C.R.S. § 13-27-106
13-27-106. Form of unsworn declaration
13-27-106. Form of unsworn declaration. An unsworn declaration under this article 27 must be in substantially the following form:
I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.
Executed on the ________ day of ________, ________,
(date) (month) (year)
at ___________________________ __________________
(city or other location, and state or country)
____________________________
(printed name)
____________________________
(signature)