Superior Court of Washington County of In re: No. Petitioner, and Respondent. Order re Adequate Cause (Modification/Adjustment of Custody Decree/Parenting Plan/Residential Schedule) [ ] Denied (ORRACD) [ ] Granted (ORRACG) [ ] Hearing set (ORH) Clerk’s Action Required I. Basis 1.1 A petition requesting the modification/adjustment of the custody decree/parenting plan/residential schedule in this matter has been presented to the court. 1.2 A hearing was held on ____________________________ [Date]. II. Findings The Court Finds: 2.1 Jurisdiction This court has jurisdiction over the proceeding and the parties. 2.2 Service on Nonmoving Party The nonmoving party was served with a copy of the petition for modification/adjustment of custody decree/parenting plan/residential schedule, summons, a proposed parenting plan, and child support worksheet, if any, on ____________________________________ [Date]. Ord re Adequate Cause (ORRACD, ORRACG, ORH) - Page 1 of 3 WPF DRPSCU 07.0300 (6/2006) - RCW 26.09.260; .270; 26.10.200 American LegalNet, Inc. www.USCourtForms.com 2.3 Time Elapsed Since Service on the Nonmoving Party [] [] [] 2.4 Response [] [] 2.5 The nonmoving party has responded. The nonmoving party has not responded and is in default. Adequate Cause Finding [] [] [] 2.6 The nonmoving party was served within the state of Washington and more than 20 days have elapsed since the date of service. The nonmoving party was served outside the state of Washington and more than 60 days have elapsed since the date of service. The nonmoving party was served by mail and more than 90 days have elapsed since date of mailing. Adequate cause for hearing the petition has not been established. Adequate cause for hearing the petition has been established. The parties stipulate that there is adequate cause for hearing the petition. Servicemembers Civil Relief Act Statement 2.6.1 [] _____________________________ [name of nonmoving party] is not a service member or a dependent of a service member. 2.6.2 It appears ____________________________ [name of nonmoving party – service member]: [] [] [] [] 2.6.3 is on active duty in the U.S. armed forces (excluding National Guard and reserves); is on active duty and is a National Guard member or a Reservist residing in Washington; is not on active duty in the U.S. armed forces (excluding National Guard and reserves). is not on active duty and is a National Guard member or a Reservist residing in Washington. It appears __________________________ [name of nonmoving party – dependent of service member]: [] [] [] is a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist; is not a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist. is presumed not a dependent of a resident of Washington who is on active duty and is a National Guard member or a Reservist. Ord re Adequate Cause (ORRACD, ORRACG, ORH) - Page 2 of 3 WPF DRPSCU 07.0300 (6/2006) - RCW 26.09.260; .270; 26.10.200 American LegalNet, Inc. www.USCourtForms.com III. Order It is Ordered: [] [] [] The petition is denied. The matter is set for hearing or trial at the date or time established or to be established. The matter is set for hearing or trial at: Date: ________________________________ Place: ________________________________ [] The nonmoving party is in default. [] Time: _______________________a.m./p.m. Room/Department: ____________________ Other: Dated: Judge/Commissioner Presented by: Approved by: Signature of Party or Lawyer/WSBA No. Signature of Party or Lawyer/WSBA No. Print or Type Name Print or Type Name Date Date Signature of Party or Lawyer/WSBA No. Signature of Party or Lawyer/WSBA No. Print or Type Name Print or Type Name Date Date Signature of Party or Lawyer/WSBA No. Print or Type Name Date Ord re Adequate Cause (ORRACD, ORRACG, ORH) - Page 3 of 3 WPF DRPSCU 07.0300 (6/2006) - RCW 26.09.260; .270; 26.10.200 American LegalNet, Inc. www.USCourtForms.com