Fill and Sign the Wpf Ps 120100 Petition for Rescission of Denial of Paternity within 60 Days Washington Form

Superior Court of Washington County of In re Parentage: Petitioner, and Respondent and Respondent. No. Petition for Rescission of Denial of Paternity Within 60 Days (PT) I. Basis 1.1 Cause of Action This action affects the paternity of: ___________________________________ [Name], born on __________________ [Date], a resident of _____________________________ County, Washington. ___________________________________ [Name], born on __________________ [Date], a resident of _____________________________ County, Washington. The result of this proceeding will not establish or disestablish the paternity of the presumed father; it will only establish whether the Denial of Paternity may be rescinded (withdrawn). This action is brought by _____________________ [Name] petitioner, the presumed father, to rescind the Denial of Paternity signed by him on ____________________ [Date] and filed with the Washington State Registrar of Vital Statistics on ________________________ [Date]. The respondents in the action are the acknowledged father _____________________ [Name] and the mother __________________________ [Name]. This action is brought pursuant to RCW 26.26.330 and 340. A copy of the denial is attached to this petition. 1.2 Effective Date of Denial of Paternity P et for R escission Denial of Pat (PT) - Page 1 of 4 WPF PS 12.0100 (6/2006) - RCW 26.26.330 and .340 The effective date of the Denial of Paternity is_____________________________ [Date] [ ] because the Denial of Paternity was filed with the Washington State Registrar of Vital Statistics on that date. [ ] because that was the date of the child’s birth which was after the date on which the Denial of Paternity was filed with the Washington State Registrar of Vital Statistics. 1.3 Prior Court Proceedings No hearing in a court proceeding to which the petitioner was a party has taken place regarding the child. 1.4 Jurisdiction All persons who signed the Acknowledgment of Paternity filed on __________________ [Date] and the Denial of Paternity filed on _______________________ [Date] submitted to the jurisdiction of the court on that date pursuant to RCW 26.26.340(2); and less than 60 days have passed since the effective date of the denial and acknowledgment. 1.5 Child Support [ ] Does not apply. [ ] A Washington State Department of Social and Health Services Division of Child Support Administrative Child Support Order was entered on ______________________ [Date] requiring ________________________ [Name] to pay $______________ per month for the support of the child. 1.6 Suspension of Child Support [ ] Does not apply. [ ] A motion to suspend the child support order will be filed. 1.7 Continuing Restraining Order [ ] Does not apply. [ ] A continuing restraining order should be entered which restrains or enjoins _______________________________ [Name] from disturbing the peace of _____________________________ [Name]. [ ] A continuing restraining order should be entered which restrains or enjoins _____________________________ [Name] from going onto the grounds of or entering the home, work place or school of __________________________________ [Name] or the day care or school of the child. [ ] A continuing restraining order should be entered which restrains or enjoins _____________________________ [Name] from knowingly coming within or knowingly remaining within ___________ (distance) of the home, work place or school of ____________________________ [Name] or the day care or school of the child. Other: ___________________________________________________________. [ ] A continuing restraining order should be entered which restrains or enjoins _________________________________ [Name] from molesting, assaulting, harassing, or stalking _______________________________________ [Name]. (If the court orders this relief, the restrained person will be prohibited from possessing a firearm or ammunition under federal law for the duration of the order. An exception exists for law P et for R escission Denial of Pat (PT) - Page 2 of 4 WPF PS 12.0100 (6/2006) - RCW 26.26.330 and .340 enforcement officers and military personnel when carrying department/government- issued firearms. 18 U.S.C. § 925(a)(1). ) 1.8 Protection Order [ ] Does not apply [ ] A domestic violence protection order should be entered protecting __________________________ [Name] from __________________________ [Name] because ____________________________ [Name] has committed domestic violence as defined by 26.50 RCW against ____________________________ [Name]. (If the court orders this relief, the restrained person will be prohibited from possessing a firearm or ammunition under federal law for the duration of the order. An exception exists for law enforcement officers and military personnel when carrying department/government- issued firearms. 18 U.S.C. § 925(a)(1). ) If you need immediate protection, contact the clerk/court for RCW 26.50 Domestic Violence forms. II. Relief Requested The court is requested to enter an order and judgment that: [ ] Declares the Denial of Paternity is rescinded. [ ] Declares the Acknowledgment of Paternity is void. [ ] Amends the birth certificate of the child by removing the acknowledged father as the father and adding the presumed father as the father of the child. [ ] Changes the surname of the child to __________________________ [Name]. [ ] Makes provision for a domestic violence protection order. [ ] Makes provision for a continuing restraining order. [ ] Awards attorney’s fees and costs to petitioner. Dated: _____________________________ __________________________________________ Signature of Petitioner or Lawyer /WSBA No. III. Declaration I declare under penalty of perjury under the laws of the state of Washington that I am the petitioner named above, that I have made the allegations contained in this petition based upon my first hand knowledge, and therefore believe that they are true. Signed at ________________________, [Date] ____________ [State] on__________________ [Date]. Signature of Petitioner Print or Type Name [ ] Joinder [ ] I, _______________________________ [Name], join in the petition. I understand that by joining in the petition, a decree or judgment and order may be entered in accordance with the relief requested in the petition, unless prior to the entry of the decree or judgment and order a response is filed and served. [ ] I waive notice of entry of the decree. P et for R escission Denial of Pat (PT) - Page 3 of 4 WPF PS 12.0100 (6/2006) - RCW 26.26.330 and .340 [ ] I demand notice of all further proceedings in this matter. Further notice should be sent to the following address: [You may list an address that is not your residential address where you agree to accept legal documents.] Any time this address changes while this action is pending, you must notify the opposing parties in writing and file an updated confidential Information Form (WPF DRPSCU 09.0200) with the court clerk. Dated: ____________________________ _____________________________________ Signature of Joining Party _____________________________________ Print or Type Name [ ] I, _______________________________ [Name], join in the petition. I understand that by joining in the petition, a decree or judgment and order may be entered in accordance with the relief requested in the petition, unless prior to the entry of the decree or judgment and order a response is filed and served. [ ] I waive notice of entry of the decree. [ ] I demand notice of all further proceedings in this matter. Further notice should be sent to the following address: [You may list an address that is not your residential address where you agree to accept legal documents.] Any time this address changes while this action is pending, you must notify the opposing parties in writing and file an updated confidential Information Form (WPF DRPSCU 09.0200) with the court clerk. Dated: ____________________________ _____________________________________ Signature of Joining Party _____________________________________ Print or Type Name P et for R escission Denial of Pat (PT) - Page 4 of 4 WPF PS 12.0100 (6/2006) - RCW 26.26.330 and .340