Fill and Sign the Answer Consenting to Third Party Custody Order Irrevocable Form

ANSWER CONSENTING TO THIRD PARTY CUSTODY ORDER - MODIFIABLE ONLY BY AGREEMENT OR BY COURT ORDER I, _________________________________, am the Defendant in this case. P RINT Y OUR N AME 1. I agree with ALL of the statements r egarding custody, numbered 1 - 13 in Plaintiff’s Complaint for Custody and/or Access to Children. 2. ( If applicable ) I agree with the statements regarding child support, numbered 14 in Plaintiff’s Complaint for Custody and/or Access to Children. _________ DRB _______________ _________________________ ________________________________________ P RINT P LAINTIFF ’ S N AME ________________________________________ S TREET A DDRESS ________________________________________ C ITY , S TATE AND Z IP C ODE PLAINTIFF, v. ________________ ________________________ P RINT Y OUR N AME ________________________________________ S TREET A DDRESS ________________________________________ C ITY , S TATE AND Z IP C ODE  SUBSTITUTE ADDRESS : C HECK B OX IF Y OU H AVE W RITTEN S OMEONE E LSE ’ S A DDRESS B ECAUSE Y OU F EA R H ARASSMENT OR H ARM . DEFENDANT, ________________________________________ P RINT O THER P ARTY ’ S N AME ________________________________________ S TREET A DDRESS ________________________________________ C ITY , S TATE AND Z IP C ODE OTHER DEFENDANT. JUDGE: SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Domestic Relations Branch DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 1 of 9 3 . I u nderstand the custody and visitation arrangement that Plaintiff is requesting and I consent to it. 4 . I intend that this custody arrangement will remain in effect until (a) the child reaches majority, (b) Plaintiff and I agree to change it, or (c) a judg e determines that a change in circumstances justifies a change in the custody arrangement. 5 . I understand that signing this written consent answer has important consequences for me:  I am giving up the right to appear in court, where I could ask questi ons about my options co ncerning custody;  I am giving up my right to have a custody trial in which there could be a presumption that I should have custody of the child[ren] and Plaintiff would have to prove that he/she should have custody; AND  If I want gre ater custody rights in the future , and Plaintiff does not agree, I will have to prove that a change in circumstances justifies changing the custody arrangement, and in deciding my request, the judge would not presume that I should have custody of the child [ren]. 6 . I understand that there are alternatives to signing this type of consent :  I understand I could instead sign a power of attorney document giving Plaintiff authority to make decisions for the child[ren] with the condition that I ca n revoke my consent at any time;  I understand that I could consent to giving Plaintiff revocable custody instead ; AND  I have decided to agree to this custody arrangement instead. 7 . I agree to this custody arrangement voluntarily. 8 . I also state that THER E ARE NO CONTESTED ISSUES for this Court to decide. / I do  do not  know of any proceedings in the District of Columbia or in any state or as this case. Please list s territory involving the same claim or subject matter as this case. Pl docket number for cases involving the same claim or s ubject matter. Court Case Number Case Type 9 . DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 2 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). ____________________________________ SIGN YOUR NAME ____________________________________ PR INT YOUR NAME ____________________________________ HOME ADDRESS 1 ____________________________________ HOME ADDRESS 2  S UBSTITUTE A DDRESS: CHECK B OX IF YOU HAVE WRITTEN S OMEONE ELSE’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. ____________________________________ DATE ____________________________________ PHONE NUMBER ____________________________________ EMAIL ADDRESS Request for Relief I RESPECTFULLY REQUEST that the Court grant ALL the relief requested in Plaintiff’s Complaint for Custody and/or Access to Children. I ALSO REQUEST that the Court award any other relief it considers fair and proper. DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 3 of 9 SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Domestic Relations Branch ____________________________________ PRINT PLAINTIFF ’S NAME PLAINTIFF, v. ____________________________________ PRINT DEFENDANT ’S NAME DEFENDANT . __________ DRB __________ JUDGE: __________________ RULE 5 PROOF OF SERVICE FORM IF YOU HAVE ALREADY SERVED THE OTHER PARTY WITH A COPY OF YOU R PAPERS , YOU CAN FILL OUT AND FILE THIS PROOF OF SERVICE FORM AT THE SAME TIME TH AT YOU FILE YOUR PAP ERS . IF YOU HAVE NOT ALREADY SERVED THE OTHER PARTY WITH A COPY OF YOUR PAPERS , YOU MUST FILL OUT AND FILE THIS PROOF OF SERVICE FORM AFTER YOU SERVE THE OTHER PARTY . IF THE OTHER PARTY HA S A LAWYER IN THIS CASE , YOU MUST SERVE A CO PY OF THE PAPERS TO THE LAWYER . I F THE OTHER PARTY DOES NOT HAVE A LAWYER , A COPY OF THE PAPER S SHOULD BE SERVED D IRECTLY TO THE OTHER PARTY . 1. I certify that on _________________ I served co pies of _______________________________ to: DATE OF SERVICE _______________________________ _______________________________ N AME(S ) O F P LEADING (S )  the other party, _____________________________ or NAME OF OTHER PARTY  the other party’s attorney, _________________________, who represents ________________________. NAME OF ATTORNEY NAME OF OTHER PARTY DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 4 of 9 2.I delivered copies of the papers by: [CHECK ONE ]  handing them to the other party .  sending them to the other party by first class mail to the other party’s last known address: ___________________________________________________________________ . ADDRESS WHERE THE PAPERS WERE SENT  leaving them with a p erson of suitable age and discretion who lived with the other party at: ___________________________________________________________________ . ADDRESS OR DESCRIPTION OF PLACE WHERE PAPERS WERE SERVED This place is the other party’s  TEMPORARY RESIDENCE .  