Fill and Sign the Colorado Adoption Parent Form

 District Court  Denver Juvenile 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 BY ADOPTIVE PARENT OR CUSTODIAL GRANDPARENT I, _______________________________________________________________________________, declare under oath that: My current address is: __________________________________________________________________________________. (Street Address, City, State, Zip) My date of birth is: ___________________________ My current telephone numbers are: (Home) ________________________________ (Work) ___________________________ The adoptive parents’ address at the time of adoption was: The adoptee was born on: __________________________ Date of adoption: ______________________________________ The agency arranging the adoption was: ___________ The attorney arranging the adoption was: ___________________________________________________________________ The adoption was finalized in _____________________________________ County, Colorado. I know the following about the birth parents of my adopted child or grandchild: ______________________________________________________________ I am seeking the birth parents of my adopted child or grandchild because: _________________________________________ The current name and address of my adopted child or grandchild is: _____________________________________________ My adopted child or grandchild  is  is not at least 18 years of age. JDF 341 R1-18 MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY ADOPTIVE PARENT Page 1 of 2 OR CUSTODIAL GRANDPARENT My adopted child or grandchild  does  does not currently live in my home. My adopted child or grandchild  does  does not know that I am petitioning on his/her behalf. 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. 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 JDF 341 R1-18 MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY ADOPTIVE PARENT Page 2 of 2 OR CUSTODIAL GRANDPARENT