Verified Statement of Fees Charged - Colorado 2026

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  1. Click ‘Get Form’ to open the Verified Statement of Fees Charged in the editor.
  2. Begin by entering the name of the person(s) seeking to adopt in the designated field at the top of the form.
  3. Fill in your contact information, including your name, address, phone number, and email. If you are an attorney, include your Atty. Reg.#.
  4. In the section for fees charged, input the respective amounts for attorney’s fees, filing fees, publication fees, personal service fees, birth certificates, hospital charges and medical fees, county department of social services fees, child placement agency fees, and any other considerations.
  5. Calculate and enter the total fees charged at the bottom of this section.
  6. Acknowledge whether you are filling in blanks only or making changes to original content by checking the appropriate box.
  7. Complete the verification section by providing your printed name and signature along with the date and location where you are signing.

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