JDF 533 R7/14 ORDER FOR GOOD CAUSE RE: ACCESS TO ADOPTION RECORDS District Court Juvenile Court County, Colorado Court Address: I n the Matter of the Adoption of: Birth Name of Adoptee (If known) Current Legal Name of Adoptee C OURT USE ONLY Case Number: Division: Courtroom: ORDER FOR GOOD CAUSE RE: ACCESS TO ADOPTION RECORDS The Court, having considered the Request for Access to Adoption Records of the Requestor: is satisfied that good cause exists and therefore the Request for Access to Adoption Records is granted. is not satisfied that good cause exists and therefore the Request for Access to Adoption Records is denied for the following reasons: The Court orders that the Requestor shall have access to the adoption records. This Order along with photo identification can be presented to the Court on or after (date) for access to the adoption records. The Court orders that the Requestor shall not have access to the adoption records. Date: Judge Magistrate CERTIFICATE OF SERVICE I certify that on (date), I delivered a copy of this Order to the following: Requestor and/or Requestor: Hand-Delivered, E-filed, or Mailed to: Other: Hand-Delivered, E-filed, or Mailed to: Clerk Signature: American LegalNet, Inc. www.FormsWorkFlow.com