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 American LegalNet, Inc. www.FormsWorkFlow.com