Notice provider court coverage 2026

1. Click ‘Get Form’ to open the notice provider court coverage document in the editor.
2. Begin by filling in the court information at the top, including the district and county. Ensure you enter the correct court address.
3. In the 'In re:' section, select whether this pertains to a marriage, civil union, or parental responsibilities. Fill in the names of the petitioner and co-petitioner/respondent.
4. Complete the 'COURT USE ONLY' section with your case number, contact details, and attorney registration number if applicable.
5. Next, provide details about the health insurance provider. Enter their name, address, policy number, and information about both the policy holder/obligor and obligee.
6. Review the notification requirements under §14-14-112(2.5), C.R.S., ensuring that all necessary information is included regarding health insurance coverage for a child.
7. Finally, complete the certificate of mailing section by entering the date and signing it after mailing a copy to the health insurance provider.

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