! District Court ! Denver Juvenile Court _________________________________________ County, Colorado Court Address: IN THE MATTER OF THE ADOPTION OF: AND CONCERNING: , Petitioner Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: E-mail: FAX Number: Atty. Reg.#: Division Courtroom REQUEST FOR AND ORDER REQUIRING DISCLOSURE OF INFORMATION Confidential intermediary for the Petitioner requests that this Court enter an order requiring disclosure of information being held by _____________________________________________________________________________________________. 1. Information has been requested from the above-named party, who has either failed to provide information or refused to disclose it. 2. This information is necessary to assist in the search for the sought-after relative. 3. The specific information being requested is as follows: Date: ____________________________________ ___________________________________________ Confidential Intermediary The Court having reviewed the confidential intermediary's Request for Order Requiring Disclosure of Information, and being satisfied that the information is necessary to assist in the search for the sought-after relative, orders: That ________________________________ is to provide the confidential intermediary, __________________________, with the information requested as listed in this Request for an Order Requiring Disclosure of Information. This order and the above request are confidential documents of the Court and may not be further disclosed. Date: ____________________________________ ___________________________________________ !"District Court Judge !"District Court Magistrate" JDF 347 R1/01 REQUEST FOR AND ORDER REQUIRING DISCLOSURE OF INFORMATION 2001 � American LegalNet, Inc.