Fill and Sign the Colorado Domestic Relations Form

 District Court  Denver Juvenile Court _________________________________County, Colorado Court Address:  In re the Marriage of:  In re the Civil Union of:  In the Interest of:  in re Parental Responsibilities concerning: ________________________________________________ Petitioner: and Co-Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom DOMESTIC CASE INFORMATION SHEET Full name of Petitioner : ______________________________________________________________________ Date of birth: ________________________ Social Security Number: _____________________ Residential address: __________________________________________________________ Apt. #__________ City: ______________________ State: ______________________ Zip Code: __________________ Mailing address (if different from residential address): ___________________________________ Apt. # _______ City: ______________________ State: ______________________ Zip Code: __________________ Telephone Numbers: Home ___________________ Work ____________________ Cell ___________________ Full name of Co-Petitioner/Respondent : ________________________________________________________ Date of birth: ________________________ Social Security Number: _____________________ Residential address: __________________________________________________________ Apt. #__________ City: ______________________ State: ______________________ Zip Code: __________________ Mailing address (if different from residential address): ___________________________________ Apt. # _______ City: ______________________ State: ______________________ Zip Code: __________________ Telephone Numbers: Home ___________________ Work ____________________ Cell ___________________ The following child(ren) was/were born or adopted of this marriage. (attach a second sheet, if necessary): Full Name of Child Present Address Sex Date of Birth Soc. Sec. No.  The Petitioner is planning to be self-represented.  The Co-Petitioner/Respondent is planning to be self-represented. JDF 1000 R2/19 CASE INFORMATION SHEET  Both you and the other party have retained an attorney.  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. SIGNATURE ________________________________________ ______________________________________ Printed name of Petitioner or Co-Petitioner/Respondent Signature of Petitioner or Co-Petitioner/Respondent ____________________________________________ Date JDF 1000 R2/19 CASE INFORMATION SHEET