JDF 344 R 2 - 1 8 MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY BIRTH PARENT Page 1 of 2 OR BIOLOGICAL GRANDPARENT District Court County, Colorado Court Address: IN THE MATTER OF THE ADOPTION OF : Birth Name of Adoptee (If known) A ND CONCERNING Current Legal Name of Petitioner COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY BIRTH PARENT OR BIOLOGICAL GRANDPARENT I, , declare under oath that: My current address is: . (Street Address, City, State, Zip) My date of birth is: My current telephone numbers are: (Home) (Work) My birth child or grandchild was born on: Place of birth of child (City & State ): Date of relinquishment: . Relinquishment of the child occurred in County, Colorado. OR Unknown Agency handling relinquishment/termination: Alias * used by birth mother at time of relinquishment: Affidavit of a Birth Mother Who Used a Fictitious Name at the Time of Relinquishment of a Child (form JDF 344A). Name of the child at the time of birth: I know the following about my birth child or grandchild: I am seeking my birth child or grandchild because: American LegalNet, Inc. www.FormsWorkFlow.com JDF 344 R 2 - 1 8 MOTION AND AFFIDAVIT TO OPEN ADOPTION FILE BY BIRTH PARENT Page 2 of 2 OR BIOLOGICAL GRANDPARENT I petition the Court to order the adoption files of the C ourt for County, and any hospital, homes, adoption agencies, state or public agencies or courts that have files concerning this case, be open for review by a confidential intermediary. By checking this box, I am acknowledgin g I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country (printed name of Petitioner) Signature of Petitioner American LegalNet, Inc. www.FormsWorkFlow.com