 District Court  Denver Juvenile Court

_________________________________________ County, Colorado

Court Address:

IN THE MATTER OF THE ADOPTION OF:

AND CONCERNING:

, Petitioner
COURT USE ONLY
Attorney or Party Without Attorney (Name and Address): Case Number:

Phone Number: E-mail:

FAX Number: Atty. Reg.#: Division Courtroom
REQUEST FOR AND ORDER TO MAINTAIN OPEN STATUS

I, ________________________________________________________, the confidential intermediary appointed in this

matter, request that this case remain open for an additional period of ________________days.

 This matter is not yet ready for closure due to the following reasons: (Reasons other than consent received.)

OR

 A consent for contact from the sought-after relative has been received and the Petitioner has requested
that I continue to attempt contact with another relative whose identity has or may become available
through information presently in my possession.

Date: _________________________________ ___________________________________________

Confidential Intermediary

The Court has considered the reasons given for this request and finds that it is necessary to allow additional time to complete
the search in this matter. The Court orders that the case may remain open for a period of ____________ days.

OR

This matter shall be docketed for review by the Court on _________________________________.

Date: _____________________________________ ___________________________________________

District Court Judge
District Court Magistrate

JDF 350 R9/00 REQUEST FOR AND ORDER TO MAINTAIN OPEN STATUS