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Colorado Petition for the Dissolution of Marriage Form

In the case of wanting to file for a divorce in the State of Colorado, the following form has to be completed and submitted.

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JDF 1101    R 11/10     PETITION FOR:  DISSOLUTION OF MARRIAGE  LEGAL SEPARATION                                   Page 1  of 4  
                                   
District Court ____________________________ County, Colorado	 	
Court Address: 
 
 
In re the Marriage of:      
Petitioner:  and  
  Co -Petitioner/ Respondent:   	
 
 
 
 
 
 
 
 
COURT USE ONLY  	
Attorney or Party W ithout Attorney 	(Name and Address)	:  	
 
 
Phone Number:____________ E-mail: ________________________  
FAX Number:	_____________	  Atty. Reg. #:	 _______________	 	
Case Number:	 	
 
 
 
Division 	______	 Courtroom	 _______	 	
PETITION FOR:	    		DISSOLUTION OF MARRIAGE	      		LEGAL SEPARATION   	
PURSUANT  TO  §14- 10-106, C.R.S.  	
******	IF CHILDREN ARE PART OF THIS ACTION	, PLEASE CHECK HERE	 	******		 	
 
 
1.   This Petition is for 	
	Dissolution of Marriage or  		Legal Separation. 
 
  2.   The Marriage is irretrievably broken.  
 
 
3.   Information about the Wife: 	
	Petitioner    		Co -Petitioner /Respondent  Check if in Military  		  	
Full Legal Name: ___________________________________________  Date of Birth: _______________ __ 
Length of Current  Residency in Colorado:  	
 (Years/months)  Dates:       	 	
Current Mailing  Address:              	 	
City:     	State:  	 Zip Code:   	  Home Phone #:     	 	
Email Address:        	  Cell Phone #:       	   	
 
 
4.   Information about the Husband:    	
	Petitioner    		Co-Petitioner/Respondent  Check if in Military  		 	
Full Legal Name: ____ _______________________________________  Date of Birth: _________________ 
Length of Current  Residency in Colorado:  	
 (Years/months)  Dates:       	 	
Current Mailing Address :              	 	
City:     	State:  	 Zip Code:   	  Home Phone #:     	 	
Email Address:        	  Cell Pho ne #:       	 	
 
 
5.  Date of the Marriage: ___________________  Place of Marriage: __________________________ 	
(City/State) 	
 
 
6.  Date the parties separated:   ______________________ 
 
 
7.   The Wife is   	
	pregnant   		not pregnant.

JDF 1101    R 11/10     PETITION FOR:  DISSOLUTION OF MARRIAGE  LEGAL SEPARATION                                   Page 2  of 4  
                                   
8.  The following child(ren) was/were born or adopted of this marriage.  (attach a second sheet, if necessary):  
 	
Full Name of Child	 	Present Address	 	Sex	 	Date of Birth	 	
 	 	 	 	
 	 	 	 	
 	 	 	 	
 	 	 	 	
 
  9.   The child(ren) listed above have lived in C olorado for a minimum of  six months prior to the filing  of this 
Petition or since birth  if under six months of age.   	
	Yes 		No    If  No,  please state the name of child, name 
of person child lived with and the month, date and  year when each child most recently moved to Colorado. 
 	
Full Name of Child	 	Name of Person Child Lived 	
with	 	
State Moved 	
From	 	
Month	 	Day	 	Year	 	
 	 	 	 	 	 	
 	 	 	 	 	 	
 	 	 	 	 	 	
 	 	 	 	 	 	
   
10.  I/We understand that a  request for genetic tests shall not prejudice the requesting party in matters concerning 
allocati on of parental responsibilities pursuant to § 14-10- 124(1.5), C.R.S.  If genetic tests are not obtained 
prior to a legal establishment of paternity and submitted into evidence prior to the entry of the final decree of 
dissolution  or legal separation, the genetic tests may not be allowed into evidence at a later date.  
 
 
11.  Each party has a continuing duty to inform the C ourt of any proceeding in this or any other state that 
could affect the current proceeding.    
 
 
12.  I/We understand that the Court may review any ca se involving the children, Petitioner, Co-Petitioner/ 
Respondent and other parties  named in this Petition that have be en filed in any Court.   
 
 
13.  I/W e  have participated in the following proceeding(s)  regarding the child(ren) as a party or a witness, or in an y 
other capacity concerning the allocation of parental responsibilities including d ecision-making , child support   
and  parenting time with the child(ren) .  Identify name of court, case number, state, date, and type of 
proceeding  if any . 
 	
Name of Court	 	Case 	Number	 	State	 	Date of Proceeding	 	Type of Proceeding 	 	
 	 	 	 	 	
 	 	 	 	 	
 	 	 	 	 	
 	 	 	 	 	
 
 
14.  I/We know of the  following proceeding(s)  that could affect the current proceeding including, but not limited to 
proceedings relating to domestic violence or domestic abuse, enfo rcement of Court orders, 
protection/restraining orders, termination of parental rights, and adoptions .  Identify name of court, case 
number, state, date, and type of proceeding if any.  
 	
Name of Court	 	Case Number	 	State	 	Date of Proceeding	 	Type of Proceeding

JDF 1101    R 11/10     PETITION FOR:  DISSOLUTION OF MARRIAGE  LEGAL SEPARATION                                   Page 3  of 4  
                                   
 
15. The following people are not parties in this matter, but have physical custody of the child(ren) or claim rights 
of parental responsibilities, legal custody or physical custody, or visitation/parenting time with the child(ren) . 
I dentify n ame and address of those persons , if any. 
 	
