Free Security Request Form - Colorado

Office of Administrative Courts
633 17th Street, Suite 1300 Denver, Colorado 80202 Phone (303) 8662000 Fax (303) 8665909 www.colorado.gov/dpa/oac

Security Request Form
Today's Date: Date of Hearing: Case No: Time: Judge:

Requesting Party Name: Address: Contact Person: Person of Concern: Known Criminal History?: Yes No Phone Number: D.O.B. (If Known):

Briefly Describe the Reason for the Request:

Verbal Threats?: How Made?: Written Threats?:

Yes Phone Yes

No In Person No

To Whom?: Date: To Whom?: Date:

The Office of Administrative Courts will make every effort to provide additional security when requested. In order to better serve our customers, the OAC requests that this form be completed and sent back to our office at least 10 working days prior to the scheduled court hearing. Please make every effort to include as much background information as possible and include any attachments that may be required, such as letters received, recorded phone conversation, etc. A security representative from the OAC will make contact with the contact person listed above to gather additional information. If you should have any questions or additional concerns, please contact the security desk at (303) 866-5878

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