Free District Court, _________________ County, Colorado - Colorado

County Court District Court Denver Probate Court ______________________________ County, Colorado Court Address: _____________________________________________

Plaintiff/Petitioner: ______________________________________ v. Defendant/Respondent:_____________________________________

COURT USE ONLY
Case Number:_____________________ Division: _______ Courtroom:_________

ORDER APPOINTING COUNSEL, GUARDIAN AD LITEM, OR COURT VISITOR UNDER TITLE 15, 25, OR 27
1. Upon Court's own motion; stipulation of the parties; motion of _________________; (appointee name) ________________________ (address) ___________________________________________________________________________ (phone) ________________________ (bar #:/SSN:) _______________________ is appointed as Counsel, Guardian ad Litem, or Court Visitor for the following child or adult:______________________________ (address)_____________________________________________ (phone) _________________. 2. This Order is entered pursuant to Section: 27-10-103 appointment of GAL for minor under 15 who is a ward of DHS or any minor objecting to hospitalization. 27-10-125(4)(a) appointment of counsel for a respondent in an imposition of legal disability - deprivation of legal right or restoration of such right. 27-10-106(10) appointment of counsel in the event of involuntary admittance to 72 hour treatment/evaluation facility. 27-10-107(5) appointment of counsel in short term treatment certification proceedings. 27-10-103 appointment of counsel for minor. 27-10.5-110(5)(a) appointment of counsel for respondent with an imposition of legal disability ­ removal of legal right. 27-10-111(4.5)(a) appointment of counsel for respondent who refuses medication. 25-1-311(3) appointment of a GAL in involuntary commitment of alcoholic proceedings. 25-1-311(10) appointment of counsel in involuntary commitment of alcoholic proceedings. 25-1-310(6) appointment of counsel in emergency commitment of a person intoxicated or incapacitated by alcohol. 25-1-1106(6) appointment of counsel in emergency commitment of a person under the influence of/incapacitated by drugs. 25-1-1107(3) appointment of a GAL in involuntary commitment of drug abuser proceedings. 25-1-1107(11) appointment of counsel in involuntary commitment of drug abuser proceedings. 15-10-403(5) appointment of a GAL to represent the interest of a minor or unborn in a trust, estate, or judicially supervised settlement matter. 15-10-403(5) appointment of a GAL to represent the interest of an incapacitated or unascertained person in a trust, estate, or judicially supervised settlement matter. 15-14-115 appointment of a GAL in a probate matter (appointment for a minor ­ indigency required.) 15-14-305(1) or 15-14-406(1) appointment of a court visitor in a probate matter (appointment for a minor ­ indigency required.) 15-14-305(2); 15-14-205(3); 15-14-405(1); 15-14-406(2); or 15-14-312 appointment of counsel in a probate matter (appointment for a minor ­ indigency required.) other (specify) _____________________________________________________________. 3. The appointee is directed and empowered: To represent the interests of the minor party ­ GAL. (OCR appointment) To represent the interests of the party. To investigate, report upon and make recommendations to the Court concerning: parental responsibility parenting time potential dependency and neglect issues allegations of abuse client financial status property division Other (specify) _____________________________________________________________________________________________ 4. The appointee shall be compensated by: The captioned estate. The responsible party(ies) as directed by the Court: _________________________________ The State of Colorado because all responsible parties are indigent (JDF 208 completed). The State of Colorado because the parents/guardians refuse to pay for good cause: ______________________________________ The State of Colorado because indigency cannot be determined (Title 27 only). Other (explain) _____________________________________________________________________________________________. 5. The appointee shall have access, without further release or liability, to all relevant information regarding the child(ren) or adult, including, but not limited to, psychiatric, psychological, drug, alcohol, medical, law enforcement, school, social services, and financial reports, evaluations and other information. NEXT APPEARANCE IS _______________________________________ (DATE), AT _______________ (TIME), IN __________ (DIVISION).

Date: ________________________________

___________________________________________ Judge Magistrate

JDF 210 R6/08

ORDER APPOINTING COUNSEL, GUARDIAN AD LITEM OR COURT VISITOR UNDER TITLE 15, 25, OR 27

Copies: ________File _________Appointee _______Party(ies) _______SCAO (With request for payment of fees or monthly appointment report)