2a parentRINT CHILDRENS NAME a parentNT CHILDRENS NAME in thRINT CHILDRENS NAME 3I state the following about the Petitioner146s request for support t CHECK ALL THAT APPLY The following children ID: 897138
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1 2. I state the following about Petitione
2. I state the following about Petitioners claim of p: [CHECK ALL THAT APPLY] a parent ________________________RINT CHILDRENS NAME) a parent ________________________NT CHILDRENS NAME) in th________________________RINT CHILDRENS NAME) 3.I state the following about the Petitioners request for support: t: CHECK ALL THAT APPLY The following child(ren) is (are) not living with the Petitioner: ________________________RINT CHILDS NAME) The following child(ren) is (are) no longer living: ________________________RINT CHILDRENS NAME) Answer to Petition to Establish Parentage and/or for Child Support - Page 2 of 9 The following child(ren) is (are) over 21 years of age: ________________________RINT CHILDRENS NAME) The following child(ren), although under 21 years of age, is (are) emancipated because of selfsupporting employment, active military duty and/or marriage: _______________________RINT CHILDRENS NAME) I am currently supporting my other child(ren) (through birth or adoption): living in my home HILDAME DATE OF IRTH ____________________________________________________________________________ through court-ordered child support payments: HILDAME DATE OF IRTH COURT AME ASE UMBER____________________________________________________________________________ am currently incarcerated and I state the following about my incarceration: ASE AME AND BER ________________________________________________ OURT AME AND OCATION ________________________________________________ LACE OF NCARCERATION ________________________________________________ TART ATE NTICIPATED ATE ________________________________________________ Answer to Petition to Establish Parentage and/or for Child Support - Page 3 of 9 I am unable to pay support because: I am disabled and have no income. I lost my job and have no income. Other:_
2 ________________________________________
_________________________________________________________________ ome or all of the child(ren) have medical insurance through: Petitioner or Petitioners employer: ___________________________________________________________________________RINT CHILDRENS NAME) Respondent or Respondents employer: ___________________________________________________________________________RINT CHILDRENS NAME) Medicaid or DC Healthy Families: ____________________________________________________________________________RINT CHILDRENS NAME) I do not have my own medical insurance and/or I do not have medical insurance through my employer. I have been supporting the following child(ren): __________________________________________________________________________ er: Answer to Petition to Establish Parentage and/or for Child Support - Page 4 of 9 Answer to Petition to Establish Parentage and/or for Child Support - Page 5 of 9 4 4 4 DC Bar Pro Bono Center (revised 01/2019) 4 4 4 4 4 4 4 4 4 4 4 4 4 DC Bar Pro Bono Center (revised 01/2019) SUPERIOR COURTHESTRICTCOLUMBIAParentage & Support Answer to Petition to Establish Parentage and/or for Child Support - Page 1 of 9 ANSWER TO PETITION TO ESTABLISH and/or FOR CHILD SUPPORT RINT OUR AME 1.IADMIT that this Court has the authority to decide the Petitioners request.DENY Case No._____________________IV-D ____________________ ________________________________________RINT THE THER ARENTAME ________________________________________TREET DDRESS ________________________________________ITYTATE AND IP PETITIONER, _______________________________________RINT OUR AME ________________________________________TREET DDRESS ________________________________________ITYTATE AND IP SUBSTITUTEADDRESSHECK OX IF AVE RITTEN OMEONE LSEDDRESS ECAUSE EAR ARASSMENT OR ARM. RESPONDENT. Request for Relief I RESP
3 ECTFULLY REQUEST that the Court CHECK A
ECTFULLY REQUEST that the Court CHECK ALL THAT APPLY Dismiss the Petition to Establish and/or for Child Support. n ____________________________________________________________________________RINT CHILDRENS NAME) Consider the child(ren)s needs, my ability to pay, and all other relevant factors under the Child Support Guideline of the District of Columbia and other applicable laws in setting the kind and amount of 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. territory involving the same claim or subject matter as this case. Pl n n n n I declare under penalty of perjury that the foregoing is true and correct. If this document is to be signed outside the geographic boundaries of the United States, Puerto Rico, the United States Virgin Islands, and any territory or insular possession subject to the jurisdiction of the United States, additional requirements must be met prior to signing. See Super. Ct. Dom. Rel.R. 2(c)(1)(B). AMERINT YOUR NAMEOME DDRESS1 OME DDRESS 2 YOMEONE ELSES ADDRESS Y FE OR HARMATEHONE UMBERMAIL DDRESS D.C. Bar Pro Bono Center (revised 03/2019) Rule 5 Proof of Service Form - Page 3 of 3 I delivered copiesof the papers by::HECK handing them to the other party. ending them to the other party by first class mail to the other partys last known address: ___________________________________________________________________DDRESS WHERE THE PAPERSWERE SENT leaving them with a person of suitable age and discretion who lived with the other party at:___________________________________________________________________. DDRESS OR ESC
