District Court Denver Probate Court _________________________________ County, Colorado Court Address: ___________________________________________________ In the Interests of: COURT USE ONLY Case Number:____________________ Division _______Courtroom________
_____________________________________________
Ward/Protected Person
PROVISIONAL ORDER RE: PETITION TO TRANSFER FROM COLORADO TO RECEIVING STATE GUARDIANSHIP CONSERVATORSHIP PURSUANT TO §15-14.5-301, C.R.S.
Upon consideration of the Petition to Transfer, any objections filed and appearance hearing; evidentiary hearing or non-
The Court finds that:
1. The statements in the Petition are true and notice has been properly given or waived. 2. The transfer is not contrary to the interests of the Ward/Protected Person. 3. The Ward/Protected Person is physically present in or is reasonably expected to move permanently to the receiving state or the Protected Person has significant connections to the receiving state pursuant to §1514.5-201, C.R.S. 4. The plan for care and services for the Ward in the receiving state is reasonable and sufficient and/or adequate arrangements will be made for the management of the Protected Person's property. 5. The Court is satisfied that the Guardianship and/or Conservatorship will be accepted in the receiving state.
The Court orders the following:
1. Provisionally grants the Petition to Transfer to _________________ (county) in ______________ (state). Guardian Conservator shall file a Petition to Accept in the receiving state requesting a 2. The Provisional Order to Accept. Guardian Conservator shall file a final report (JDF 850 and/or JDF 885) for Colorado to 3. The terminate this Guardianship and/or Conservatorship pursuant to §15-14.5-301(6)(b), C.R.S. and the following documents as otherwise ordered by the Court for good cause pursuant to §15-14-318, C.R.S. and §15-14-431, C.R.S.: ________________________________________________________________
Date: _______________________________
___________________________________________ Judge Magistrate
CERTIFICATION
Certification Stamp or Certified to be a true copy of the original in my custody and to be in full force and effect as of: ____________________________________
Probate Registrar/(Deputy)Clerk of Court
Date: __________________________________
Note: The Colorado Court shall not issue a Final Order Confirming Transfer until a provisional order from the receiving State is filed pursuant to §15-14.5-301(6)(a), C.R.S. In addition, the required documents to terminate this guardianship and/or conservatorship must be filed with the Colorado Court unless as otherwise directed by the Court pursuant to §15-14-431, C.R.S.
JDF 788 9/08 PROVISIONAL ORDER RE: PETITION TO TRANSFER TO RECEIVING STATE