Colorado > Statewide > Adoption
Petition For Custodial Adoption JDF 503 - Colorado
| Petition For Custodial Adoption Form. This is a Colorado form and can be used in Adoption Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
District Court Denver Juvenile Court _____________________County, Colorado Court Address: IN THE MATTER OF THE PETITION OF: _____________________________ (name of person(s) seeking to adopt) FOR THE ADOPTION OF A CHILD Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: FAX Number: E-mail: Atty. Reg. #: Division Courtroom PETITION FOR CUSTODIAL ADOPTION The Petitioner(s) being desirous of adopting a child so as to make said child for all intents and purposes the legal child of Petitioner(s) and to render him/her capable of inheriting their estate, state(s) the following facts: Information about the Petitioner(s): Petitioner #1: ____________________________________________________________________ (Full Name) Date of Birth: ________________ Race: ______________ Place of Birth: ____________________________ Current Mailing Address: ___________________________________________________________________ City & Zip: _______________________________________________________________________________ Home Phone #: ____________________ Work Phone #: ___________________ Cell #: _________________ Email:____________________________________ Length of Residence in Colorado:__________________ Occupation: ______________________________ Place of residence at the time of birth of the child. _______________________________________________________________________________________ Street Address City State Zip Code Petitioner #2: ____________________________________________________________________ (Full Name) Date of Birth: ________________ Race: ______________ Place of Birth: ____________________________ Current Mailing Address: ___________________________________________________________________ City & Zip: _______________________________________________________________________________ Home Phone #: ____________________ Work Phone #: ___________________ Cell #: _________________ Email:____________________________________ Length of Residence in Colorado: __________________ Occupation: _____________________________ Place of residence at the time of birth of the child. _______________________________________________________________________________________ Street Address JDF 503 R7-12 PETITION FOR CUSTODIAL ADOPTION © 2012 Colorado Judicial Department for use in the Courts of Colorado City State Zip Code Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com If applicable, maiden name of adopting mother: _____________________ Date of Marriage: _____________ Venue is proper in this matter because the Petitioner(s) reside(s) in this county The Petitioner(s) has/have consulted with the appropriate local County Department of Social Services concerning the possible eligibility of the Petitioner(s) and the child for temporary assistance for needy families (TANF), Medicaid, subsidized adoption and other services or public assistance administered by the County Department of Social Services on ___________________. The Petitioner(s) has/have attached as "Attachment A" a current fingerprint-based criminal history records The Petitioner(s) has/have attached as "Attachment B" the TRAILS background check as required by §19-5207, C.R.S. If the Petitioners has/have been convicted of a felony or misdemeanor in any of the following areas, please check the appropriate box and identify for the Court the date of the conviction and if it was a felony or misdemeanor. child abuse or neglect on ______________________ (date). FelonyMisdemeanor spousal abuse on _______________________ (date). FelonyMisdemeanor any crime against a child on ____________________ (date). FelonyMisdemeanor any crime, the underlying factual basis of which has been found by the Court to include an act of domestic violence on _______________________ (date). FelonyMisdemeanor violation of a Protection/Restraining Order on ____________________ (date). FelonyMisdemeanor any crime involving violence, rape, sexual assault, or homicide on _____________________ (date). check as required by §19-5-207(2.5)(a)(I)-(IV), C.R.S. any felony involving physical assault or battery on __________________________ (date). FelonyMisdemeanor any felony drug-related conviction within the past five years, at a minimum on _________________(date). FelonyMisdemeanor Identify all children of the Petitioner(s) (both natural and adopted and both living and deceased). Full Name of Child Full Name of Child FelonyMisdemeanor Facts concerning the child to be adopted. Services. (Do not fill in if placement is by an agency or Department of Social Full Name: ___________________________________________ Date of Birth: _____________________ Place of Birth: _______________________________ Relationship of child to Petitioner(s), if any ____________ Place of Residence: _________________________________________________________________________ The child is is not a member or eligible to be a member of an Indian tribe as defined by the Indian Welfare Act.If applicable, name of tribe _______________________________________________________________. Notice of this Petition has been provided to the parent or Indian custodian of the child and to the tribal agent of the tribe, as required by §19-1-126(1)(c), C.R.S. Reasonable efforts have been made to send notice to the identified persons as follows: _______________________________________________________________________________________ _______________________________________________________________________________________ JDF 503 R7-12 PETITION FOR CUSTODIAL ADOPTION © 2012 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Attach the postal receipts to this petition, indicating that notice was properly sent. If the postal receipts have not been returned at the time of filing, the postal receipts or copies shall be filed with the Court within ten days of the filing of this petition. If applicable, inquiries have been made by the County Department of Social Services or child placement agency to determine whether the child is an Indian child as follows: _______________________________________________________________________________________ _______________________________________________________________________________________ The child has been in the care and custody of Petitioner(s) since _________________________________ (date). The legal custody of the child is with ______________________________________________________ (name). Full descript
|
|||||||