PERMANEN T RESIDENCE .  OTHER : _________________________________. SPECIFY OTHER TYPE OF RESIDENCE I state the following a bout the person I gave the papers to ( PROVIDE AS MANY DETAI LS AS POSSIBLE ): Their name: _______________________ _________________________________________. Their approximate age: _______________. Their relationship to the other party is:  Spouse/partner  F amily member (specify): _____________________  Roommate  Other: _____________________________________  leaving them at the other party’s attorney’s office with the attorney, a clerk or other person in charge: ________________________________________________________ ________ PRINT NAME OF PERSON SERVED WITH PAPERS _____________________ TITLE OF PERSON SERVED ________________________________________________________________ STREET ADDRESS CITY , STATE AND ZIP CODE  sending them electronically through CaseFile X press or some other electronic way agreed to by the other party in writing: ________________________________________________________________ EMAIL ADDRESS OF OTHER PARTY (IF USED ) ________________________________________________________________ ELECTRONIC MEANS USED (FOR EXAMPLE : EMAIL, CASEFILEXPRESS)  some other way agre ed to by the other party in writing: _____________________________________________________________________ SPECIFY HOW SERVICE WAS COMPLETED DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 5 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). ____________________________________ SIGN YOUR NAME ____________________________________ PR INT YOUR NAME ____________________________________ HOME ADDRESS 1 ____________________________________ HOME ADDRESS 2  SUBSTITUTE ADDRESS: CHECK BOX IF Y OU HAVE WRITTEN SOMEONE ELSE’ S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. ____________________________________ DATE ____________________________________ PHONE NUMBER ____________________________________ EMAIL ADDRESS DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 6 of 9 SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Domestic Relations Branch ____________________________________ PRINT PLAINTIFF ’S NAME PLAINTIFF, v. ____________________________________ PRINT DEFENDANT ’S NAME DEFENDANT . __________ DRB __________ JUDGE: __________________ RULE 5 PROOF OF SERVICE FORM IF YOU HAVE ALREADY SERVED THE OTHER PARTY WITH A COPY OF YOU R PAPERS , YOU CAN FILL OUT AND FILE THIS PROOF OF SERVICE FORM AT THE SAME TIME TH AT YOU FILE YOUR PAP ERS . IF YOU HAVE NOT ALREADY SERVED THE OTHER PARTY WITH A COPY OF YOUR PAPERS , YOU MUST FILL OUT AND FILE THIS PROOF OF SERVICE FORM AFTER YOU SERVE THE OTHER PARTY . IF THE OTHER PARTY HA S A LAWYER IN THIS CASE , YOU MUST SERVE A CO PY OF THE PAPERS TO THE LAWYER . I F THE OTHER PARTY DOES NOT HAVE A LAWYER , A COPY OF THE PAPER S SHOULD BE SERVED D IRECTLY TO THE OTHER PARTY . 1. I certify that on _________________ I served co pies of _______________________________ to: DATE OF SERVICE _______________________________ _______________________________ N AME(S ) O F P LEADING (S )  the other party, _____________________________ or NAME OF OTHER PARTY  the other party’s attorney, _________________________, who represents ________________________. NAME OF ATTORNEY NAME OF OTHER PARTY DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 7 of 9 2.I delivered copies of the papers by: [CHECK ONE ]  handing them to the other party .  sending them to the other party by first class mail to the other party’s last known address: ___________________________________________________________________ . ADDRESS WHERE THE PAPERS WERE SENT  leaving them with a p erson of suitable age and discretion who lived with the other party at: ___________________________________________________________________ . ADDRESS OR DESCRIPTION OF PLACE WHERE PAPERS WERE SERVED This place is the other party’s  TEMPORARY RESIDENCE .  PERMANEN T RESIDENCE .  OTHER : _________________________________. SPECIFY OTHER TYPE OF RESIDENCE I state the following a bout the person I gave the papers to ( PROVIDE AS MANY DETAI LS AS POSSIBLE ): Their name: _______________________ _________________________________________. Their approximate age: _______________. Their relationship to the other party is:  Spouse/partner  F amily member (specify): _____________________  Roommate  Other: _____________________________________  leaving them at the other party’s attorney’s office with the attorney, a clerk or other person in charge: ________________________________________________________ ________ PRINT NAME OF PERSON SERVED WITH PAPERS _____________________ TITLE OF PERSON SERVED ________________________________________________________________ STREET ADDRESS CITY , STATE AND ZIP CODE  sending them electronically through CaseFile X press or some other electronic way agreed to by the other party in writing: ________________________________________________________________ EMAIL ADDRESS OF OTHER PARTY (IF USED ) ________________________________________________________________ ELECTRONIC MEANS USED (FOR EXAMPLE : EMAIL, CASEFILEXPRESS)  some other way agre ed to by the other party in writing: _____________________________________________________________________ SPECIFY HOW SERVICE WAS COMPLETED DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 8 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). ____________________________________ SIGN YOUR NAME ____________________________________ PR INT YOUR NAME ____________________________________ HOME ADDRESS 1 ____________________________________ HOME ADDRESS 2  SUBSTITUTE ADDRESS: CHECK BOX IF Y OU HAVE WRITTEN SOMEONE ELSE’ S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM. ____________________________________ DATE ____________________________________ PHONE NUMBER ____________________________________ EMAIL ADDRESS DC Bar Pro Bono Center (revised 03/2019) Answer Consenting to Third Party Custody Order (Irrevocable) - Page 9 of 9