Fill and Sign the Co for Crs Form

 District Court  Denver Juvenile Court ________________________________ County, Colorado Court Address: In re:  The Marriage of:  The Civil Union of:  Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: ▲ COURT USE ONLY ▲ Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom MOTION FOR AN EVALUATION AND REPORT PURSUANT TO § 14-10-127, C.R.S. The  Petitioner,  Co-Petitioner/Respondent,  Stipulation of the parties requests this Court to order an evaluation and written report concerning the disputed issues relating to the allocation of parental responsibilities of the child(ren) pursuant to § 14-10-127, C.R.S. and  appoint a mental health professional or  approve the appointment of the following evaluator _________________________________________________. I request this evaluation because: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ Date: __________________________ _____________________________________________  Petitioner or  Co-Petitioner/Respondent 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 an Evaluation and Report Pursuant to §14-10-127, 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 1331 R7/13 MOTION FOR AN EVALUATION AND REPORT PURSUANT TO §14-10-127, C.R.S. © 2013 Colorado Judicial Department for use in the Courts of Colorado