District Court Denver Juvenile Court __________________________________County, Colorado Court Address:
THE PEOPLE OF THE STATE OF COLORADO In the Interest of: __________________________________________________, Child _____________________________ Date of Birth UPON THE PETITION OF: _____________________________________________Petitioner(s) AND CONCERNING: ___________________________________________Respondent(s) Attorney or Party Without Attorney (Name and Address):
COURT USE ONLY Case Number:__________________
Phone Number:________________ E-mail: ____________________ FAX Number:_________________ Atty. Reg.#:_________________
Division ________ Courtroom______
NOTICE OF ADOPTION PROCEEDING AND SUMMONS TO RESPOND PURSUANT TO §19-5-105(5), C.R.S.
To the above named Respondent(s): You are hereby notified that a Petition for Adoption has been filed and if you wish to respond to the Petition, you must file your Response with the clerk of this Court within 30 days after this Notice is served on you. Your response must be accompanied with the applicable filing fee of $158.00. Your failure to file a Response, or to appear, within 30 days after service, and, in the case of an alleged father, your failure to file a claim of paternity under Article 4 of Title 19, C.R.S., within 30 days after service, if a claim has not previously been filed, may likely result in termination of your parental or your alleged parental rights to the minor child. The following documents are also served herewith: (check as appropriate) Petition for (Stepparent, Kinship, Custodial) Adoption Petition to Terminate the Parent-Child Legal Relationship (JDF 520). Affidavit of Abandonment (JDF 525) Other: _________________________________________________
Date: __________________________ __________________________________ Clerk of Court/Deputy Clerk
(This form is not to be used where service by publication is desired.)
JDF 506 R7/08
NOTICE OF ADOPTION PROCEEDING AND SUMMONS PURSUANT TO §19-5-105(5), C.R.S.