inc. www.FormsWorkflow.com