Fill and Sign the Adopt Form

 District Court ___________________________________ County, Colorado Court Address: IN THE MATTER OF THE ADOPTION OF : Birth Name of Adoptee (If known) A ND CONCERNING Current 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 :   ADULT DESCENDANT OF ADOPTEE;  LEGAL GUARDIAN OF ADOPTEE;  SPOUSE OF ADOPTEE;  ADULT DESCENDENT OF ADOPTIVE PARENT;  ADULT STEPCHILD OF ADOPTEE; OR   ADOPTED ADULT SIBLING OF ADOPTEE I, _______________________________________________________________________________, declare under oath that: The Adoptee was born on: _______________________(Date). The Adoptee's current address is: ________________________________________________________________________ (Street Address, City, State, Zip) The Adoptee was adopted by ___________________________________________________in __________________ County, Colorado, on or about______________________________( date of adoption). Agency handling adoption: ________________________________________. Attorney handling adoption: _____________________________________ The adoption was finalized in _________________________ County, Colorado. Adoptive parents' address at time of adoption: _______________________________________________________________ (Street Address, City, State, Zip) I know the following about the Adoptee's birth parents or relatives: ________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ I am seeking the Adoptee's birth parents or relatives because: ___________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ The Adoptee is  living  deceased. The Adoptee’s current name is: __________________________________________. The Adoptee's current address is: _________________________________________________________________________ (Street Address, City, State, Zip) Adoptee current telephone numbers are: ________________________________(home)__________________________________(work The Adoptee  is  is not living with his/her adoptive parents. My current address is: __________________________________________________________________________________ (Street Address, City, State, Zip) My current telephone numbers are: _____________________________________(home)__________________________________(work) JDF 352 2-18 MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY: Page 1 of 2 ADULT DESCENDANT OF ADOPTEE; LEGAL GUARDIAN OF ADOPTEE; SPOUSE OF ADOPTEE; ADULT DESCENDENT OF ADOPTIVE PARENT; ADULT STEPCHILD OF ADOPTEE; OR ADOPTED ADULT SIBLING OF ADOPTEE. If you are an adult descendant of an adoptee, fill out Section 1 below: If you are a legal guardian of an adoptee, fill out Section 2 below: If you are a spouse of an adoptee, fill out Section 3 below: If you are an adult descendant of an adoptive parent, fill out Section 4 below: If you are an adult stepchild of an adoptee, fill out Section 5 below: If you are an adopted adult sibling of adoptee, fill out Section 6 below. Section 1 : I am an adult descendant of the Adoptee because ____________________________________________ (state relationship) I was born on: _____________________________. Section 2 : Date of Court Appointment as legal guardian: _________________________Case No. _____________ Court of Jurisdiction: ________________________(county). I am the legal guardian of the Adoptee because: ____________________________________________________________________________________ ___________________________________________________________________( state particular reason) Section 3 : Date of marriage: __________________Date of Legal Separation (if applicable): ____________________ Section 4 : I am an adult descendant of Adoptive Parent because _________________________________________ (state relationship ) I was born on: _________________ Section 5 : I was  was not   adopted by the Adoptee. I was born on: _______________________________ Section 6 : I am an adopted adult sibling of the Adoptee because _________________________________________ _______________________________________________________________________ (state relationship) I was born on: _____________________. I was adopted by: ____________________________________ (names of 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 =============================================================================================== JDF 352 2-18 MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY: Page 2 of 2 ADULT DESCENDANT OF ADOPTEE; LEGAL GUARDIAN OF ADOPTEE; SPOUSE OF ADOPTEE; ADULT DESCENDENT OF ADOPTIVE PARENT; ADULT STEPCHILD OF ADOPTEE; OR ADOPTED ADULT SIBLING OF ADOPTEE.