JDF 1000 R 2 /1 9 CASE INFORMATION SHEET District Court Denver Juvenile Court County, Colorado Court Address: In re t he Marriage of: In re the Civil Union of: In the Interest of: in re P arental Responsibilities concerning: Petitioner: and Co - Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom DOMESTIC CASE INFORMATION SHEET Full name of Petitioner : Date of birth: Social Security Number: Residential address: Apt. # City: State: Zip Code: Mailing address (if different from res idential address): Apt. # City: State: Zip Code: Telephone Numbers: Home Work Cell F ull name of Co - Petitioner/Respondent : Date of birth: Social Security Number: Residential address: Apt. # City: State: Zip Code: Mailing address (if different from residential address): Apt. # City: Sta te: Zip Code: Telephone Numbers: Home Work Cell The following child(ren) was/were born o r adopted of this marriage. (attach a second sheet, if necessa ry): Full Name of Child Present Address Sex Date of Birth Soc. Sec. No. The Petitioner is planning to be self - represented. American LegalNet, Inc. www.FormsWorkFlow.com JDF 1000 R 2 /1 9 CASE INFORMATION SHEET The Co - Petitioner/Respondent is planning to be self - represented. Both you and the other party have retained an attorney. 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 that I have made a change to the original content of this form. SIGNATURE Printed name of Petitioner or Co - Petitioner/Respondent Signature of Petitioner or Co - Petitioner/Respondent Date American LegalNet, Inc. www.FormsWorkFlow.com