JDF343 R 1 / 18 MOTION AND AFFIDAVIT T O OPEN ADOPTION FILE BY ADOPTEE District Court Denver Juvenile 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 ADOPTEE I, , declare under oath that: I was born on: My current address is: My current telephone numbers are: (Home) (Work) I was adopted by : in County, Colorado, on or about (date of adoption). Agency handling adoption: Attorney handling adoption: Adoptive parents address at time of adoption: I know the following about my birth parents or relatives: I am seeking my birth parents or relatives because: I am I am not living with my adoptive parents. I petition the Court to order the adoption files of the Court 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 acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging t hat 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 ( P rinted name of Petitioner) Signature of Petitioner American LegalNet, Inc. www.FormsWorkFlow.com