Fill and Sign the Sex Offender Registration Form

 District Court  Denver Juvenile Court ___________________ County, Colorado Court 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: JDF 474 R3/13 NOTICE OF HEARING ON PETITION – NON-COLORADO CONVICTION OR JUVENILE ADJUDICATION OR DISPOSITION  Attorney for Petitioner or Petitioner pro se Date: _______________________ _____________________________________________ Clerk of Court/Deputy Clerk JDF 474 R3/13 NOTICE OF HEARING ON PETITION – NON-COLORADO CONVICTION OR JUVENILE ADJUDICATION OR DISPOSITION