Stipulation Regarding Parenting Time Modification {JDF 1423}

JDF 1423 R 2 / 1 8 STIPULATION REGARDING PARENTING TIME MODIFICATION Page 1 of 2 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 STIPULATION REGARDING PARENTING TIME MODIFICATION The (Petitioner) and ( Co - Petitioner/ Respondent) stipulate and agree to the following Stipulation Regarding Parenting Time Modification : 1. The parties have minor child(ren): Full Name of Child Present Address Sex Date of Birth 2. We request the Court to change the current parenting time order to provide for the following new parenting plan schedule: (Attach additional documentation, if necessary.) 3. We believe that the modification /restriction of the current parenting time order is in the best interests of the minor child(ren) for reason(s) which we re unknown to the Court, or that have arisen since the last order. They are as follows: American LegalNet, Inc. www.FormsWorkFlow.com JDF 1423 R 2 / 1 8 STIPULATION REGARDING PARENTING TIME MODIFICATION Page 2 of 2 4. Other Information: 5. We request that this Stipulation Regarding Parenting Time Modification be entered as an Order of this Court. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country ( P rinted name of Petitioner ) Signature of Petitioner Address State Zip Code (Area Code) Telephone Number (home) (Area Code) Telephone Number ( work ) I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country ( P rinted name of Co - Petitioner /Respondent ) Signature of Co - Petitioner/Respondent Address State Zip Code (Area Cod e) Telephone Number (home) (Area Code) Telephone Number ( work ) Co - Petitioner /Respondent American LegalNet, Inc. www.FormsWorkFlow.com