Form Jdf 1000 - Case Information Sheet
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1District Court
Denver Juvenile Court
_________________________________County, Colorado
Court Address:
_____________________________________________
In re the Marriage of:
In the Interest of:
in re Parental Responsibilities concerning:
________________________________________________
Petitioner:__________________________________________
and
Co-Petitioner/Respondent: ____________________________
COURT USE ONLY
Attorney or Party Without Attorney
:
Case Number:__________________
(Name and Address)
____________________________________________
____________________________________________
Phone Number:___________________ E-mail:__________________
Division_______ Courtroom _______
FAX Number:_____________________ Atty. Reg. #: _____________
CASE INFORMATION SHEET
Full name of Petitioner: ______________________________________________________________________
Date of birth: ________________________
Social Security Number: _____________________
Residential address: __________________________________________________________ Apt. #__________
City: ______________________ State: ______________________ Zip Code: __________________
Mailing address (if different from residential address): ___________________________________ Apt. # _______
City: ______________________ State: ______________________ Zip Code: __________________
Telephone Numbers: Home ___________________ Work ____________________ Cell ___________________
Full name of Co-Petitioner/Respondent: ________________________________________________________
Date of birth: ________________________
Social Security Number: _____________________
Residential address: __________________________________________________________ Apt. #__________
City: ______________________ State: ______________________ Zip Code: __________________
Mailing address (if different from residential address): ___________________________________ Apt. # _______
City: ______________________ State: ______________________ Zip Code: __________________
Telephone Numbers: Home ___________________ Work ____________________ Cell ___________________
Names of children (attach a second sheet, if necessary):
Full Name of Child
Present Address
Sex Date of Birth Soc. Sec. No.
The Petitioner is planning to be self-represented.
The Co-Petitioner/Respondent is planning to be self-represented.
Both you and the other party have retained an attorney.
Date: _______________________
______________________________________
Petitioner
Co-Petitioner/Respondent
JDF 1000
R6/08 CASE INFORMATION SHEET
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