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Appendix H INFORMATION REGARDING SPECIAL ASSIGNMENTS See D.C.COLO.LCivR 40.1

Case number of action being filed:__________________________________________________ Case number of claimed related pending case in this court:_______________________________ Judge assigned to claimed related case:______________________________________________ Type of action of claimed related case:_______________________________________________ Status of claimed related pending case: ______________________________________________ ______________________________________________________________________________ State reasons the new case is claimed to be related to a pending case(s): ____________________ ______________________________________________________________________________ ______________________________________________________________________________ _________________________________ Attorney ___________________ Date ________________________________ Party