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: E-mail: Division Courtroom FAX Number: Atty. Reg.#: MOTION FOR APPOINTMENT OF PARENTING COORDINATOR PURSUANT TO §14-10-128.1, C.R.S. The Petitioner Co-Petitioner/Respondent or both parties agree that a Parenting Coordinator be appointed to assist in the resolution of disputes between the parties concerning parental responsibilities as set forth in the Court's Order issued on ______________________ (date). The Court authorized the filing of this motion on _________________________ (date). Select the appropriate payment method that you are requesting of the Court: Both parties agree that the Parenting Coordinator shall be paid ________% by the Petitioner ________% by the Co-Petitioner/Respondent. The Petitioner Co-Petitioner/Respondent requests that the fees of the Parenting Coordinator be paid ________% by the Petitioner ________% by the Co-Petitioner/Respondent.
Date: __________________________
______________________________________ Petitioner ______________________________________ Co-Petitioner/Respondent
Date: __________________________
CERTIFICATE OF SERVICE
(Required if only one of the parties is filing the Motion.) I certify that on _________________________ (date) the original was filed with the Court and a true and accurate copy of the Motion for Appointment of Parenting Coordinator Pursuant to §14-10-128.1, C.R.S. was served on the other party by: Hand Delivery E-filed Faxed to this number ___________________ or by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ______________________________________ ______________________________________ ______________________________________ ______________________________________
(Your Signature) JDF 1328 7/05 MOTION FOR APPOINTMENT OF PARENTNG COORDINATOR PURSUANT TO §14-10-128.1, C.R.S.