4 RIPTION OF LACE HERE APERS ERE ERVED Thi
RIPTION OF LACE HERE APERS ERE ERVED This place is the other partysTEMPORARYRESIDENCEPERMANENT RESIDENCETHER: _________________________________. PECIFY THER YPE OF ESIDENCE state the following about the person I gave the papers to (ROVIDE AS MANY DETAILS AS POSSIBLE Spouse/partner Family member (specify): _____________________ RoommateOther: _____________________________________ leaving them at the other partys attorneys office with the attorney, a clerk or other person in charge: ______________________________________________________________RINT AME OF ERSON ERVED WITH APERS _____________________ITLE OF ERSON ERVED ________________________________________________________________TREET DDRESS ITYTATE AND IP sending them electronically through CaseFilepress or some other electronic way agreed to by the other party in writing: ________________________________________________________________MAIL DDRESS OF THER ARTY SED) ________________________________________________________________ ELECTRONIC MEANS USED (FOR EXAMPLE: EMAIL, CASEFILEPRESS) some other way agreed to by the other party in writing: _____________________________________________________________________PECIFY OW ERVICE WAS OMPLETED D.C. Bar Pro Bono Center (revised 03/2019) Rule 5 Proof of Service Form - Page 2 of 3 n n n n n n n n n n n n n n SUPERIOR COURT OF THE DISTRICT OF COLUMBIAFAMILY COURTDomestic Relations Branch RINT LAINTIFFAME PLAINTIFF, RINT EFENDANTAME DEFENDANT. __________ DRB __________ JUDGE: RULE 5 PROOF OF SERVICE FORM F YOU HAVE ALREADY SERVED THE OTHER PARTY WITH A COPY OF YOUR PAPERSYOU CAN FILL OUT AND FILETHIS ROOF OF ERVICE ORMAT THE SAME TIME THAT YOU FILE YOUR PAPERS IF YOU HAVE NOT ALREADY SERVED THE OTHER PARTY WITH A COPY OF YOUR PAPERSYOU MUST FILL OUTAND FILE THIS ROOF OF ERVICE ORMAFTER
5 YOU SERVE THEOTHER PARTY. F THE OTHER
YOU SERVE THEOTHER PARTY. F THE OTHER PARTY HAS A LAWYER IN THIS CASEYOU MUST SERVE A COPY OF THE PAPERS TO THE LAWYERF THE OTHER PARTY DOES NOT HAVE A LAWYERA COPY OF THE PAPERS SHOULD BE SERVED DIRECTLY TOTHE OTHER PARTY. 1.I certify that on served copies of to:ATE OF ERVICE AMEADING the other party, _____________________________or AME OF THER ARTY the other partys attorney, _________________________, who represents ________________________. AME OF TTORNEYAME OF THER ARTY D.C. Bar Pro Bono Center (revised 03/2019) Rule 5 Proof of Service Form - Page 1 of 3 n n Request for Relief I RESPECTFULLY REQUEST that the Court CHECK ALL THAT APPLY Dismiss the Petition to Establish and/or for Child Support. n ____________________________________________________________________________RINT CHILDRENS NAME) Consider the child(ren)s needs, my ability to pay, and all other relevant factors under the Child Support Guideline of the District of Columbia and other applicable laws in setting the kind and amount of 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. territory involving the same claim or subject matter as this case. Pl D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 5 of 9 I am unable to pay support because: I am disabled and have no income. I lost my job and have no income. Other:__________________________________________________________________ Some or all of the child(ren) have medical insurance through: Petitioner or Petitioners employer: _________________
6 ________________________________________
__________________________________________________________RINT CHILDRENS NAME) Respondent or Respondents employer: ___________________________________________________________________________RINT CHILDRENS NAME) Medicaid or DC Healthy Families: ____________________________________________________________________________RINT CHILDRENS NAME) I do not have my own medical insurance and/or I do not have medical insurance through my employer. I have been supporting the following child(ren): __________________________________________________________________________ er: D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 4 of 9 The following child(ren) is (are) over 21 years of age: ________________________RINT CHILDRENS NAME) he following child(ren), although under 21 years of age, is (are) emancipated because of selfsupporting employment, active military duty and/or marriage: _______________________RINT CHILDRENS NAME) I am currently supporting my other child(ren) (through birth or adoption): living in my home HILDAME DATE OF IRTH ____________________________________________________________________________ through court-ordered child support payments: HILDAME DATE OF IRTH COURT AME ASE UMBER____________________________________________________________________________ I am currently incarcerated and I state the following about my incarceration: ASE AME AND BER ________________________________________________ OURT AME AND OCATION ________________________________________________ LACE OF NCARCERATION ________________________________________________ TART ATE NTICIPATED ATE ________________________________________________ D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 3 of
7 9 2. I state the following about Petiti
