Fill and Sign the Co Parenting Coordinator 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 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 Date: __________________________ ______________________________________ Co-Petitioner/Respondent 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 7/13 MOTION FOR APPOINTMENT OF PARENTNG COORDINATOR PURSUANT TO §14-10-128.1, C.R.S. ©2013 Colorado Judicial Department for use in the Courts of Colorado