J DF 843 SC R 9/18 ORDER APPOINTING EMERGENCY GUARDIAN FOR ADULT Page 1 of 2 District Court Denver Probate Court County, Colorado Court Address: In the Interest of: Respondent COURT USE ONLY Case Number: Division Courtroom ORDER APPOINTING EMERGENCY GUARDIAN FOR ADULT PURSUANT TO 247 15 - 14 - 312, C.R.S. Upon consideration of the Petition for Appointment of Emergency Guardian for the above respondent a nd/or hearing on (date), The c ourt finds , determines and orders : 1. V enue is proper . 2. Notice pursuant to 247 15 - 14 - 312, C.R.S. was: Reasonable. Dispensed with because the c ourt finds from testimony that the respondent will be substantially harmed if the appointment is delayed. The nature of the emergency is: If this o rder was issued without notice, it along with Notice of Appointment of Emergency Guardian and Notice of Right to Hearing (JDF 844) must be personally served on the r espondent within 48 hours after the appointment. A copy of t he completed Personal Service Affidavit (JDF 718) must be promptly filed with the c ourt. 3. Pursuant to 247 15 - 14 - 312(1), C.R.S. , it is necessary to appoint an e mergency g uardian for the respondent because of the likelihood of substantial harm to the responde health, safety, or welfare, and that no other person appears to have authority and willingness to act in the circumstance s . 4. The emergency guardianship cannot exceed 60 days from appointment . 5. The c ourt appoints the following person a n e mergency g u ardian for the r espondent: Name: Street a ddress: C ity: State: Zip Code: Mailing a ddress, if different: City: State: Zip Code: Primary phone: Alternate ph one: American LegalNet, Inc. www.FormsWorkFlow.com J DF 843 SC R 9/18 ORDER APPOINTING EMERGENCY GUARDIAN FOR ADULT Page 2 of 2 E - mail a ddress: 6. Appointment of an e mergency g uardian, with or without notice, is not a determination of the r 7. The c ourt appoints the following attorney to represent th e respondent : Name: Address: C ity: State: Zip Code: Email a ddress: Primary P hone : Alternate P hone: Attorney Registration #: 8. Medical p owers of attorney, whether executed prior to or following the entry of this o rder , are terminated, except as follows: 9. The emergency guardian is authorized to access the re emergency guardian is 10. Letters of Guardianship will be issued. This emergency guardianship expires on (date not to exceed 60 days from appointment) . An emergency guardian may exercise only the powers specified in this o rder. The powers and duties of the emergency guardian are as fol lows: 11. The c ourt further orders: Date: Judge Magistrate American LegalNet, Inc. www.FormsWorkFlow.com