District Court Denver Juvenile Court ____________________ County, Colorado Court Address: In the Matter of the Petition of: COURT USE ONLY _____________________________ (name of person seeking to adopt) For the Adoption of a Child Case Number: Division: Courtroom: NOTICE OF HEARING To: ____________________________________________________________ (Full Name of Parent). Pursuant to §19-5-208, C.R.S., you are hereby notified that the above-named Petitioner(s) has/have filed in this Court a verified Petition seeking to adopt a child. If applicable, an Affidavit of Abandonment has been filed alleging that you have abandoned the child for a period of one year or more and/or have failed without cause to provide reasonable support for the child for one year or more. You are further notified that an Adoption hearing is set on ________________________ (date), at ___________ (time) in the court location identified above. You are further notified that if you fail to appear for said hearing, the Court may terminate your parental rights and grant the adoption as sought by the Petitioner(s). CERTIFICATE OF MAILING I certify that on ______________________ (date), I mailed, faxed, or hand-delivered a copy of this Notice of Hearing and Petition for Adoption to the following: Petitioner(s) Petitioner(s)'s Attorney Respondent(s) Respondent(s)'s Address: _________________________________________________________________ Respondent(s)'s Attorney Other: _____________________________ __________________________________ Clerk JDF 514 R8/10 NOTICE OF HEARING American LegalNet, Inc. www.FormsWorkFlow.com