3. The minor child(ren) is/are:
Full Name of Child
Present Address
Sex
Date of Birth
4. The child(ren) listed above have lived in Colorado for a minimum of six months prior to the filing of this
Petition or since birth if under six months of age?
No
Yes If No, please state the name of child,
name of person child lived with and the month, date and year when each child most recently moved to
Colorado.
Full Name of Child
Name of Person Child Lived
State Moved
Month
Day
Year
with
From
5. I/We understand that a request by either party for genetic testing shall not prejudice the requesting party in
the allocation of parental responsibilities.
6. Each party has a continuing duty to inform the Court of any proceeding(s) in this or any other state
that could affect the current proceeding.
7. I/We understand that the Court may review any case involving the children, Petitioner, Co-Petitioner/
Respondent and other parties named in this Petition that have been filed in any Court.
8. I/We have participated in the following proceeding(s) regarding the child(ren) as a party or a witness, or in any
other capacity concerning issues of custody/allocation of decision-making, or visitation/parenting time with the
child(ren). Identify name of court, case number, state, date and type of proceeding.
Name of Court
Case Number
State
Date of Proceeding
Type of Proceeding
9. I/We know of the following proceeding(s) that could affect the current proceeding including, but not limited to
proceedings for Dissolution of Marriage/Legal Separation, enforcement of Court orders, domestic violence or
domestic abuse, protection/restraining orders, termination of parental rights, and adoptions. Identify name of
court, case number, state, date and type of proceeding.
Name of Court
Case Number
State
Date of Proceeding
Type of Proceeding
JDF 1413
R11/10 PETITION FOR ALLOCATION OF PARENTAL RESPONSIBILITIES
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