Wpf ps 140100 petition for challenge to denial of paternity washington form
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Superior Court of Washington
County of
In re Parentage:
Petitioner,
and
Respondent
and
Respondent. No.
Petition for Challenge to Denial
of Paternity
(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.
This action is brought by petitioner _________________________ [Name] the presumed father,
to challenge the Denial of Paternity signed by petitioner and filed with the Washington State
Registrar of Vital Statistics on ___________________________ [Date]. The respondents in this
action are the acknowledged father ____________________________ [Name] and the mother
_______________________________ [Name]. This action is brought pursuant to RCW
26.26.335 and .340.
P et for C hallenge to Denial of Paternity (PT) - Page 1 of 8
WPF PS 14.0100 (6/2006) - RCW 26.26.335 and .340
1.2 Effective Date of the Denial of Paternity and Acknowledgment of Paternity
The effective date of the Denial of Paternity is ___________________________, because:
[ ] the acknowledgment was filed with the Washington State Registrar of Vital Statistics
on that date.
[ ] that was the date of the child’s birth which is after the date on which the
acknowledgment was filed with the Washington State Registrar of Vital Statistics.
The effective date of the Acknowledgment of Paternity is ___________________________,
because:
[ ] the acknowledgment was filed with the Washington State Registrar of Vital Statistics
on that date.
[ ] that was the date of the child’s birth which is after the date on which the
acknowledgment was filed with the Washington State Registrar of Vital Statistics.
A copy of the Acknowledgment of Paternity and the Denial of Paternity are attached to this
petition.
1.3 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 the filing date pursuant to RCW 26.26.340(2); and more than 60
days but less than two years have passed since the Acknowledgment of Paternity and the Denial
of Paternity were filed.
1.4 Basis to Challenge the Denial of Paternity
The Denial of Paternity is challenged on the basis that it was signed under [ ] Fraud
[ ] Duress [ ] Material Mistake of Fact, as follows:
1.5 Jurisdiction Over the Child
This court has jurisdiction over the child for the reasons set forth below:
[ ] This court has exclusive continuing jurisdiction. 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 home 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.
[ ] Washington was the home state of the child within six months before the
commencement of this proceeding and the child is absent from the state but a
parent or person acting as a parent continues to live in this state.
P et for C hallenge to Denial of Paternity (PT) - Page 2 of 8
WPF PS 14.0100 (6/2006) - RCW 26.26.335 and .340
[ ] the child and the parent 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 state 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 appropriate 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 jurisdiction 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 child, or a sibling or parent of the child is
subjected to or threatened with abuse. RCW 26.27.231.
[ ] There is a previous custody determination 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. T his st ate’s jurisdiction
over the children shall last until _______________________________ [Date].
[ ] There is no previous custody determination that is entitled to be enforced under
this chapter and a child custody proceeding has not been commenced in a court
of a state having jurisdiction under RCW 26.27.201 through 26.27.221. If an
action is not filed in _____________________ [potential home state] by the time
the child has been in Washington for six months, ___________________ [Date],
then Washington's jurisdiction will be final and continuing.
[ ] Other:
P et for C hallenge to Denial of Paternity (PT) - Page 3 of 8
WPF PS 14.0100 (6/2006) - RCW 26.26.335 and .340
1.6 Child Support
[ ] Does not apply.
[ ] A child support order was entered on ______________________ [Date], requiring
____________________ [Name] to pay $______________ per month for the support of
the child.
[ ] The child is entitled to financial support pursuant to the Washington State Child Support
Schedule and health insurance coverage from any parent owing a duty of child support.
1.7 Suspension of Child Support
[ ] Does not apply.
[ ] A motion to suspend the child support order will be filed.
1.8 Residential Placement
[ ] Does not apply.
[ ] It is in the child’s best interest to determine the residential placement of the child.
During the last five years, the child has lived:
[ ] in no place other than the state of Washington and with no person other than the
petitioner or the respondent.
[ ] in the following places with the following persons (list each place the child lived,
including the state of Washington, the dates the child lived there and the names of the
persons with whom the child lived. The present addresses of those persons must be listed
in the required Confidential Information Form.):
Claims to custody or visitation:
[ ] The petitioner does not know of any person other than the respondent who has physical
custody of, or claims to have custody or visitation rights to, the child.
[ ] The following persons have physical custody of, or claim to have custody or visitation
rights to the child (list their names and the children concerned below and list their
present addresses in the Confidential Information Form. Do not list the responding
party.):
P et for C hallenge to Denial of Paternity (PT) - Page 4 of 8
WPF PS 14.0100 (6/2006) - RCW 26.26.335 and .340
Involvement in any other proceeding concerning the child;
[ ] The petitioner has not been involved in any other proceeding regarding the child.
[ ] The petitioner has been involved in the following proceedings regarding the child (list
the court, the case number, and the date of the judgment or order):
Other legal proceedings concerning the child.
[ ] The petitioner does not know of any other legal proceedings concerning the child.
[ ] The petitioner knows of the following legal proceedings which concern the child (list the
child concerned, the court, the case number, and the kind of proceeding):
1.9 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
enforcement officers and military personnel when carrying department/government-
issued firearms. 18 U.S.C. § 925(a)(1). )
1.10 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). )
P et for C hallenge to Denial of Paternity (PT) - Page 5 of 8
WPF PS 14.0100 (6/2006) - RCW 26.26.335 and .340
If you need immediate protection, contact the court/clerk for RCW 26.50 Domestic
Violence Forms.
1.11 Other
II. Relief Requested
The court is requested to enter an order and judgment that:
[ ] Declares the Denial of Paternity invalid.
[ ] Declares the Acknowledgment of Paternity is void.
[ ] Declares the nonexistence of the parent child relationship between the acknowledged father and
the child.
[ ] Declares the acknowledged father is not a responsible parent for the child under the laws of the
state of Washington and the acknowledged father owes no duty of support to the child or any
other person or entity on behalf of the child.
[ ] Amends the birth certificate of the child by removing the acknowledged father as the child’s
father and adding the presumed father as the child’s father.
[ ] Changes the child’s surname to _____________________________ [Name].
[ ] Determines support for the dependent child pursuant to the Washington State Support Schedule
and either or both parents be ordered to maintain or provide health insurance coverage for the
child and pay extraordinary uninsured costs proportionate to their income.
[ ] Adopts a residential schedule/parenting plan for the child as proposed by the petitioner.
[ ] Makes provision for a domestic violence protection order.
[ ] Makes provision for a continuing restraining order.
[ ] Awards court costs, genetic test costs, guardian ad litem, attorney, and other reasonable fees.
[ ] Other:
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
hereinabove named, that I have made the allegations contained in this petition based upon my first hand
knowledge, and therefore believe that they are true.
P et for C hallenge to Denial of Paternity (PT) - Page 6 of 8
WPF PS 14.0100 (6/2006) - RCW 26.26.335 and .340
Signed at _______________________, [City] ____________ [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.
[ ] 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
[ ] 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.
[ ] 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.
P et for C hallenge to Denial of Paternity (PT) - Page 7 of 8
WPF PS 14.0100 (6/2006) - RCW 26.26.335 and .340
Dated: ________________________________ ____________________________________
Signature of Joining Party
____________________________________
Print or Type Name
P et for C hallenge to Denial of Paternity (PT) - Page 8 of 8
WPF PS 14.0100 (6/2006) - RCW 26.26.335 and .340
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