District Court Denver Juvenile Court ___________________________________County, Colorado Court Address: IN THE MATTER OF THE PETITION OF: _______________________________ FOR THE ADOPTION OF A CHILD Attorney or Party Without Attorney (Name and Address):
(name of person(s) seeking to adopt)
COURT USE ONLY Case Number:
Phone Number: FAX Number:
E-mail: Atty. Reg. #:
Division
Courtroom
AFFIDAVIT OF DILIGENT EFFORTS
Use this form in conjunction with JDF 517 Motion and Affidavit for Publication of Notice I/We _________________________________________________________ (name of Petitioner(s)) state that the following attempts have been made to contact the non-custodial birth parent:
1.
Family Members Contacted Without Results:
______________________________________________________ Name Relationship ______________________________________________________ Address ______________________________________________________ ______________________________________________________ Phone
_______________________________________________ Name Relationship _______________________________________________ Address _______________________________________________ _______________________________________________ Phone
2.
Friends Contacted Without Results:
______________________________________________________ Name ______________________________________________________ Address ______________________________________________________ ______________________________________________________ Phone
_______________________________________________ Name _______________________________________________ Address _______________________________________________ _______________________________________________ Phone
3.
Employers Contacted:
_____________________________________________________ Name of Employer _____________________________________________________ Address _____________________________________________________ _____________________________________________________ Phone _____________________________________________________ Dates of Employment
_______________________________________________ Name of Employer _______________________________________________ Address _______________________________________________ _______________________________________________ Phone _______________________________________________ Dates of Employment
4.
Other People Contacted:
______________________________________________________ Name ______________________________________________________ Address ______________________________________________________ ______________________________________________________ Phone
_______________________________________________ Name _______________________________________________ Address _______________________________________________ _______________________________________________ Phone
No location information known to above party.
No location information known to above party.
JDF 526 R7/06
AFFIDAVIT OF DILIGENT EFFORTS
Page 1 of 2
5.
Phone Book Listings in the Last Known Location:
______________________________________________________ Name ______________________________________________________ Address ______________________________________________________ ______________________________________________________ Phone
_______________________________________________ Name _______________________________________________ Address _______________________________________________ _______________________________________________ Phone
6.
No party found
Party no longer at address
No party found
Party no longer at address
Utilities Information in the Last Known Location:
______________________________________________________ Name ______________________________________________________ Address ______________________________________________________ ______________________________________________________ Phone _______________________________________________________ Name of Person Contacted
_______________________________________________ Name _______________________________________________ Address _______________________________________________ _______________________________________________ Phone _______________________________________________ Name of Person Contacted
7.
No party found
Party no longer at address
No party found
Party no longer at address
Military Locator Service: (For Service Members)
______________________________________________________ Name ______________________________________________________ Address ______________________________________________________ ______________________________________________________ Phone _______________________________________________________ Name of Person Contacted
_______________________________________________ Name _______________________________________________ Address _______________________________________________ _______________________________________________ Phone _______________________________________________ Name of Person Contacted
8.
No party found
Party no longer at address
No party found
Party no longer at address
Computer and Internet Search was completed with the following findings:
_____________________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________________
I swear/affirm under oath that I have read the foregoing Affidavit and that the statements set forth herein are true and correct to the best of my knowledge and belief.
_______________________________________________ Signature of Petitioner Date ______________________________________________________ Signature of Petitioner Date
Subscribed and affirmed, or sworn to before me in the County of ________________________, State of ____________________, this _______ day of ________________,20 ____. My Commission Expires:
Subscribed and affirmed, or sworn to before me in the County of _________________________, State of ____________________, this ________ day of ________________, 20 ____. My Commission Expires:
Clerk/Notary Public JDF 526 R7/06 AFFIDAVIT OF DILIGENT EFFORTS
Clerk/Notary Public Page 2 of 2