APPELLATE WAIVER FORM

Please answer the following questions and submit the appropriate documentation. Thank you.

If you have any questions, please contact our appeals email at appeals@coloradoorpc.org

RPC Information

First name: *

Last name: *

CO attorney registration number: *

Are you an associate attorney? *

Yes

No

If yes, what is the name of your managing attorney? *

Email address: *

Party represented: *

Mother

Father

Case Information

Please enter the date of the final order related to this form. * +

County: *

Case number: (formatted as YYJVSSSS - no leading zeroes; e.g., 21JV123) *

Judge: *

Parent's name: *

Parent's last known contact information: *

0/255 characters

Please indicate the current stage of the proceeding. *

Adjudication and disposition

Termination of parental rights

Allocation of parental rights

Have you informed your client of his/her right to appeal? *

Yes

No

Did you inform your client in person of his/her right to appeal? *

Yes

No

Which of the following applies to your client? *

Admission to adjudication and treatment plan

Confession at termination

Waiver of right to appeal

Client did not timely respond to attorney's advisement about appeal.

Please upload the signed admission, confession, or waiver.

In making diligent efforts to locate your client, which of the following actions have you taken? *

Hired an investigator

Checked the Colorado Department of Corrections website

Checked VINElink

Searched Facebook and other social media

Called the client's last known phone number

Written to the client's last known address

Spoken with the client's family members (if known to you)

Please upload a signed certification that you are unable to locate your client and are unaware of your client's wishes regarding an appeal. *

Please add any additional information you would like to share with our office: