Free District Court Denver Probate Court - Colorado


File Size: 278.7 kB
Pages: 1
Date: March 23, 2009
File Format: PDF
State: Colorado
Category: Court Forms - State
Author: b888clh
Word Count: 383 Words, 2,824 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.co.us/Forms/PDF/JDF%20800%20Acknowledgment%20of%20Responsibilites.pdf

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District Court Denver Probate Court _________________________________ County, Colorado Court Address:

In the Interests of:
COURT USE ONLY

Case Number: Protected Person Division: Courtroom:

ACKNOWLEDGMENT OF RESPONSIBILITIES CONSERVATOR AND/OR GUARDIAN
I, ______________________________________ (name) acknowledge that I was appointed as the Conservator and/or Guardian for _________________________________ (name of protected person) on _______________________ (date) and I understand that Letters will not be issued until this form is signed and provided to the Court. With this appointment, I agree to comply with the statutory and court requirements and understand that I am responsible for preparing and filing reports and/or plans with the Court and serving all Interested Persons as identified in the Order of Appointment.

General Information and Responsibilities
1. I am responsible for maintaining supporting documentation for all receipts into the accounts and all
disbursements out of the accounts under my control during the duration of my appointment. I understand that the Court or any Interested Persons as identified in the Order of Appointment may request copies at any time.

2. I am responsible for providing the Court with any changes with my mailing or email address within 30
days.

3. If funds must be placed in a restricted account, I understand that all withdrawals must be by court order.
The Acknowledgment of Deposit of Funds to Restricted Account (JDF 867) must be returned to the Court as documentation that the funds were deposited within 30 days or by _______________ (date). All requests for withdrawal must be in writing by submitting a Motion to Withdraw Funds (JDF 868).

4. I have received the following information to review regarding my responsibilities.
User's manual for Guardians User's manual for Conservators Viewed DVD/Video Pamphlets Attendance at mandatory training session on _________________________ (date). Other: ___________________________________________________________________________

5. I understand that the following reports and/or plans are due on ___________________________ (date).
Initial Guardian's Report/Care Plan - Adult (JDF 850) Conservator's Inventory with Financial Plan (JDF 882)

6. I understand that the following reports are due on _______________________ (date) and every year
after on such day and month, unless I am notified by the Court. Guardian's Report - Minor (JDF 834). Guardian's Report - Adult (JDF 850). Conservator's Report (JDF 885). My signature below indicates that I have read and understand my responsibilities as a newly appointed Guardian and/or Conservator. Date: __________________________________ _____________________________________________ Guardian and/or Conservator

JDF 800 3/08

ACKNOWLEDGMENT AND RESPONSIBLITIES