Full Name of Party Filing Document

Mailing Address (Street or Post Office Box)

City, State and Zip Code

Telephone

Email Address (if any)

IN THE DISTRICT COURT FOR THE 	 JUDICIAL DISTRICT
FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 	

,

Petitioner,

vs.

,

Respondent.

Case No. 	

FAMILY CASE RESPONSE (WITH CHILDREN)
Fee Category: 	
Filing Fee: $	

(Your name) 	, for his/her
Response to the 	, states:

1.	I completely agree with and admit the following paragraphs (list each paragraph number):

2.	I admit the portion of paragraph 	, that states: 	

	 and I deny everything else in that paragraph.

3.	I admit the portion of paragraph 	, that states: 	

	 and I deny everything else in that paragraph.

4.	I deny the following paragraphs because I do not have enough information to admit or deny them (list each paragraph number): 	
5.	I completely disagree with and deny everything I do not admit.

6.	The following child/ren under the age of 18, or 19 and still pursuing a high school education, was/were born to or adopted by the parties:

Name	Date of Birth	Current Address	

			

c Wife is not now pregnant.
c	Wife is now pregnant with a child expected to be born	

7.	Our child/ren have lived with the following persons in the following places within the last five years:
1.	

Name of Person	City and State	Time Period
(mm/yr – mm/yr)	Child’s Name if
not all children	

				

The names and current addresses of each non-parent our children have lived with during the last 5 years are: 	

8.	I have not participated as a party or witness, in a different case involving our child/ren. or
c I have participated as a party or witness in the following different case involving our children (provide all specifics including the parent’s name, the state, the court, the case number and the date of the child custody order, if any): 	

9.	I do not know of a different case that could affect our child/ren. or
c The following different case could affect our child/ren (provide all specifics including the parent’s name, the state, the court, the case number and the nature of the proceeding): 	

10.	Other than the parents, no one has or claims custody or visitation rights with our child/ren. or
c In addition to the parents, the following person/s have or claim custody or visitation for our child/ren (list names and addresses): 	

11.	c I want the Petition dismissed.
1.	
AFFIRMATIVE DEFENSE(S)

(State each affirmative defense that applies in a separate paragraph - see I.R.F.L.P. 209(c)).

.

I have read this Response and state that all facts included are true. I ask the Court to enter any order requested above.

CERTIFICATION UNDER PENALTY OF PERJURY
I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct.
Date: 	

Typed/printed name	Signature

CERTIFICATE OF SERVICE
I certify that on (date) 	 I served a copy to: (name all parties in the case other than yourself)

(Name)

(Street or Post Office Address)

(City, State, and Zip Code)		
c  By mail
c By fax (number) 	
c  By personal delivery
c  By email to:

(If allowed)

	

(Name)

(Street or Post Office Address)

(City, State, and Zip Code)		c  By mail
c By fax (number) 	
c  By personal delivery
c  By email to:

(If allowed)	
Typed/printed name		Signature