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District Court Denver Probate Court __________________ County, Colorado Court Address: _______________________________________ In the Interest of: _______________________________________ COURT USE ONLY Case Number:____________________

Ward Division _______ Courtroom _______

ORDER APPOINTING GUARDIAN FOR ADULT
Upon consideration of the Petition for Appointment of Guardian for the above Ward and hearing on ________________________ (date),

The Court finds:
1. That venue is proper and that the required notices have been given or waived. 2. That there is clear and convincing evidence that the Respondent is an incapacitated person and the Respondent's needs cannot be met by less restrictive means, including the use of appropriate and reasonably available technological assistance. 3. The nature and extent of the Respondent's incapacity is as follows:

The Court has considered the wishes of the Respondent concerning the selection of the Guardian. The Court has considered the powers and duties of the Guardian, the scope of the guardianship, and the priority and qualifications of the Nominee.

The Court appoints the following person as Guardian:
Name: Street Address: Mailing Address, if different: City: Home Phone #: State: Zip Code: Email Address: Work Phone #:

The Court directs the issuance of Letters of Guardianship as follows:
The Guardian does not have the authority to obtain hospital or institutional care and treatment for mental illness, developmental disability or alcoholism against the will of the Ward pursuant to §15-14-316(4), C.R.S. The powers and duties of the Guardian are unrestricted. The powers and duties of the Guardian are limited by the following restrictions:

The Court orders the following:
JDF 848 R7/09 ORDER APPOINTING GUARDIAN FOR ADULT Page 1 of 2

1.

The Guardian may not establish or move the Ward's custodial dwelling outside the State of Colorado without a Court order pursuant to §15-14-315(1)(b), C.R.S.

2. The Guardian shall notify the Court within 30 day if his/her home address, email address, or phone number changes. 3. The Guardian may manage the day-to-day finances for the support, care, education, health and welfare of the Ward. The Guardian is required to maintain supporting documentation for all receipts and all disbursements during the duration of this appointment. The Court further orders the following:

4.

Medical powers of attorney, whether executed prior to or following the entry of this Order, are terminated, except as follows:

5.

Copies of all future filings with the Court shall be provided to the following identified as interested persons in this matter, by the one filing such documents. In addition, the Guardian shall provide a copy of the Guardian's Report, to the following interested persons pursuant to §15-14-309(4), C.R.S. within ten days of filing with the Court. Name of Interested Person Relationship to Ward Ward Spouse Parent Adult Child Guardian, if applicable

6.

The Guardian shall give notice of this Order Appointing Guardian for Adult within 30 days after the appointment to the Ward and all interested persons and shall advise those persons using JDF 812 that they have the right to request termination or modification of the Guardianship. file the Initial Guardian's Report/Care Plan (JDF 850) by ____________________ (date 60 days from appointment). file the Annual Guardian's Report (JDF 850) by each ________________________ (date) beginning in _____ (year) for the duration of the Guardianship. The Court further orders:

7.

Date: __________________________

______________________________________ Judge Magistrate

JDF 848

R7/09

ORDER APPOINTING GUARDIAN FOR ADULT

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