! District Court ! Denver Probate Court ___________________________________ County, Colorado Court Address: IN THE MATTER OF THE ESTATE OF: COURT USE ONLY Case Number: Ward Division: ORDER APPOINTING GUARDIAN Courtroom: After hearing on the Petition for Appointment of Guardian for the respondent, the Court finds that venue is proper and that the required notices have been given or waived. The Court finds by clear and convincing evidence that the respondent is unable to effectively receive or evaluate information or both or make or communicate decisions to such an extent that the individual lacks the ability to satisfy essential requirements for physical health, safety, or self-care, even with appropriate and reasonably available technological assistance; and that the respondent’s identified needs cannot be met by less restrictive means, including the use of appropriate and reasonably available technological assistance. The Court finds the nature and extent of the respondent’s incapacity is as follows: The Court has considered the wishes of the respondent concerning the selection of the guardian. The Court has considered the powers and duties of the guardian, the scope of the guardianship, and the priority and qualifications of the nominee. The Court appoints ______________________________________________, whose address is _______________________________________________________________, telephone (_____)___________, as guardian of the respondent and directs the issuance of Letters of Guardianship with the restriction that the 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. (§15-14-316(4), C.R.S.) ! This guardianship is otherwise unlimited. ! This guardianship is limited by the following restrictions: The Court orders that notice of hearing on any subsequent petition or motion for an order shall be given to the following persons: (§15-14-309(3), C.R.S.) CPC 33 R7/01 ORDER APPOINTING GUARDIAN Page 1 of 2 2002 © American LegalNet, Inc. The Court further orders that the guardian shall give notice of this order within thirty (30) days to the respondent and all other persons given notice in the petition, together with a Notice of the Right to Request Termination or Modification (§15-14-311(3), C.R.S.); file the initial guardian’s report by _________________ (date) (§15-14- 317(1), C.R.S.), and file guardian reports annually by___________________ (date) (§15-14-317(1), C.R.S.). The Court orders that the guardian’s report shall be given to the following persons within ten (10) days of filing, along with a notice of filing: (§15-14-309, C.R.S.) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ! THE COURT FURTHER ORDERS: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ ________________________________________________________________ Dated: ____________________________ BY THE COURT ______________________________________ ! Judge ! Magistrate CPC 33 R7/01 ORDER APPOINTING GUARDIAN Page 2 of 2 2002 © American LegalNet, Inc.