SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Paternity & Support Branch

Transcription

1 SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Paternity & Support Branch PRINT YOUR NAME STREET ADDRESS CITY, STATE AND ZIP CODE SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. PS IV-D v. PETITIONER, Related Cases: PRINT THE OTHER PARENT S NAME STREET ADDRESS CITY, STATE AND ZIP CODE RESPONDENT. PETITION TO ESTABLISH PATERNITY and/or FOR CHILD SUPPORT Are You Asking the Court to Decide Paternity? yes no Are You Asking the Court to Decide Support? yes no I,, am the Petitioner in this case and I state that: PRINT YOUR NAME 1. This Court is the proper place to decide my request for establishing paternity and/or child support. 2. I state the following about paternity: [CHECK ALL THAT APPLY] The child(ren) were born during my marriage to the other party. The father is named on the child(ren) s birth certificate(s). DC Bar Pro Bono Program (revised ) Petition to Establish Paternity and/or For Support Page 1 of 54

2 The other party and I have both signed a written statement under oath admitting paternity. The father has signed a written statement admitting paternity. Another state has decided paternity. There is a genetic test result and a certified affidavit from a laboratory indicating a 99% or greater probability of paternity. I may be the father. Other: 3. I am asking to determine paternity for the following child(ren) that I may have with the other party (through birth or adoption): s Name Current Address Date of Birth Gender 4. Each party has the legal duty to contribute to the support of our eligible child(ren), including any adult disabled children. 5. I state the following about Temporary Assistance to Needy Families (TANF): [CHECK ONE] I am I am not currently receiving Temporary Assistance to Needy Families (TANF). 6. I state the following about Medicaid and/or DC Healthy Families: [CHECK ONE] I am I am not currently receiving Medicaid and/or DC Healthy Families. DC Bar Pro Bono Program (revised ) Petition to to Establish Paternity and/or and/or For For Support Page Page 2 of 2 of 5 4

3 Request for Relief I RESPECTFULLY REQUEST that the Court: [CHECK ALL THAT APPLY] Hold a hearing on this Petition within 45 days of filing and issue a Notice of Hearing and Order Directing Appearance ( NHODA ) to Respondent with the date and time of the hearing. Order a paternity test. Decide paternity for my child(ren) and order entry of the father s name on the birth certificate for the child(ren). Award support according to the Support Guideline of the District of Columbia and other applicable laws, including: current child support (support starting today and continuing into the future) retroactive child support (support for time before today) medical support Order [PRINT ANYTHING ELSE YOU WANT THIS COURT TO DO.] I ALSO REQUEST that the Court award any other relief it considers fair and proper. [CHECK ONE] I do I do not know of any proceedings in the District of Columbia or in any state or territory involving the same claim or subject matter as this case. DC Bar Pro Bono Program (revised ) Petition to to Establish Paternity and/or For For Support Page Page 3 of 3 of 5 4

4 I solemnly swear or affirm under criminal penalties for the making of a false statement that I have read the foregoing Petition to Establish Paternity and/or for Support and that the factual statements made in it are true to the best of my personal knowledge, information and belief. Respectfully Submitted, SIGN YOUR NAME DATE STREET ADDRESS CITY, STATE AND ZIP CODE TELEPHONE NUMBER SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. DC Bar Pro Bono Program (revised ) Petition to to Establish Paternity and/or For For Support Page Page 4 of 4 of 5 4

5 RULE 4(a)(2) and DC CODE CERTIFICATE OF SERVICE WHEN YOU FILE YOUR PETITION OR MOTION TO MODIFY, THE FAMILY COURT CENTRAL INTAKE CENTER WILL ISSUE A NOTICE OF HEARING AND ORDER DIRECTING APPEARANCE (NHODA) THAT YOU MUST SERVE ON THE OTHER PARTY WITH A COPY OF YOUR PETITION OR MOTION. YOU MUST SERVE THE OTHER PARTY BEFORE THE HEARING DATE GIVEN ON YOUR NHODA. HERE ARE THE WAYS YOU CAN SERVE THIS PETITION OR MOTION TO MODIFY AND THE NHODA: by having someone else, who is over 18 years old and not a party to the case (NOT you), hand it to the other party; or by having someone else, who is over 18 years old and not a party to the case (NOT you), leave a copy at the other party s home with a person of suitable age and discretion who lives there; or by having someone else, who is over 18 years old and not a party to the case (NOT you), leave a copy at the other party s workplace with a person of suitable age and discretion; or by mailing it to the other party by certified mail, return receipt requested and by first-class mail on the same day. IF THE RETURN RECEIPT ( GREEN CARD ) COMES BACK TO YOU, AND IT IS SIGNED BY THE OTHER PARTY OR BY A PERSON OF SUITABLE AGE AND DISCRETION WHO LIVES WITH THE OTHER PARTY, FILE IT WITH THE FAMILY COURT CENTRAL INTAKE CENTER. IF THE RETURN RECEIPT ( GREEN CARD ) DOES NOT COME BACK TO YOU, BUT THE FIRST- CLASS MAIL ALSO DOES NOT COME BACK TO YOU, THE SERVICE IS STILL OKAY. AFTER YOU SERVE THE OTHER PARTY, YOU MUST COMPLETE THE CERTIFICATE OF SERVICE PORTION FOUND AT THE BOTTOM OF THE NHODA AND FILE IT WITH THE FAMILY COURT CENTRAL INTAKE CENTER. DC Bar Pro Bono Program (revised ) 03.05) Answer to Petitionto to Establish Paternity and/or For For Support Page9 5of of 9 5

6 Superior Court of the District of Columbia Family Court Cross Reference Intake Form Plaintiff/Petitioner 1 Party Name Address Date of Birth Social Security Number Driver License Number Co-Plaintiff/Co-Petitioner Defendant/Respondent 2 Co-Defendant/Co-Respondent Household Members Household Members 1. What type of case are you filing today? 2. Do you have any other court cases in this court? If yes, please list the name, type, and case number: 3. Do you have any other court cases in another court? If yes, please list the name of the court, case, type, and number: 4. Are you pro se (representing yourself)? If yes, please visit the Family Court Self-Help Center in Room JM The person who is filing the case is the plaintiff/petitioner 2 The person against whom the case is filed is the defendant/respondent Disclaimer: This form will not be kept in the official court jacket. After your information has been entered into the system, this form will be destroyed. Revised December 15, 2014 by the D.C. Bar Pro Bono Program