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This is a Vermont form that can be used for Family Court within Statewide.
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SUPERIOR COURT Unit Plaintiff Name STATE OF VERMONT FAMILY DIVISION Docket No. 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 without child(ren) named above at 1. Plaintiff shall appear with ______________________________________ 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 Signature ____________________________ Plaintiff Signature Dated ________________ ______________________________ Defendant's Attorney ____________________________ Defendant Signature Dated ________________ ____________________________ 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 15 V.S.A § 308(1). Dated Signature ________________ ____________________________ Superior Court Judge Page 1 of 1 400-00870 Genetic Testing Stipulation & Order (08/2015) American LegalNet, Inc. www.FormsWorkFlow.com
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