Colorado > Statewide > Domestic Relations
Verified Pleading Affidavit For Grandparent Visitation Pursuant To Section 19-1-117 C.R.S. JDF 1701 - Colorado
| Verified Pleading Affidavit For Grandparent Visitation Pursuant To Section 19-1-117 C.R.S. Form. This is a Colorado form and can be used in Domestic Relations Statewide . |
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District Court Juvenile Court ______________________ County, Colorado Court Address: In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________ Petitioner: and Co-Petitioner/Respondent: and concerning: Grandparent(s) Intervenor(s): Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: E-mail: Atty. Reg. #: Division Courtroom VERIFIED PLEADING AFFIDAVIT FOR GRANDPARENT VISITATION PURSUANT TO §19-1-117, C.R.S. AND RULE 24 OF THE CIVIL RULES OF CIVIL PROCEDURE Note to Responding Party: If you disagree with this Pleading Affidavit, the Colorado Civil Rules of Procedure allow you to file a written response with the Court which must be filed within 21 days of the date this Pleading Affidavit was served on you or mailed to you. The intervenor(s), the maternal paternal grandparent(s) of the minor child(ren), states the following for the purpose of establishing visitation between the grandparent(s) and the child(ren), pursuant to §19-1-117, C.R.S. 1. A Pleading Affidavit seeking an Order for grandparent visitation has has not been filed in the last two years. If one has been filed, please identify the date filed _____________________________. If a Pleading Affidavit has been filed in the last two years, state reasons for good cause in section 8. Check if in Military Date of Birth: 2. Information about Intervenor (1): Full Legal Name: Current Mailing Address: City: Email Address: State: _____ Zip Code: _________ Home Phone #: Cell Phone #: Intervenor has the following relationship with the minor child(ren): child(ren)'s grandmother, or child(ren)'s grandfather JDF 1701 R1-12 PLEADING AFFIDAVIT FOR GRANDPARENT VISITATION PURSUANT TO §19-1-117, C.R.S. Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com 3. Information about Intervenor (2): Full Legal Name: Current Mailing Address: City: Email Address: Check if in Military Date of Birth: State: _____ Zip Code: _________ Home Phone #: Cell Phone #: Intervenor has the following relationship with the minor child(ren): child(ren)'s grandmother, or child(ren)'s grandfather 4. Information about the Mother: Full Legal Name: Current Mailing Address: City: Email Address: Petitioner Respondent/Co-Petitioner Check if in Military State: _____ Zip Code: _________ Home Phone #: Cell Phone #: 5. Information about the Father: Full Legal Name: Current Mailing Address: City: Petitioner Respondent/Co-Petitioner Check if in Military State: _____ Zip Code: _________ Home Phone #: 6. The minor child(ren) is/are: Full Name of Child Present Address Sex Date of Birth 7. The parental rights of the parents of the minor child(ren) have been terminated. Yes If Yes, please furnish the case number: __________________________________ No 8. Visitation with the grandparent(s) is in the child(ren)'s best interest for the following reasons: JDF 1701 R1-12 PLEADING AFFIDAVIT FOR GRANDPARENT VISITATION PURSUANT TO §19-1-117, C.R.S. Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com 9. The grandparent(s) wish(es) to have visitation with the minor child(ren) at the following times and under the following conditions: 10. Transportation of the child(ren) will be as follows: 11. Have any Temporary or Permanent Protection/Restraining Orders or any Criminal Mandatory Protection/Restraining Orders (MRO) or Emergency Protection Orders been issued against the grandparent(s) or any of the parties within two years prior to the filing of this Petition? No The Yes If your answer was Yes, complete the following: Order was Protection/Restraining Temporary Permanent MRO and issued against _________________________________ in a Municipal Court County Court District Court in the County of _____________________, State of _______________, in case number ________________ on ______________________ (date). What was the subject matter of the Protection/Restraining Order or Emergency Protection Order? I/We respectfully request that this Court enter an Order for visitation between the intervenor(s)/grandparent(s) and the minor child(ren) as set forth in this Pleading Affidavit and any other orders necessary to effectuate the best interests of the child(ren). JDF 1701 R1-12 PLEADING AFFIDAVIT FOR GRANDPARENT VISITATION PURSUANT TO §19-1-117, C.R.S. Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com VERIFICATION AND ACKNOWLEDGEMENT I swear/affirm under oath that I have read the foregoing Pleading Affidavit and that the statements set forth therein are true and correct to the best of my knowledge. _____________________________________ Signature of Grandmother Date __________________________________________ Signature of Grandfather Date ______________________________________ Attorney Signature, if any __________________________________________ Attorney Signature, if any Subscribed and affirmed, or sworn to before me by ____________________________________ in the County of ________________________, State of ____________________, this _______ day of ___________________, 20 _____. My Commission Expires: _________________ ______________________________________ Notary Public/Clerk Subscribed and affirmed, or sworn to before me by ____________________________________ in the County of _______________________, State of ___________________, this _______ day of ___________________, 20 _____. My Commission Expires: __________________ ______________________________________ Notary Public/Clerk CERTIFICATE OF SERVICE I certify that on ____________________ (date) a true and accurate copy of this Pleading Affidavit 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 1701 R1-12 PLEADING AFFIDAVIT FOR GRANDPARENT VISITATION PURSUANT TO §19-1-117, C.R.S. Page 4 of 4 American LegalNet, Inc. www.FormsWorkFlow.com
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