Statement Affirming No Pecuniary GainPlease enable JavaScript in your browser to complete this form.Name *FirstLastType name above to affirm that, pursuant to C.R.S. 24-72-305.5, you will not use any Criminal Justice Records, or the names, addresses, telephone numbers, or other information in such records, released to me by Adams County Communications Center (ADCOM) for the purpose of soliciting business for pecuniary gain.Email *SignatureBy typing your name above you signify your typed signature is to the same extent as if you had signed this document in ink. DateSubmit