JDF 1502(a) R 3 / 18 WAIVER OF SERVICE District Court Denver Juvenile Court County, Colorado Court Address: In the Interest of: Petitioner: v. Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom WAIVER OF SERVICE I , , accept service on (date) of the Summons and Verified Petition in this case, having received a copy of each and consent to the hearing held on the date set in the Summons or any date and time the case is continued for hearing. VERIFICATION AND ACKNOWLEDGEMENT I swear/affirm under oath that I have read the foregoing Waiver and Acceptance of Service and that the statements set forth therein are true and correct to t he best of my knowledge. (Printed name of Respondent) Signature of Respondent Date Subscribed and affirmed, or sworn to before me in the County of , State of , this day of , 20 . My commission expires: De puty Clerk/Notary Public American LegalNet, Inc. www.FormsWorkFlow.com