Order For Allocation Of Parental Responsibilities

CourtDistrictJuvenileColorado County:Court Address:Court Use sion:Courtroom:(or Co-petitioner)Order for Allocation of Parental Responsibilities1.HearingThis matter was heard on (date).PetitionerAttendedRespondent / Co-PetitionerDid not attendAttendedParticipated by absentee testimonyParticipated by absentee testimonyWas represented by an attorneyWas represented by an attorneyAttorney Name:2.Did not attendAttorney Name:Fact FindingsThe Court has examined the records and evidence presented and has heard thetestimony and statements of the parties and makes the following Findings:1)The Court has jurisdiction over the Petitioner and the minor children.2)The Courtdoesdoes not have jurisdiction over the Respondent / Co-Petitioner.The Respondent was served in (state)on (date).The Respondent signed a Waiver of Service on (date).The children were conceived in Colorado.The Respondent was served by publication on (date)pursuant toC.R.S. § 14-10-107(4)(a), and/or C.R.S. § 14-13-108, if the Respondent does notreside in Colorado.Other DF 1422 – Order for Allocation of Parental ResponsibilitiesR: October 13, 2021Page 1 of 5

3)The Petitioner is the children’s:Mother4)Father3.Other:.The Respondent / Co-Petitioner is the ther:.The children are:Full NamePresent AddressSexDate ofBirthPermanent OrdersThe Court, based on these findings, Orders as follows:1)Parenting Plana)The following is found to be in the best interest of the children and isincorporated into and made a part of this Order:Parenting Plan (JDF 1113).Signed Stipulation (date).Mediation Agreement (date).orb)The Court finds that it is in the best interest of the children to allocate decisionmaking responsibilities as follows:will have sole decision-(Name of party)making responsibilities.The parties shall jointly share decision-making responsibilities.Other as set forth in “Additional Court Orders” - Section 12 below.www.courts.state.co.us/Forms/familyJDF 1422 – Order for Allocation of Parental ResponsibilitiesR: October 13, 2021Page 2 of 5

c)Parenting time as set forth below is found to be in the best interest of thechildren and is ordered as follows:2)Child Supporta)Child Support shall be per thePlan, orSupport Order (JDF 1117),Parentingthe Order issued on (date)and isincorporated into and made part of this Order.orb)Child Support shall be as follows:The child support payment will be ThePetitionerper month.Respondent / Co-Petitioner will pay theRespondent/Co-PetitionerPetitionerOther Party:.Payments will continue until the children reach the age of 19 or areemancipated at an earlier age, or the Court modifies child support.Payments are to be made:weeklybi-weeklytwice a monthmonthlyother:The first payment is due on (date).Payments will be mailed:To the Family Support Registry P.O. Box 2171, Denver, CO 80201.orDirectly to3)PetitionerRespondent / Co-PetitionerOther Party.Income Assignmenta)The Court Orders the immediate activation of an Income Assignment againstthe Obligor pursuant to C.R.S. § 14-14-111.5. The Income Assignment shall bepaid as outlined in sub-section 2 above.www.courts.state.co.us/Forms/familyJDF 1422 – Order for Allocation of Parental ResponsibilitiesR: October 13, 2021Page 3 of 5

orb)This Order is not subject to the immediate activation of an Income Assignmentbecause either:Both parties have entered into a written agreement, however if a paymentis missed, a wage assignment will be established.The Court finds there is good cause not to require the immediate activationof an Income Assignment because:4).Health Carea)Medical, Dental, Vision, and Mental Health Insurance and Extraordinary/Out-ofPocket Medical Expenses shall be paid per the Parenting Plan or anotherand is incorporated intoOrder issued on (date)and made a part of this Order.orb)The Court orders themedicaldentalPetitioner orvisionRespondent / Co-Petitioner to providemental health insurance for the children. Ifnot all children, please identify the names of the children that this party will beproviding insurance for:.Coverage shall be provided pursuant to Policy Number:.Name of Insurer:.Address of Insurer:c)The Court finds.insurance is currently notavailable to either party at a reasonable cost and does not order either party toprovide coverage for the children at this time, but does order the parties toprovide coverage when it becomes available at a reasonable cost.5)Tax Exemptiona)The Dependency Exemption shall be per the Parenting Plan and isincorporated into and made a part of this Order.orb)The Dependency Exemption shall be as follows:www.courts.state.co.us/Forms/familyJDF 1422 – Order for Allocation of Parental ResponsibilitiesR: October 13, 2021Page 4 of 5

6)Restraining OrdersA Protection/Restraining Order was issued on (date).The Protection/Restraining Order is:Vacated.Continued to (date)pursuant to C.R.S. §13-14-106(1)(c).No changes have been made to the existing Protection/Restraining Order.Changes have been made to the existing Protection/Restraining Order, asfollows:Note:If the Protection Order has been modified, the requesting partymust serve a copy of the modified Order on the other party.7)Other OrdersAdditional Court Orders are as follows:So Forms/familyJDF 1422 – Order for Allocation of Parental ResponsibilitiesR: October 13, 2021Page 5 of 5

emancipated at an earlier age, or the Court modifies child support . Payments are to be made: weekly bi-weekly twice a month monthly other: . The first payment is due on (date). Payments will be mailed: To the Family Support Registry P.O. Box 2171, Denver, CO 80201. or . Directly to Petitioner Respondent / Co-Petitioner Other Party. 3) Income .