District Court ___________________________County, Colorado Court Address PETITION OF: __________________________ COURT USE ONLY (Name of party filing Petition) Case Number: Division: Courtroom: NOTICE OF HEARING ON PETITION – NON-COLORADO JUVENILE ADJUDICATION OR DISPOSITION Information about the Petitioner: Full Name: ______________________________________________ Date of Birth: _____________________ (First, Middle, Last) Current Address: ____________________________________________________________________________ Home Phone Number: ___________________________ Cell Phone Number: ______________________ Interested parties are notified that the above named Petitioner has filed a Petition to Discontinue Sex Offender Registration. The Petition is set for hearing on _______________________ (date) at ________ (time) in _______ (courtroom). You may be present if you so desire. Date: ______________________________ _____________________________________________ Clerk of Court/Deputy Clerk CERTIFICATE OF MAILING I hereby certify that I mailed a true and correct copy of the NOTICE OF HEARING ON PETITION – NONCOLORADO JUVENILE ADJUDICATION OR DISPOTION by prepaid postage U.S. Mail or by placing in the marked inter-office agency’s box to the following on this ________________________(date). Treatment Provider District Attorney Division of Youth Corrections County Sheriff Police Department Probation Department/Parole Officer Petitioner Victim(s) (Addresses as listed in Court file) Other: ____________________________ Other: ____________________________ Date: ___________________________ JDF 478 7/06 _____________________________________________ Clerk of Court/Deputy Clerk NOTICE OF HEARING ON PETITION – NON-COLORADO JUVENILE ADJUDICATION OR DISPOSITION American LegalNet, Inc. www.FormsWorkflow.com