Fill and Sign the Out of State Acknowledgment Form

Findings/Concl of Law (Parenting Plan) (FNFCL) - Page 1 of 5 WPF PS 15A.0400 (6/2006) - RCW 26.26.350, 26.27.201, 42 U.S.C. 666(a)(11) Superior Court of Washington County of In re the Parenting and Support of: Child(ren), Petitioner, and Respondent. No. Findings of Fact and Conclusions of Law on Petition for Residential Schedule/Parenting Plan or Child Support (Out-of-State Acknowledgment of Paternity) (FNFCL) I. Basis for Findings The findings are based upon: [ ] agreement of the parties. [ ] an order of defau lt entered on _______________________________ [Date]. [ ] a hearing held on _________________________ [Date]. Th e following people attended: [ ] Mother [ ] Mother’s Attorney [ ] Acknowledged Father [ ] Ac knowledged Father’s Attorney [ ] Guardian ad Litem [ ] Other: II. Findings of Fact Upon the basis of the court record, the court Finds: 2.1 Notice and Basis of Personal Jurisdiction Over the Parties All parties necessary to adjudicate the issues were served with a copy of the summons and petition and are subject to the jurisdiction of th is court. The facts below establish personal jurisdiction over the parties: Findings/Concl of Law (Parenting Plan) (FNFCL) - Page 2 of 5 WPF PS 15A.0400 (6/2006) - RCW 26.26.350, 26.27.201, 42 U.S.C. 666(a)(11) [ ] Respondent was personally served with summons and petition within this state. [ ] Respondent submits to jurisdiction of this state by consent. [ ] Respondent resided with the child in this state. [ ] Respondent resided in this state and provi ded prenatal expenses or support for the child. [ ] The child resides in this state as a result of the acts or directives of respondent. [ ] Other: 2.2 Acknowledgement or Denial of Paternity ____________________________ [Name], th e child’s acknowledged father and _______________________ [Name], the child’s mother signed the Acknowledgment of Paternity, which was filed with the appropriate agency of the state of ________________________________ on ________________________________ [Date]. [ ] ___________________________ [Name] th e child’s presumed father, signed a Denial of Paternity, which was filed with the appropriate agency of the state of ____________________________________ on ________________________________\ [Date]. 2.3 The Child Affected in This Action This action affects: ______________________________________ [Name], _________________________ [Age]. ______________________________________ [Name], _________________________ [Age]. ______________________________________ [Name], _________________________ [Age]. 2.4 Basis for Jurisdiction Over the Child This court has jurisdiction over the child for the reasons set forth below: [ ] This court has exclusive continuing jurisdic tion. The court has previously made a child custody, parenting plan, residential schedule or visitation determination in this matter and retains jurisdiction under RCW 26.27.211. [ ] This state is the hom e state of the child because [ ] the child lived in Washington with a parent or person acting as a parent\ for at least six consecutive months immediately preceding the commencement of this proceeding. [ ] the child is less than six months old and has lived in Washington with a parent or a person acting as parent since birth. [ ] any absences from Washington have only been temporary. Findings/Concl of Law (Parenting Plan) (FNFCL) - Page 3 of 5 WPF PS 15A.0400 (6/2006) - RCW 26.26.350, 26.27.201, 42 U.S.C. 666(a)(11) [ ] Washington was the home state of the child within six months before the commencement of this proceeding and th e child is absent from the state but a parent or person acting as a parent continues to live in this state. [ ] The child and the parents or the child and at least one parent or person acting as a parent, have significant connection with the state other than mere physical presence; and substantial evidence is available in this st ate concerning the child’s care, protection, training and personal relationships and [ ] the child has no home state elsewhere. [ ] the child’s home state has declined to exercise jurisdiction on the ground that this state is the more appropriate forum under RCW 26.27.261 or .271. [ ] All courts in the child’s home state have declined to exercise jurisdiction on the ground that a court of this state is the more appr opriate forum to determine the custody of the child under RCW 26.27.261 or .271. [ ] No other state has jurisdiction. [ ] This court has temporary emergency jurisd iction over this proceeding because the child is present in this state and the child has been abandoned or it is necessary in an emergency to protect the child because the ch ild, or a sibling or parent of the child is subjected to or threatened with abuse. RCW 26.27.231. [ ] There is a previous custody determin ation that is entitled to be enforced under this chapter or a child custody proceeding has been commenced in a court of a state having jurisdiction under RCW 26.27.201 through 26.27.221. The requirements of RCW 26.27.231(3) apply to this matter. This state’s jurisdiction over the children shall last until _______________________________ [Date]. [ ] There is no previous custody determin ation that is entitled to be enforced under this chapter and a child custody proceed ing has not been commenced in a court of a state having jurisdiction under RCW 26.27.201 through 26.27.221. I\ f an action is not filed in _____________________ [pot ential home state] by the time the child has been in Washi ngton for six months, ___________________ [Date], then Washington's jurisdiction will be final and continuing. [ ] Other: 2.5 Child Support [ ] Does not apply. [ ] An order setting child support was previously entered. [ ] The child is in need of support and child support should be set pursuant\ to the Washington State Child Support Schedule. The order of child support sig\ ned by the court on ________________ [Date] and the child support worksheet which has been approved by the court are incorporated by reference in these findings. [ ] Other: Findings/Concl of Law (Parenting Plan) (FNFCL) - Page 4 of 5 WPF PS 15A.0400 (6/2006) - RCW 26.26.350, 26.27.201, 42 U.S.C. 666(a)(11) 2.6 Residential Placement [ ] Does not apply. [ ] The residential schedule/parenting plan signed by the court on [Date] is approved and incorporated as part of these findings. [ ] This residential schedule/parenting plan is the result of an agreement of the parties. [ ] Other: 2.7 Reimbursement [ ] Does not apply. [ ] The state of Washington or [ ] [Name] is entitled to reimbursement for support or assistance provide d to the child, for expenses incurred on behalf of the child. 2.8 Continuing Restraining Order [ ] Does not apply. [ ] A continuing restraining order against the [ ] father [ ] mother [ ] both parties is necessary because: [ ] Other: 2.9 Protection Order [ ] Does not apply. [ ] A domestic violence protecti on order protecting _______________________ [Name] from _______________________________ [Name] is necessary based upon declarations in the file or attached. [ ] If the duration of this order exceeds one year, the court finds that an order of one year or less will be insufficient to prevent further acts of domestic violence. 2.10 Other Findings/Concl of Law (Parenting Plan) (FNFCL) - Page 5 of 5 WPF PS 15A.0400 (6/2006) - RCW 26.26.350, 26.27.201, 42 U.S.C. 666(a)(11) III. Conclusions of Law 3.1 Jurisdiction [ ] The court has jurisdiction to enter an order in this matter. [ ] The court does not have jurisdiction to enter an order in this matter and it is dismissed. 3.2 Disposition The court shall enter an order that: [ ] Makes provision for a residential schedule/pa renting plan, or past and current support, and health insurance coverage for the child. [ ] Awards court costs, guardian ad litem, attorney, and other reasonable fees. [ ] Makes provision for reimbursement for support or assistance provided to the child, for expenses incurred on behalf of the child. [ ] Makes provision for a domestic violence prot ection order with an expiration date of ______________________________. [ ] Makes provision for a continuing restraining order. 3.3 Other Dated: Judge/Commissioner Presented by: Approved for entry: Notice of presentation waived: Signature of Party or Lawyer/WSBA No. Signature of Party or Lawyer/WSBA No. Print or Type Name Date Print or Type Name Date