District Court Denver Juvenile Court ___________________________ County, Colorado Court Address: In re: The Marriage of: The Civil Union of: Parental Responsibilities concerning: ______________________________________________________ Petitioner: and Co-Petitioner/Respondent: ORDER APPOINTING LEGAL REPRESENTATIVE OF THE CHILD PURSUANT TO §14-10-116, C.R.S. This matter is before the Court on the Court's motion, Petitioner's motion, or Co-Petitioner/Respondent's motion for the Appointment of a Legal Representative of the Child pursuant to §14-10-116, C.R.S. Finding in the best interests of the child(ren), the Court hereby appoints as Legal Representative of the Child (CLR): Name: _______________________________________________________ Atty. Reg. #: ________________ COURT USE ONLY Case Number: Division Courtroom Mailing Address: _____________________________________________________________________________ Telephone #: ___________________ Fax #: ____________________ Email: _____________________________ Information about the child(ren): Full Name of Child Date of Birth Information about the Petitioner: Name: ___________________________________________ Date of Birth: _________________ Attorney: _______________________________ Mailing Address: ____________________________________________________________________________ City & Zip: _______________________________________________________ Home Phone #: ___________________ Work Phone #: __________________ Cell #: _____________________ Information about the Co-Petitioner/Respondent: Name: ___________________________________________ Date of Birth: _________________ Attorney: _______________________________ Mailing Address: ____________________________________________________________________________ City & Zip: _______________________________________________________ Home Phone #: ___________________ Work Phone #: __________________ Cell #: _____________________ Protection/Restraining Orders: There is is not a Protection/Restraining Order in place: County of ______________________, State of ______________________, in case number __________________. JDF 1320 R 7-13 ORDER APPOINTING LEGAL REPRESENTATIVE OF THE CHILD © 2012, 2013 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com The person restrained is: __________________________________________. If this box is checked: parties may meet together with the CLR, if the CLR so directs, without violating this Order. Responsibilities of the Legal Representative of the Child: the 1. The CLR shall comply with the applicable provisions set forth in Chief Justice Directives 04-05 and 04-06 as subsequently amended, and with the requirements of §14-10-116, C.R.S. The CLR shall not also serve as the Child and Family Investigator pursuant to §14-10-116.5, C.R.S. You are required within seven days of your appointment, to disclose to each party, attorneys of record, and the court any familial, financial, or social relationship that the appointed person has or has had with the child, either party, the attorneys of record, or the judicial Officer. (JDF1338) 2. The Court directs the CLR to represent the best interests of the child(ren) with respect to the following concerns: Allocation or modification of parental responsibilities (parenting time and decision-making responsibilities) Support of the child(ren) Child's property Drug/alcohol abuse Domestic violence Special needs of a parent or child Other issues: _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ 3. The CLR shall not issue a report, nor shall the CLR be called to testify as to her/his representation. 4. The next event in this case is a _________________________ scheduled for __________________ (date) at ___________ (time) in Courtroom _______. Release of Confidential Information: The parties shall sign any releases necessary to allow the CLR to properly conduct his/her representation; and the CLR may request the Court to issue any other necessary order for release of information. Immunity: As a neutral appointee of the Court, the CLR is granted quasi-judicial immunity while acting within the scope of his/her appointment. Modification or Termination of the Legal Representative of the Child's Appointment: The Court shall maintain the discretion to modify or terminate this appointment at any time during the proceedings. This appointment shall terminate upon the following unless otherwise ordered by the Court: upon entry and the Court's signature of Permanent Orders in this case. when motions have been resolved by the entry of orders in this post-decree issue. other: ____________________________________________________________________________ Payment of Costs and Fees in Favor of the Legal Representative of the Child: The Court hereby finds that the fees of the CLR, plus mileage and costs at the State Rate, are necessary and reasonable. Any objection to these fees and costs shall be made in writing and filed with this Court within 10 days. JDF 1320 R 7-13 ORDER APPOINTING LEGAL REPRESENTATIVE OF THE CHILD © 2012, 2013 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com The CLR's fees are in the nature of child support, as the role of the CLR is to represent the child's best interests as to all issues that affect or may affect the best interests of the child(ren). After considering the financial resources and/or other equitable circumstances of the parties, the Court apportions the payment of the retainer, fees, and costs of the CLR as follows: No party is indigent. 1. The CLR's hourly rate is $____________ and he/she requires $_____________ for the initial retainer. The Petitioner will pay the CLR directly the amount of $__________ or ______ % to be applied toward the initial retainer on or before ___________________ (date). The Co-Petitioner/Respondent will pay the CLR directly the amount of $__________ or ______ % to be applied toward the retainer on or before ______________________ (date). 2. Thereafter, the CLR shall bill his/her hourly rate of $__________ against the initial retainer, and fees and costs in excess sh