Free ______________________County, Colorado District Court - Colorado

District Court Juvenile Court ____________________________ County, Colorado Court Address:

In the Interest of: Petitioner: v. Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Atty. Reg. #:

Division

Courtroom

MOTION FOR APPOINTMENT OF GUARDIAN AD LITEM
I request this Court to appoint a Guardian Ad Litem on behalf of the minor child in this case, for the following reason:
high conflict case allegations of abuse/endangerment paternity other________________

I believe that the appointment is appropriate as the child should receive proper representation.

Date: _________________________________

____________________________________________
Petitioner or Co-Petitioner/Respondent

CERTIFICATE OF SERVICE
I certify that on _____________________ (date) the original was filed with the Court; and, a true and accurate copy of the MOTION FOR APPOINTMENT OF GUARDIAN AD LITEM PURSUANT TO §19-3-203, C.R.S. was served on the other party by: Hand Delivery or Faxed to this number _____________________ or by placing it in the United States mail, postage pre-paid, and addressed to the following: To:

(Your signature)

JDF 1511

R7/05

MOTION FOR APPOINTMENT OF GUARDIAN AD LITEM PURSUANT TO §19-3-203, C.R.S