F.C.A. §565 S.S.L. §I I l-k Form 5-4a (Order-Challenge to Testing Directive) 8/2010 At a Term of the Family Court of the State of New York, held in and for the County of _________________, at ___________________________, New York, on _________________. FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF PRESENT: Hon. _______________________ Judge ............................................................................ In the Matter of a Paternity Proceeding Involving Docket No. ____________________________________ Name of Child __________________________________________ Name of Mother __________________________________________ ORDER ON MOTION TO CHALLENGE GENETIC MARKER OR DNA TESTING DIRECTIVE Name of Alleged Father NOTICE: PURSUANT TO SECTION 1113 OF THE FAMILY COURT ACT, AN APPEAL FROM THIS ORDER MUST BE TAKEN WITHIN 30 DAYS OF RECEIPT OF THE ORDER BY THE APPELLANT IN COURT, 30 DAYS AFTER SERVICE BY A PARTY OR THE ATTORNEY FOR THE CHILD UPON THE APPELLANT, OR 35 DAYS FROM THE DATE OF MAILING OF THE ORDER TO APPELLANT BY THE CLERK OF THE COURT, WHICHEVER IS EARLIEST. A motion having been filed by _____________________________________challenging the Genetic Marker or DNA testing directive concerning _____________________________ a child born out of wedlock to____________________________________________________ on ______________________________; and American LegalNet, Inc. www.FormsWorkFlow.com Form 5-4a page 2 Notice of such motion having been given to (specify) social services official) and the parties having (not) appeared before this court; NOW, after examination into the facts and circumstances of this matter, and the Court having found that it (is in the best interests of the child to require the parties to submit to the administration and analysis of such test) (is not in the best interests of the child on the basis of ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ to require the parties to submit to the administration and analysis of such test); it is hereby [Delete inapplicable provision]: ORDERED, that the motion of ____________________________________ is hereby granted and ___________________________ shall not be required to submit to the administration and analysis of a Genetic Marker or DNA tests; );and it is further ORDERED, that the motion of ________________________ is hereby denied and shall be required to submit to the administration and analysis of a Genetic Marker or DNA tests );and it is further ORDERED, ENTER __________________________________ Judge of the Family Court Dated: ,. Check applicable box: Order mailed on [specify date(s) and to whom mailed]: _____________________ Order received in court on [specify date(s) and to whom given]: ______________ American LegalNet, Inc. www.FormsWorkFlow.com