IN THE __________________________________________COURT OF ___________________________________________COUNTY
STATE OF ____________________________________________________
_____________________________________________ PLAINTIFF
(Name of Plaintiff) VS. CAUSE NO. _____________
______________________________________________ DEFENDANT
(Name of Defendant)
Motion for Blood Test of Putative Father in Order to Help Determine Paternity
Comes now ________________________________________________ (Name
of Plaintiff), Plaintiff in the above-captioned cause, by and through her attorney, and
moves this Court to order a blood test to be made on Defendant _____________________________________________________ (Name of Defendant)
in accordance with ________________________________________________________
(cite state statute or rule of civil procedure) on the grounds that a blood test will
determine the issue of the relationship between Defendant and ______________________________________________________ (Name of Child), the
(son or daughter) of Plaintiff in this case.
Plaintiff has arranged to have the blood test made at _______________________
________________________________________________________________________ ________________ (street address, city, county, state, zip code) , at _________________
(time) on ________________________________________________ (date), by
________________________________________________________________________
(Name of Dr., Clinic or Hospital) of _________________________________________
________________________________________________________________________ ___________________________________ (street address, city, county, state, zip code) .
Wherefore, Plaintiff moves that Defendant be ordered by this Court to appear
before __________________________________________________________________
(Name of Dr., Clinic or Hospital) at ___________________________ (time) on
______________________________________________________ (date), for the
purpose of submitting to a blood examination.
Respectfully submitted, ____________________________________
(Name of Plaintiff)
By: ________________________________ (Typed Name of Attorney)
____________________________________
(Signature of Attorney for Plaintiff)
Certificate of Service
This is to certify that I, _______________________________________________
(Name of Attorney), attorney for Plaintiff ______________________________________
_____________________________ (Name of Plaintiff), have this date served a true and
correct copy of the above and foregoing Motion by U.S. Mail, postage fully prepaid, to
the following counsel of record for Defendant:
_____________________________________________________________ (Name of Attorney for Defendant)
Post Office Box ___________________
_______________________________________________________________________ (City, State, Zip Code)
This the _____day of _______________________________________, 20_____.
Respectfully Submitted, ____________________________________
(Printed Name) ____________________________________
(Attorney’s Signature)
State Bar No. _____________
Attorney for Plaintiff
OF COUNSEL: __________________________ _________________
(Name of Attorney)
Post Office Box ___________-____________________________________________________________________________
City, State, Zip Code
Telephone: _________-_________-_____________
Notice of Motion for Blood Test in Order to Help Determine Paternity
You are notified that on ________________________________________ (date),
at ________________________ (time), or as soon thereafter as counsel can be heard, in
Courtroom _____________ of the ____________________________________ Court for ________________________________________________________________________
(Name of County and State), at the ___________________________________ (County)
Courthouse at ____________________________________________________________ ________________________________________________________________________________________________ (street address, city, county, state, zip code) , Plaintiff
____________________________________________________ (Name of Plaintiff), by
and through her attorney, will bring on for hearing her Motion for Blood Test of
Putative Father in Order to Help Determine Paternity for the reasons stated in the
above Motion.
Respectfully Submitted, ____________________________________
(Printed Name of Attorney) ____________________________________
(Signature of Attorney)
State Bar No. _____________
Attorney for Plaintiff
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