Free ______________________County, Colorado District Court - Colorado

District Court Denver Juvenile Court ___________________________ County, Colorado Court Address: In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address):

COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Atty. Reg.#:

Division

Courtroom

MOTION TO INTERVENE
1. I/We are filing this Motion to intervene in this action.

2. Information about Intervenor (1): Full Legal Name: Current Mailing Address: City: Email Address: State:

Check if in Military Date of Birth:

Zip Code: Cell Phone #:

Home Phone #:

Intervenor has the following relationship with the minor child(ren): child(ren)'s grandmother, child(ren)'s grandfather other:

3. Information about Intervenor (2): Full Legal Name: Current Mailing Address: City: Email Address: State:

Check if in Military Date of Birth:

Zip Code: Cell Phone #:

Home Phone #:

Intervenor has the following relationship with the minor child(ren): child(ren)'s grandmother, child(ren)'s grandfather other: I/We are requesting to intervene in this action for the following reasons:

JDF 1704

2/09

MOTION TO INTERVENE

Page 1 of 2

VERIFICATION
I/We have read the foregoing Motion and verify that the facts set forth in this document are true as far as I know or am informed.

_______________________________________
Intervenor (1) Signature Date

______________________________________
Intervenor (2) Signature Date

______________________________________
Intervenor (1)'s Attorney Signature, if any

____________________________________
Intervenor (2)'s Attorney Signature, if any

CERTIFICATE OF SERVICE
(date) the original was filed with the Court; and a true and accurate copy I certify that on of the MOTION TO INTERVENE was served on the other party by: Hand Delivery, E-filed, Faxed to this number _________________________, or by placing it in the United States mail, postage pre-paid, and addressed to the following: To: _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________ _____________________________________

______________________________________ (Your signature)

JDF 1704

2/09

MOTION TO INTERVENE

Page 2 of 2