Form Jdf 1413 - Petition For Allocation Of Parental Responsibilities Page 4
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414. Notice of Existing Case with Child Support Enforcement (CSE)
The parents have filed a case with CSE?
No
Yes If Yes, identify the case number: _____________
Notice:
Colorado Revised Statutes §14-10-123, provides that upon the filing of a Petition for Allocation of
Parental Responsibilities by the Petitioner and Co-Petitioner, or upon personal service of the Petition and
Summons on the Respondent, or upon waiver and acceptance of service by the Respondent, an automatic
temporary injunction shall be in effect against both parties until the Final Order is entered, or the Petition is
dismissed, or until further Order of the Court. Either party may apply to the Court for further temporary orders, an
expanded automatic temporary injunction, or modification or revocation under §14-10-125, C.R.S.
1. Both parties are enjoined from molesting or disturbing the peace of the other party; and
2. Both parties are restrained from removing the minor child(ren) from the state without the consent of
all parties or an Order of the Court modifying the injunction; and
3. Both parties are restrained, without at least 14 days advance notification and the written consent of all
other parties or an Order of the Court, from cancelling, modifying, terminating, or allowing to lapse for
nonpayment of premiums, any policy of health insurance or life insurance that provides coverage to
the minor child(ren) as a beneficiary of a policy.
Petitioner and Co-Petitioner, if any, acknowledge that he or she has received a copy of, has read, and
understands the terms of the automatic temporary injunction set forth in this Petition.
I/We seek an order granting the allocation of parental responsibilities, the establishment of child support,
and any other orders necessary to effectuate the best interests of the child(ren).
VERIFICATION AND ACKNOWLEDGEMENT
I swear/affirm under oath that I have read the foregoing document and that the information provided set forth
therein is true and correct to the best of my knowledge and belief.
_______________________________________
______________________________________
Petitioner Signature
Date
Co-Petitioner Signature
Date
______________________________________
____________________________________
Petitioner’s Attorney Signature, if any
Co-Petitioner’s Attorney Signature, if any
Subscribed and affirmed, or sworn to before me
Subscribed and affirmed, or sworn to before me
by ____________________________________
by ___________________________________
in the County of ________________________,
in the County of _______________________,
State of ____________________, this _______
State of ___________________, this _______
day of ___________________, 20 _____.
day of ___________________, 20 _____.
My Commission Expires: __________________
My Commission Expires: __________________
______________________________________
______________________________________
Notary Public/Clerk
Notary Public/Clerk
JDF 1413
R11/10 PETITION FOR ALLOCATION OF PARENTAL RESPONSIBILITIES
Page 4 of 4
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