Fill and Sign the County State of Colorado Case Number Form

JDF 474 R3/13 NOTICE OF HEARING ON PETITION – NON-COLORADO CONVICTION OR JUVENILE ADJUDICATION OR DISPOSITION District Court Denver Juvenile Court ___________________ County, ColoradoCourt Address:Petition of ______________________________ (Name of Party filing Petition) COURT USE ONLY Case Number:Division: Courtroom: NOTICE OF HEARING ON PETITION NON-COLORADO CONVICTION OR JUVENILE ADJUDICATION OR DISPOSITION Information about the Petitioner:Full Name: Date of Birth: Current Mailing Address: City: State: Zip Code: Home Phone #: Work Phone #: Cell Phone #: Information about the Offense/Case:Offense of conviction _________________________________________________________________________Statute number for offense of non-Colorado conviction______________________________________________Classification of non-Colorado offense___________________________________________________________Date of conviction________________________ Date of Release from Supervision/Incarceration______________Interested parties are notified that the above named Petitioner has filed a Petition to Discontinue Sex Offender Registration. The Petition is set for a hearing as follows: Location: Date: Time: Date: ___________________________ _____________________________________________Clerk of Court/Deputy Clerk CERTIFICATE OF SERVICE I certify that on ____________________________ (date), I mailed, e-filed, faxed, or hand-delivered a copy of this Notice of Hearing on Petition to the following: Attorney for Petitioner or Petitioner pro seDate: _______________________ _____________________________________________ Clerk of Court/Deputy Clerk