Fill and Sign the Colorado Legal Representative Child Form

 District Court  Denver Juvenile Court ________________________________ County, Colorado Court Address: In re:  The Marriage of:  The Civil Union of:  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 MOTION FOR APPOINTMENT OF LEGAL REPRESENTATIVE OF THE CHILD PURSUANT TO § 14-10-116, C.R.S. The  Petitioner  Co-Petitioner/Respondent requests that a Legal Representative of the Child (CLR) be appointed to represent the best interest of the minor child(ren)identified below: Full Name of Child Date of Birth The CLR shall represent the best interest of the child(ren) with respect to:  allocation of parental responsibilities (parenting time and decision-making responsibilities)  support for the child  the child’s property  other _______ The Court authorized the filing of this motion on _________________________ (date). The  Petitioner  Co-Petitioner/Respondent requests that the fees of the CLR be paid _______% by the Petitioner _______% by the Co-Petitioner/Respondent. If applicable, the  Petitioner  Co-Petitioner/Respondent attaches JDF 208 and requests a finding of indigency and that _______% of the CLR fees be paid by the State. Date: __________________________ _____________________________________________  Petitioner or  Co-Petitioner/Respondent  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. (Checking this box requires you to remove JDF number and copyright at the bottom of the form.) CERTIFICATE OF SERVICE I certify that on _________________ (date) the original was filed with the Court; and, a true and accurate copy of the Motion for Appointment of Legal Representative of the Child Pursuant to §14-10-116, C.R.S. was served on the other party by:  Hand Delivery  E-filed  Faxed to this number ___________________ or  by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ______________________________________ ______________________________________ ______________________________________ ______________________________________ Your Signature JDF 1319 R8-17 MOTION FOR APPOINTMENT OF LEGAL REPRESENTATIVE OF THE CHILD PURSUANT TO §14- 10-116, C.R.S. © 2017 Colorado Judicial Department for use in the Courts of Colorado