Colorado Support Order Form

In the case of wanting to designate a specific spouse in a divorce case to pay alimony or child support, the following form has to be completed and submitted.

Extracted Text for Proper Search

JDF 1117   	10/11	     	SUPPORT ORDER	 	 	Page 	1 of 2 	
	District Court 		Denver Juvenile Court 	 	
___________	______	__ County, Colorado	 	
Court Address:	 	
 
 
In re:	 	
	The Marriage of:	 	
	Parental Responsibilities concerning:	 	
______________________________________________________	 	 Petitioner:	 	 
and	 	 
Co	-Petitioner/	Responden	t: 	
 
 
 
 
 
 
 
 
 	
COURT USE ONLY 	 	
Case Number:	 	
 
 
Division               Courtroom	 	
SUPPORT ORDER	 	
 
 
Petitioner:	 	 	 	 	 	 	 	Date of Birth: _______________________ 	 	
Mailing Address:	 	 	 	 	 	 	 	 	 	 	 	 	 	
Residential Address:	 	 	 	 	 	 	 	 	 	 	 	 	 	
Name of Employer: 	 	 	 	 	 	 	   	
Employer 	Addres	s: 	 	 	 	 	 	 	 	 	 	 	 	 	
 
Co	-Petitioner/	Respondent:	 	 	 	 	Date of Birth: _______________________	 	
Mailing Address:	 	 	 	 	 	 	 	 	 	 	 	 	 	
Residential Address:	 	 	 	 	 	 	 	 	 	 	 	 	 	
Name of Employer: 	 	 	 	 	 	 	   	
Employer 	Address:	 	 	 	 	 	 	 	 	 	 	 	 	 	
 
The following 	are 	the minor children who are the sub	ject of this Order: 	 	
Full Name of Child	 	 	Sex	 	Date of Birth	 	
 	 	 	
 	 	 	
 	 	 	
 	 	 	
 
 
The  Court  Orders	 the 		Petitioner 		Co	-Petitioner/Respondent	 to  pay 		child  support 	and/or	 	
	maintenance to	 	 	 	 	 	  (name of party)	.   	 	
a. Payments 	shall be paid 		weekly	 	bi-weekly	 	twice	 a month	 	monthly 		other: _______	__	________.	  	
b. The first payment is due on ____________________________ (date).	 	
c. Total  arrears  owed  as  of  _____________	______	__	 (date)  for  Child  Support  $	____________	 and/or 	
Maintenance $	___________	. 	
d. Total  retroactive  support 	as  of  _______________________  (date)  that  accrued  prior  to  the  entry  of  a 	
support order for the time period of ________________ to _______________ shall be $______________. 	 	
e. Emancipation  occurs  when  the  last  or  only  child  reaches  the  age  of  19;  unless  the 	child  is  still  in  high 	
school,  in  which 	case	 support  continues  until  the  end  of  the  month  following  graduation;  or  until  the 	
child(ren)  otherwise  emancipate  as  may  be  determined  by  the  Court. 	Child  support  may  be  changed  or 	
amended upon motion of a party w	hen any of the children reach 19	.

JDF 1117   	10/11	     	SUPPORT ORDER	 	 	Page 	2 of 2 	
The total monthly obligation is as follows:	 	 	$ _____________ Current Child Support	 	
 	 	 	 	 	 	 	$ _____________ Current Maintenance	 	
$ _____________ Payment toward Arrears 	(child support)	 	
 	 	 	 	 	 	 	$ _____________ Payment toward A	rrears 	(maintenance)	 	
 	 	 	 	 	 	 	$ _____________ 	Payment toward 	Retroactive Support	  	
 	 	 	 	 	 	 	 	
For a total monthly payment of	 $ ___________	 	
 
 
	Upon  payment  in  full  of  the  Retroactive  Support	 and/	or  Arrears	,  the  monthly  payment  is  reduced  to 	
$_______________.	 	
 	 	
	The  Court  orders  the  immediate  activation  of  an  income  assignment  against  the  Obligor,  pursuant  to  §14	-14	-	
111.5, C.R.S. 	 	
 	
	The  i	ncome  as	signment  must  be  paid  through  the  Family  Support  Registry,  pursuant  to  §26	-13	-114(6)(a), 	
C.R.S.	 	
. 	 	
or 	 
	This Order is not subject to the immediate activation of an income assignment because either:	 	
 
	Both parties have 	entered into a written 	agreement	 that 	provides for an alternative arrangement	.  If	 a payment 	
is missed	, or late,	 an income	 assignment 	shall immediately be activated pursuant to 	§14	-14	-111.5, C.R.S. 	 	
. 
	The  Court  finds  there  is  good  cause  not  to  require  the  immediate  activation  of  an  income  ass	ignment 	
because:  	 	
 	 	 	 	 	 	 	 	 	 	 	 	 	
 	 	 	 	 	 	 	 	 	 	 	 	 	 	
 
	The Court orders the	 	Petitioner or	 	Co	-Petitioner/Respondent	, or 		Either party 	to secure and maintain	 	
	medical	 or 		medical and d	ental 	and/or 		other: 	  	 	 insurance  coverage 	for  the  child(ren)	, 	
when  it  is  prov	ided  by  his/her  employer  or  acquired  individually,  at  a  reasonable  cost  as  defined  in  §14	-10	-	
115	(10)	,  C.R.S	.  	Each  party  shall  cooperate  and  exchange  information  necessary  to  provide  insurance 	
benefits  for  the  child(ren).	   If  not  all  children,  please  iden	tify  the  names  of  the  children  that  this  party  will  be 	
providing insurance for: 	 	 	 	 	 	 	 	 	 	 	 	 	
 
	The  Court 	finds 		medical  or 		medical  and  dental	 insurance  is  not  currently  available  to  either  party  at  a 	
reasonable  cost  and  does  not  order  either  party  to  provi	de  coverage	 for  the  children  at  this  time,  but  does  order 	
the parties to provide coverage when it becomes available at a reasonable cost	. 	
 
Payments shall continue until further Order of the Court.  Payments shall be:	 	 	
		Mailed to the Family Support Registr	y or	 	 Mailed directly to the appropriate party.	 	
P. O. Box 2171	 	
 	Denver, CO  80201	-2171	 	
 
 
Date:  ________________________________	  	 	______________________________________	 	
	Judge 		Magistrate