Fill and Sign the A National Assessment of Serious Juvelme Crime Ncjrs Form

JDF343 R1/18 MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY ADOPTEE District Court  Denver Juvenile Court_________________________________________ County, ColoradoCourt Address:IN THE MATTER OF THE ADOPTION OF:Birth Name of Adoptee (If known) AND CONCERNINGCurrent Legal Name of Petitioner COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg.#:Case Number:Division Courtroom MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY ADOPTEE I, _______________________________________________________________________________, declare under oath that:I was born on: __________________________________ My current address is: ____________________________________My current telephone numbers are: (Home) ________________________________ (Work) ___________________________I was adopted by: in County, Colorado, on or about (date of adoption).Agency handling adoption: _______ ________Attorney handling adoption: ______________________________________________________________________________Adoptive parents address at time of adoption: __________ I know the following about my birth parents or relatives: ________________________________________________________ I am seeking my birth parents or relatives because: ___________________________________________________________ I am  I am not living with my adoptive parents.I petition the Court to order the adoption files of the _______________________ Court for ____________________________ County, and any hospital, homes, adoption agencies, state or public agencies or courts that have files concerning this case, be open for review by a confidential intermediary. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.Executed on the ______ day of ________________, _______, at ______________________________________ (date) (month) (year) (city or other location, and state OR country________________________________________ ________________________________________________ (Printed name of Petitioner) Signature of Petitioner