Fill and Sign the Colorado Affidavit Diligent Form

 District Court  Denver Juvenile Court _____________________County, Colorado Court Address: In the Matter of the Petition of: ______________________________________________________ And _______________________________________________Petitioner(s) For the Relinquishment of a Child, ___________________________________________________________ (child’s name) COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Use this form in conjunction with JDF 485 Motion for Publication of Notice The Petitioner _______________________________________ swears and affirms that the following attempts have been made to contact the presumed or alleged other parent. 1. Family Members Contacted Without Results: _______________________________________________ ______________________________________________________ Name Relationship Name Relationship _______________________________________________ ______________________________________________________ Address Address _______________________________________________ ______________________________________________________ _______________________________________________ ______________________________________________________ Phone Phone 2. Friends Contacted Without Results: _______________________________________________ ______________________________________________________ Name Name _______________________________________________ ______________________________________________________ Address Address _______________________________________________ ______________________________________________________ _______________________________________________ ______________________________________________________ Phone Phone 3. Employers Contacted: _______________________________________________ _____________________________________________________ Name of Employer Name of Employer _______________________________________________ _____________________________________________________ Address Address _______________________________________________ _____________________________________________________ _______________________________________________ _____________________________________________________ Phone Phone _______________________________________________ _____________________________________________________ Dates of Employment Dates of Employment 4. Other People Contacted: _______________________________________________ ______________________________________________________ Name Name _______________________________________________ ______________________________________________________ Address Address _______________________________________________ ______________________________________________________ _______________________________________________ ______________________________________________________ Phone Phone JDF 484 R3-18 AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Page 1 of 3  No location information known to above party.  No location information known to above party. 5. Phone Book Listings in the Last Known Location : _______________________________________________ ______________________________________________________ Name Name _______________________________________________ ______________________________________________________ Address Address _______________________________________________ ______________________________________________________ _______________________________________________ ______________________________________________________ Phone Phone  No party found  Party no longer at address  No party found  Party no longer at address 6. Utilities Information in the Last Known Location: _______________________________________________ ______________________________________________________ Name Name _______________________________________________ ______________________________________________________ Address Address _______________________________________________ ______________________________________________________ _______________________________________________ ______________________________________________________ Phone Phone _______________________________________________ _______________________________________________________ Name of Person Contacted Name of Person Contacted  No party found  Party no longer at address  No party found  Party no longer at address 7. Military Locator Service: (For Service Members) _______________________________________________ ______________________________________________________ Name Name _______________________________________________ ______________________________________________________ Address Address _______________________________________________ ______________________________________________________ _______________________________________________ ______________________________________________________ Phone Phone _______________________________________________ _______________________________________________________ Name of Person Contacted Name of Person Contacted  No party found  Party no longer at address  No party found  Party no longer at address 8. Computer and Internet Search and Inmate Locator Service was completed with the following findings:  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 Date JDF 484 R3-18 AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Page 2 of 3