Court of Appeals, State of Colorado th 2 East 14 Ave., Denver, CO 80203 Name of Lower Court(s): _________________________________ Trial Court Judges(s): ___________________________________ Case Number(s): _______________________________________ THE PEOPLE OF THE STATE OF COLORADO In the Interest of : __________________________ [initials pursuant to § 19-1-109(1)] Minor Child(ren), And Concerning: __________________________ [initials pursuant to § 19-1-109(1)] Appellant/Respondent: ___________________________________ Attorney or Party Without Attorney (Name and Address): Case Number: COURT USE ONLY Phone Number: FAX Number: E-mail: Division Atty. Reg. #: CERTIFICATE OF DILIGENT SEARCH Courtroom 1. I, ____________________________, was counsel for ____________________ in the above-captioned case. 2. Since the time of entry of the order of: adjudication dispositiontermination, I have attempted to ascertain the whereabouts of my client: to discuss the merits of an appeal; to obtain his/her signature on the notice of appeal. 3. I have made the following efforts: a. Sent a letter with proper postage affixed to the last-known address of my client and: received no response; the letter has been returned to me. b. Ascertained through the post office in __________________________ that my client has not filed a forwarding address. c. Telephoned my client with no response. d. Checked with the __________________________ telephone company, and there is no new telephone listing on file for my client. e. Undertaken the following additional inquiry into the whereabouts of my client: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 4. I am unable to determine the whereabouts of my client. I hereby certify that the above stated facts are true and correct. ______________________________________ Signature, attorney for appellant Date CERTIFICATE OF MAILING I certify that on ________________________(date) the original of this CERTIFICATE OF DILIGENT SEARCH was filed with the District Court; and a true and accurate copy of this CERTIFICATE OF DILIGENT SEARCH was served on the other party(ies) by placing it in the United States mail, postage pre-paid and addressed to the following: _________________________________________ _________________________________________ _________________________________________ Form 2 JDF 546 R12/12 CERTIFICATE OF DILIGENT SEARCH © 2012 Colorado Judicial Department for use in the Courts of Colorado __________________________________ Signature American LegalNet, Inc. www.FormsWorkFlow.com