Fillable GENETIC TESTING STIPULATION AND ORDER (OCS) (Vermont Judiciary)

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GENETIC TESTING STIPULATION AND ORDER (OCS) (Vermont Judiciary)

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400-00870 – Genetic Testing Stipulation & Order (04/2019) Page 1 of 1
STATE OF VERMONT
SUPERIOR COURT
FAMILY DIVISION
Unit
Docket No.
Plaintiff Name
Defendant Name
v.
GENETIC TESTING STIPULATION AND ORDER
(OCS)
The parties and the Office of Child Support hereby stipulate and agree as follows:
Name of Child(ren)
Date of Birth
1. Plaintiff shall appear ☐ with ☐ without child(ren) named above at
______________________________________ on _____________________ at _____________ to
provide a sample of genetic material sufficient for the purpose of determining parentage.
2. Defendant shall appear ☐ with ☐ without child(ren) named above at
______________________________________ on _____________________ at _____________ to
provide a sample of genetic material sufficient for the purpose of determining parentage.
3. The cost of genetic testing shall be paid by the Office of Child Support.
4. The results of genetic testing shall be made available to all parties.
APPROVED AS TO FORM
Dated Signature Signature
________________ ______________________________ ____________________________
Plaintiff’s Attorney Plaintiff
Dated Signature Signature
________________ ______________________________ ____________________________
Defendant’s Attorney Defendant
Dated Signature
________________ ____________________________
OCS Representative
ORDER
The terms of the parties’ agreement are hereby ORDERED. Failure to comply with this Order may result
in a determination of parentage pursuant to 15C V.S.A. § 608.
Dated Signature
________________ ____________________________
Superior Court Judge
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GENETIC TESTING STIPULATION AND ORDER (OCS) (Vermont Judiciary)

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Completed 30 July 2020

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