Attestation for Juvenile Records Request

Mandatory for Release of Juvenile Records C.R.S. 19-1-304(2)(a)(I)

Name*
First Middle Last Suffix
Date of Birth*
I hereby attest to being the:*
Please mark only one:
Juvenile Information
Name*
First Middle Last
Date of Birth*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name*
First Middle Last
Date of Birth*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name*
First Middle Last
Date of Birth*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Signature of Person Requesting Records
I certify under perjury in the second degree, that the above facts are true and correct to the best of my knowledge.
Name*
First Middle Last Suffix

Juvenile Information