Fill and Sign the Consent for Expedited Relinquishment Release of Parental Rights Colorado Form

 District Court  Denver Juvenile Court ________________________County, Colorado Court Address: In the Matter of the Petition of: ___________________________________________________ And _____________________________________________ Petitioner For the Relinquishment of 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 CONSENT FOR EXPEDITED RELINQUISHMENT PURSUANT TO § 19-5-103.5, C.R.S. I certify that I am the  alleged father  presumed father of ________________________________ (child) and I certify that I consent to the relinquishment of said child by the above-named Petitioner. I understand that by consenting my parental rights to the child may likely be terminated. I further understand that a hearing is set in this matter on ____________________________ (date). I waive the right to file an Answer and waive the right to attend any hearing in this matter and request the Court to enter an Order relinquishing my parental rights.  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 Signature of Petitioner Date JDF 483 R3/18 CONSENT FOR EXPEDITED RELINQUISHMENT