400-00870 Genetic Testing Stipulation & Order (0/201) Page 1 of 1 STATE OF VERMONT SUPERIOR COURT FAMILY DIVISION Unit Docket No. Plaintiff Name Defendant Name v . GENETIC TESTING STIPULATION AND ORDER (OCS) The parties and the Office of Child Support hereby stipulate and agree as follows: Name of Child(ren) Date of Birth 1.Plaintiff shall appear with without child(ren) named above at on at toprovide a sample of genetic material sufficient for the purpose of determining parentage. 2.Defendant shall appear with without child(ren) named above at on at toprovide a sample of genetic material sufficient for the purpose of determining parentage. 3.The cost of genetic testing shall be paid by the Office of Child Support. 4.The results of genetic testing shall be made available to all parties. APPROVED AS TO FORM Dated Signature Signature Plaintiffs Attorney Plaintiff Dated Signature Signature Defendants Attorney Defendant Dated Signature OCS Representative ORDER The terms of the parties agreement are hereby ORDERED. Failure to comply with this Order may result in a determination of parentage pursuant to . Dated Signature Superior Court Judge American LegalNet, Inc. www.FormsWorkFlow.com