9 2. I state the following about Petitioners claim of p: [CHECK ALL THAT APPLY] a parent ________________________RINT CHILDRENS NAME) a parent ________________________NT CHILDRENS NAME) in th________________________RINT CHILDRENS NAME) 3.I state the following about the Petitioners request for support: t: CHECK ALL THAT APPLY The following child(ren) is (are) not living with the Petitioner: ________________________RINT CHILDS NAME) The following child(ren) is (are) no longer living: ________________________RINT CHILDRENS NAME) D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 2 of 9 ANSWER TO PETITION TO ESTABLISH and/or FOR CHILD SUPPORT RINT OUR AME 1.IADMIT that this Court has the authority to decide the Petitioners request.DENY Case No._____________________IV-D ____________________ ________________________________________RINT THE THER ARENTAME ________________________________________TREET DDRESS ________________________________________ITYTATE AND IP PETITIONER, _______________________________________RINT OUR AME ________________________________________TREET DDRESS ________________________________________ITYTATE AND IP SUBSTITUTEADDRESSHECK OX IF AVE RITTEN OMEONE LSEDDRESS ECAUSE EAR ARASSMENT OR ARM. RESPONDENT. D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 1 of 9 I declare under penalty of perjury that the foregoing is true and correct. If this document is to be signed outside the geographic boundaries of the United States, Puerto Rico, the United States Virgin Islands, and any territory or insular possession subject to the jurisdiction of the United States, additional requirements must be met prior to signing. See Super. Ct. Dom. Rel.R. 2(c)(1)(B). AMERINT YOUR NAMEOME DDRES
8 S1 OME DDRESS 2 Y SOMEONE ELSES ADDRES
S1 OME DDRESS 2 Y SOMEONE ELSES ADDRESS Y FE OR HARMATEHONE UMBERMAIL DDRESS D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 9 of 9 I delivered copiesof the papers by::HECK handing them to the other party. ending them to the other party by first class mail to the other partys last known address: ___________________________________________________________________DDRESS WHERE THE PAPERSWERE SENT leaving them with a person of suitable age and discretion who lived with the other party at:___________________________________________________________________. DDRESS OR ESCRIPTION OF LACE HERE APERS ERE ERVED This place is the other partysTEMPORARYRESIDENCEPERMANENT RESIDENCETHER: _________________________________. PECIFY THER YPE OF ESIDENCE state the following about the person I gave the papers to (ROVIDE AS MANY DETAILS AS POSSIBLE Spouse/partnerFamily member (specify): _____________________ RoommateOther: _____________________________________ leaving them at the other partys attorneys office with the attorney, a clerk or other person in charge: ______________________________________________________________RINT AME OF ERSON ERVED WITH APERS _____________________ITLE OF ERSON ERVED ________________________________________________________________TREET DDRESS ITYTATE AND IP sending them electronically through CaseFilepress or some other electronic way agreed to by the other party in writing: ________________________________________________________________MAIL DDRESS OF THER ARTY SED) ________________________________________________________________ ELECTRONIC MEANS USED (FOR EXAMPLE: EMAIL, CASEFILEPRESS) some other way greed to by the other party in writing: ___________________________________________________
9 __________________PECIFY OW ERVICE WAS O
__________________PECIFY OW ERVICE WAS OMPLETED D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 8 of 9 SUPERIOR COURT OF THE DISTRICT OF COLUMBIAFAMILY COURTDomestic Relations Branch RINT LAINTIFFAME PLAINTIFF, RINT EFENDANTAME DEFENDANT. __________ DRB __________ JUDGE: RULE 5 PROOF OF SERVICE FORM F YOU HAVE ALREADY SERVED THE OTHER PARTY WITH A COPY OF YOUR PAPERSYOU CAN FILL OUT AND FILETHIS ROOF OF ERVICE ORMAT THE SAME TIME THAT YOU FILE YOUR PAPERS IF YOU HAVE NOT ALREADY SERVED THE OTHER PARTY WITH A COPY OF YOUR PAPERSYOU MUST FILL OUTAND FILE THIS ROOF OF ERVICE ORMAFTER YOU SERVE THEOTHER PARTY. F THE OTHER PARTY HAS A LAWYER IN THIS CASEYOU MUST SERVE A COPY OF THE PAPERS TO THE LAWYERF THE OTHER PARTY DOES NOT HAVE A LAWYERA COPY OF THE PAPERS SHOULD BE SERVED DIRECTLY TOTHE OTHER PARTY. 1.I certify that on I served copies of to:ATE OF ERVICE AMELEING the other party, _____________________________or AME OF THER ARTY the other partys attorney, _________________________, who represents ________________________. AME OF TTORNEYAME OF THER ARTY D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 7 of 9 I declare under penalty of perjury that the foregoing is true and correct. If this document is to be signed outside the geographic boundaries of the United States, Puerto Rico, the United States Virgin Islands, and any territory or insular possession subject to the jurisdiction of the United States, additional requirements must be met prior to signing. See Super. Ct. Dom. Rel.R. 2(c)(1)(B). AMERINT YOUR NAMEOME DDRESS1 OME DDRESS 2 YOMEONE ELSES ADDRESS Y FE OR HARMATEHONE UMBERMAIL DDRESS D.C. Bar Pro Bono Center (revised 03/2019) Answer to Petition to Establish Parentage and/or for Child Support - Page 6 of