Full Name of Person	 	Address 	(Street, 	City/State, Zip Code)	 	
 	 	
 	 	
 	 	
 
 
16.  R equired Notice of Human Services Involvement.  
 	
The parents or dependent child(ren) listed on this Petition has/have received within the last five years, or 
is/are currently receiving benefits or public assistance from the state Department of Human Services or the 
County Department of Social Services	
.   		No 		Yes    If your answer was Yes , complete  the following:  
 	
Name of Person Receiving Benefit	 	Name of County and State	 	Case Number	 	Month/Year	 	
 	 	 	 	
 	 	 	 	
 	 	 	 	
 	 	 	 	
 
 
17.  R equired Notice of Prior Protection/Restraining Orders.  	
 	
Have any Temporary or Permanent Protection/Restraining Orders to prevent domestic abuse or any Criminal 
Mandatory Protection/Restraining Orders  (MRO)  or Emergency Protection Orders been issued against either 
party within two years prior to the filing of this P etition? 
 
	No 		Yes    If your ans wer was Yes, complete the following:  	
 
The Protection/Restraining Order was 		Temporary 		Permanent 		MRO  and issued against 
______________________________  in  a 	
	Municipal Court 		County  Court 		District  Court  in the County of 
______________, State of ____ __________, in case number _____ __________  on ______________ (date) . 	
 
What was the subject matter of the Protection/Restraining Order or Emergency Protection Order?  
                
                
                	 	
 
 
18. Notice of Existing Case with Child Support Enforceme nt (CSE) 
The parents have filed a case with CSE?  	
	No	 		Yes  If Yes,  identify the case number: ________ _____ 
 
 
19.  I/We ask that the Court enter orders regarding the 	
	status of the marriage, 		best interests of the child(ren), 	
	maintenance  (spousal support)  		child support, 		division of property and debts, 		attorney fees and 
costs, if appropriate, 	
	restoration of the previous name of a party, 		and any other necessary orders.  
 
 
20.  The 	
	Petitioner 		Co -Petitioner requests that the Court restore his/her prior  full name  to 
______________________________________.

JDF 1101    R 11/10     PETITION FOR:  DISSOLUTION OF MARRIAGE  LEGAL SEPARATION                                   Page 4  of 4  
                                   
 
Notice :	  Colorado Revised Statutes §14- 10-107, provides that upon the filing of a Petition for Dissolution of 
Marriage or Legal Separation by the Petitioner and  Co-P etitioner , or upon personal service of the Petition and 
Summons on the Respondent, or upon waiver and acceptance of service by  the Respondent,  an automatic 
temporary injunction shall be in effect against both parties  until the F inal Decree is entered, or  the Petition is 
dismissed, or until further Order of the Court.  Either party may apply to the Court  for further temporary orders, an 
expanded automatic temporary injunction, or modification or revocation under §14- 10-108, C.R.S. or any other 
appropriate statute.  	
 
1.  Both parties are restrained from transferring, encumbering, concealing, or in any way dispo sing of, 
without the consent of the other party, or an Order of the Court, any marital property, except in the 
usual course of business or for the necessities of life.  Each party is required to notify the other party 
of any proposed extraordinary expenditures and to account for all extraordinary expenditures made 
after the injunction is in effect; and  
 
2.  Both par ties are enjoined from molesting or disturbing the peace of the other party or the minor 
child(ren); and   
 
3.  Both parties are restrained from removing the minor child(ren) of the parties, if any, from the state 
without the consent of the other party or an Or der of the Court; and 
 
4.   Both parties are restrained, without at least 14 days advance notification and the written consent of 
the other party or an Order of the Court, from canceling, modifying, terminating, or allowing to lapse 
for nonpayment of premiums,  any policy of health insurance, homeowner’s or renter’s insurance, or 
automobile insurance that provides coverage to either of the parties or the minor child(ren) or any 
policy of life insurance that names either of the parties or the minor child(ren) as a  beneficiary.  
 
 
N othing in this automatic injunction shall prohibit either party from applying to the Court for 
further orders, an expanded automatic temporary injunction, or orders modifying or revoking 
this injunction.   
 
Petitioner and Co- Petitioner, if any, acknowledge that he or she has received a copy of, has 
read, and understands the terms of the automatic temporary injunction set forth in this Petition 
and the Summons.  
 
 	
VERIFICATION AND ACKNOWLEDGEMENT  	
 
I swear/affirm under oath that I have read the foregoing  Petition and that the statements set forth therein are true 
and correct to the best of my knowledge.  
 
_______________________________________    ______________________________________   
Petitioner Signature           Date    Co-Petitioner Signature          Date 
 
______________________________________     ____________________________________  
Petitioner’s Attorney Signature, if any     Co-Petitioner’s Attorney Signature, if any   
Subscribed and affirmed, or sworn to before me      Subscribed and affirmed, or sw orn to before me 
by ____________________________________     by ____________________________________  
in the County of ________________________,      in the County of _______________________,    
State of ____________________, this _______     State of ___________________, this _______  
day of ___________________, 20 _____.     day of ___________________, 20 _____.  
My Commission Expires: _________________     My Commission Expires: __________________  
 
______________________________________     _____________________________ _________ 
Notary Public/Clerk        Notary Public/Clerk
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