Superior CourtofWashington

Countyof

In re the Custody of:
Child(ren),
Petitioner(s),
and
Respondent(s). / No.
Responseto Nonparental Custody Petition
(RSP)

To the Above-Named Petitioner:

I. Response

1.1Admissionsand Denials

The allegations of the petition in this matter are admitted or deniedas follows (check only one for each paragraph):

Paragraph of the Petition

1.1[ ]Admitted[ ]Denied[ ]Lacks Information

1.2[ ]Admitted[ ]Denied[ ]Lacks Information

1.3[ ]Admitted[ ]Denied[ ]Lacks Information

1.4[ ]Admitted[ ]Denied[ ]Lacks Information

1.5[ ]Admitted[ ]Denied[ ]Lacks Information

1.6[ ]Admitted[ ]Denied[ ]Lacks Information

1.7[ ]Admitted[ ]Denied[ ]Lacks Information

1.8[ ]Admitted[ ]Denied[ ]Lacks Information

1.9[ ]Admitted[ ]Denied[ ]Lacks Information

1.10[ ]Admitted[ ]Denied[ ]Lacks Information

1.11[ ]Admitted[ ]Denied[ ]Lacks Information

1.12[ ]Admitted[ ]Denied[ ]Lacks Information

1.13[ ]Admitted[ ]Denied[ ]Lacks Information

1.14[ ]Admitted[ ]Denied[ ]Lacks Information

1.15[ ]Admitted[ ]Denied[ ]Lacks Information

Each allegation of the petition which is denied, is denied for the following reasons [List separately]:

1.2Noticeof Further Proceedings

Notice of all further proceedings in this matter should be sent to the address shown on the last page of this form.

1.3Other

II. Requests

2.1Requestfor Dismissal

[ ]Does not apply.

[ ]The responding party requests that the petition be dismissed.

2.2Requestfor Relief if the Petition Is not Dismissed

[ ]The responding party requests the court to grant the relief below.

[ ]Award custody of the child(ren) as follows:

[ ]Order either or both parents to maintain or provide health insurance coverage for the child(ren) consistent with RCW 26.10.060.

[ ]Determine support for the dependent child(ren) pursuant to the Washington State Child Support Schedule.

[ ]Approve my proposed residential schedule for the dependant children, which schedule is attached and incorporated into this response, or order reasonable visitation as follows:

[ ]Award the tax exemptions for the dependent child(ren) as follows:

[ ]Enter a [ ] domestic violence [ ] antiharassment Order for Protection protecting (name) ______from (name) ______. If you check this box, contact the clerk/court for RCW 26.50 Domestic Violence forms or for RCW 10.14 Antiharassment forms.

[ ]Enter a continuing restraining order.

[ ]Order payment of day care expenses for the child(ren).

[ ]Order payment of attorney’s fees, other professional fees and costs.

[ ]Other:

Dated: ______

Signature of Respondent or Lawyer/WSBA No.

______

Type or Print Name

______

Address

______

Respto Nonparental Cust Pet (RSP) - Page 1 of 3

WPF CU 01.0300 Mandatory(6/2008) - RCW 4.28.010; 26.10.030(2)