District Court Denver Juvenile Court ___________________________ County, Colorado Court Address:

In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address):

COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Division Atty. Reg.#: MOTION FOR TEMPORARY ORDERS

Courtroom

The Petitioner Co-Petitioner/Respondent (check one) requests this Court to enter Temporary Orders. The Court authorized the filing of this motion on _____________________ (date). Temporary Orders are necessary for the following issues: Allocation of parental responsibilities Parenting time Child support Maintenance Possession/use of property Possession/use of residence Responsibility for payment of debts Insurance coverage ( medical dental) Other: __________________________________________________________________________ Other: __________________________________________________________________________

__________________________________________ Petitioner Signature Date __________________________________________ Petitioner's Attorney Signature, if any Date

________________________________________________ Co-Petitioner/Respondent Signature Date ________________________________________________ Co-Petitioner/Respondent's Attorney Signature, if any Date

CERTIFICATE OF SERVICE I certify that on _____________________ (date) the original was filed with the Court; and a true and accurate copy of the MOTION FOR TEMPORARY ORDERS was served on the other party by: Hand Delivery or Faxed to this number ____________________ or by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ___________________________________ ___________________________________ ___________________________________
JDF 1106 R1/05 MOTION FOR TEMPORARY ORDERS

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