! District Court ! Denver Probate Court ___________________________________ County, Colorado Court Address: IN THE MATTER OF: COURT USE ONLY Case Number: Ward Division: ORDER APPOINTING EMERGENCY GUARDIAN Courtroom: After hearing on the Petition for Appointment of an Emergency Guardian for the respondent, the Court finds that venue is proper and that ! the required notices have been given or waived. ! reasonable notice has not been given to the respondent and the respondent’s attorney, and the respondent will be substantially harmed if the appointment is delayed. The Court finds by clear and convincing evidence that it is necessary to appoint an emergency guardian for the respondent because of the likelihood of substantial harm to the respondent’s health, safety, or welfare, an emergency exists and no other person appears to have authority and willingness to act in the circumstances. (§15-14-312 (1) C.R.S.) The nature of the emergency is: ! The respondent was present at the hearing and was provided with notice of the appointment of an emergency guardian. ! The respondent was not present at the hearing. Petitioner shall give notice of the appointment of an emergency guardian to the respondent within forty-eight (48) hours. Notice shall also be given to: __________________________________________________________________________ The Court appoints_____________________________________________________, whose address is _____________________________________________________________, telephone (______)____________, as counsel to represent the respondent throughout the emergency guardianship. The Court shall hold a hearing on the appropriateness of the appointment of an emergency guardian within ten (10) days after receipt of such a request. The appointment of an emergency guardian is not a determination of the respondent’s incapacity. The Court appoints_____________________________________________________, whose address is _____________________________________________________________, telephone (______)____________, as emergency guardian of the respondent and directs the issuance of Letters of Emergency Guardianship with the restriction that the emergency 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 respondent. (§15-14316(4), C.R.S.) CPC 33-E R7/01 ORDER APPOINTING EMERGENCY GUARDIAN Page 1 of 2 2002 © American LegalNet, Inc. Further, the authority of the emergency guardian shall not exceed sixty (60) days and shall expire: ____________ (date) ! This guardianship is otherwise unlimited. ! This guardianship is limited by the following restrictions: ! THE COURT FURTHER ORDERS: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ Dated: ______________________________ BY THE COURT _________________________________ ! Judge ! Magistrate CPC 33-E R7/01 ORDER APPOINTING EMERGENCY GUARDIAN Page 2 of 2 2002 © American LegalNet, Inc.