Free District Court Denver Juvenile Court - Colorado

District Court Denver Juvenile Court _________________________________ County, Colorado Court Address: ___________________________________________ In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: ________________________________________ and Co-Petitioner/Respondent: ____________________________ Division ______ Courtroom _______ COURT USE ONLY Case Number:__________________

ORDER FOR AN EVALUATION AND REPORT PURSUANT TO §14-10-127, C.R.S.
This matter is before the Court on the Court's motion, Petitioner's motion, Co-Petitioner/Respondent's motion or Stipulation of the parties for the appointment of a licensed mental health professional to perform an evaluation and file a written report concerning the disputed issues relating to the allocation of parental responsibilities pursuant to §14-10-127, C.R.S. Pursuant to §14-10-127, C.R.S., the Court hereby appoints the following licensed mental health professional to complete an evaluation and file a written report with the Court, and a copy to counsel, and any parties not represented by counsel by ___________________________ (Date), or at least 20 days prior to the hearing date: Name of Evaluator: __________________________________________________________________________ Mailing Address: _____________________________________________________________________________ Telephone #: ___________________ Fax #: ____________________ Email: _____________________________ Name of Child(ren): __________________________________________ Date(s) of Birth: __________________ The evaluation shall be conducted and the report written, pursuant to the criteria outlined in §14-10-127, C.R.S. This report shall be considered confidential and shall not be available for public inspection unless ordered by the Court. Petitioner, Co-Petitioner/Respondent, or both parties, shall deposit monies for the evaluation either The directly to the evaluator, or with the Court by _________________________ (Date).

Date: ______________________________

_____________________________________ Judge Magistrate

CERTIFICATE OF SERVICE I certify that on __________________ (Date), I mailed, faxed, e-filed, or hand-delivered a copy of this Order to the following:
Attorney for Petitioner or Petitioner pro se Attorney for Co-Petitioner/Respondent or Co-Petitioner/Respondent pro se Professional Evaluator Other: ____________________________________ _____________________________________ Clerk

JDF 1332 1/07

ORDER FOR AN EVALUATION AND REPORT PURSUANT TO §14-10-127, C.R.S.