IN THE CIRCUIT COURT OF THE STATE OF OREGON

FOR THE COUNTY OF WASHINGTON

Case No: ______
Petitioner
and / SUMMONS
□ Marriage
□ Registered Domestic Partnership RDP)
Respondent / □ Unmarried and Unregistered

Summons—Page 1 of 1 (1/16)

To (name):

Home Address: Work Address:

Your spouse, partner, or child’s parent has filed a Petition asking for:

□ Separation of your marriage or registered domestic partnership (RDP)

□ Divorce or dissolution of your marriage or registered domestic partnership (RDP)

□ Unmarried Parents—Child Support, custody, or parenting time


You must “appear” in this case or the other side will win automatically. To “appear,” you must file a legal paper called a “Response” or a motion. Response forms are available for purchase at the court facilitator’s office at 145 Northeast Second Avenue, Room 112C, Hillsboro, Oregon, or online at courts.oregon.gov/washington. Talk to a lawyer for information about appearing by motion.

Your Response must be filed with the court clerk at Washington County Circuit Court, 150 North First Avenue, MS 37, Hillsboro, OR 97124 within 30 days of the day you received this Summons, along with the required filing fee (go to courts.oregon.gov/washington for fee information). It must be in proper form and you must show that the Petitioner’s lawyer (or the Petitioner if he or she does not have a lawyer) was served with a copy of the Response according to the service rules. Service rules are included in Instructions for Respondents, available at courts.oregon.gov/washington.

If you have questions, see a lawyer immediately. If you need help finding a lawyer, you can call the Oregon State Bar’s Lawyer Referral Service at 503.684.3763 or toll free in Oregon at 800.452.7636, or go to oregonstatebar.org.

If special accommodation under the Americans with Disabilities Act is needed, please contact your local court at the address above; telephone number: (503) 846-8767.

Certificate of Document Preparation and Readiness for Judicial Signature. You are required to truthfully complete this certificate regarding the document you are filing with the Court. Check all boxes and complete all blanks that apply:

□ I selected this document for myself, and I completed it without paid assistance.

□ I paid or will pay money to for assistance in preparing this form/document.

Submitted by:

Petitioner Signature Print Name

Address or Contact Address City, State, Zip Telephone or Contact Number