Free _______________________________County, Colorado ? County Court ? District Court - Colorado

_______________________________County, Colorado ! County Court ! District Court Court address: Phone Number : IN THE MATTER OF THE PETITION OF: Parent/Petitioner:
Minor Child: to change the child's name to:

for:

COURT USE ONLY Case Number:

Attorney or Party Without Attorney (Name and Address):

Phone Number: FAX Number:

E-mail: Division: Atty. Reg. #: NOTICE TO NON-CUSTODIAL PARENT

Courtroom:

NOTICE TO: _______________________________________________________________________, non-custodial parent. Notice is given that a hearing is scheduled as follows: DATE: TIME: LOCATION: _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ for the purpose of requesting a change of name for ___________________________________________________________. At this hearing, the court may enter an order changing the name of the minor child. You may attend the hearing and participate or voice objection to the proposed change of name.

Date: _______________________________________

___________________________________________
Signature of Parent/Petitioner

___________________________________________
Type or Print Name

___________________________________________
Address

___________________________________________ ___________________________________________
Telephone No.

CERTIFICATE OF MAILING I certify that on (date) _____________________________, I placed in the United States mail, certified and postage prepaid, a copy of this Notice addressed to: (non-custodial parent): Name _________________________________________ Address: _______________________________________ _______________________________________________ ___________________________________________
Signature

JDF 422 R4/00

NOTICE TO NON-CUSTODIAL PARENT (Change of Name of Minor)