JDF 1704 R 3 /1 8 MOTION TO INTERVENE Page 1 of 2 District Court Denver Juvenile Court County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental 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 MOTION TO INTERVENE 1. I/ W e are filing this Motion to intervene in this action. 2. Information about Intervenor (1): Check if in Military Full Legal Name: Date of Birth: Current Mailing Address : City: State: Zip Code: Home Phone #: Email Address: Cell Phone #: Intervenor has the following relationship with the mino r child(ren): - grandmother - grandfather other: 3. Information about Intervenor (2): Check if in Military Full Legal Name: Date of Birth: Current Mailing Address : City: State: Zip Code: Home Phone #: Email Address: Cell Phone #: Intervenor has the following relationship with the minor child(ren): - grandmother - grandfather other: 4. I/ We are requesting to intervene in this action for the following reasons: American LegalNet, Inc. www.FormsWorkFlow.com JDF 1704 R 3 /1 8 MOTION TO INTERVENE Page 2 of 2 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 Intervenor (1) Signature of Intervenor ( 1 ) Date Printed name of Intervenor (2) Signature of Intervenor (2) Date Intervenor (1) Attorney Signature, if any I ntervenor (2) Attorney Signature, if any CERTIFICATE OF SERVICE I certify that on (date) a true and accurate copy of th is MOTION TO INTERVENE was served on the other party by: Hand Delivery, E - filed, Faxed to this number , or by placing it in the United States mail, postage pre - paid, and addressed to the following: To: Signature American LegalNet, Inc. www.FormsWorkFlow.com