County Court District Court Denver Juvenile Court ________________________________ County, Colorado Court Address: In the Matter of the Petition of: Parent/Petitioner: Minor Child: to Change the Child's Name to: Attorney or Party Without Attorney (Name and Address): Phone Number: FAX Number: E-mail: Atty. Reg. #: Case Number: for COURT USE ONLY Division Courtroom NOTICE TO NON-CUSTODIAL PARENT Notice to: Notice is given that a hearing is scheduled as follows: Date: Time: Location: _____________________________________________ _____________________________________________ _____________________________________________ _____________________________________________ for the purpose of requesting a change of name for _________________________ ___________________________ ___________________________. First Name Middle Name Last Name , non-custodial parent. At this hearing, the court may enter an order changing the name of the minor child. You may attend the hearing and participate or voice objection to the proposed change of name. Date: __________________________ _____________________________________________ Signature of Parent/Petitioner ____________________________________________ Address _____________________________________________ City, State, Zip Code _____________________________________________ Telephone #: (home) (work) (cell) CERTIFICATE OF MAILING I certify that on ____________________________ (date), I placed in the United States mail, certified and postage prepaid, a copy of this Notice addressed to the Non-custodial Parent: Name: __________________________________ Address: ________________________________ City/State/Zip Code: _______________________ ____________________________________________ Signature JDF 422 R7/11 NOTICE TO NON-CUSTODIAL PARENT (Change of Name of Minor) American LegalNet, Inc. www.FormsWorkFlow.com