J DF 848 SC R 9/18 ORDE R APPOINTING GUARDIAN FOR ADULT Page 1 of 3 District Court Denver Probate Court County, Colorado Court Address: In the Interest of: Respondent/ Ward COURT USE ONLY Case Number: Division Courtroom ORDER APPOINTING GUARDIAN FOR ADULT Upon consider ation of the Petition for Appointment of Guardian for the above respondent and hearing on (date) , The c ourt has considered any express wishes of the respondent concerning the selection of the guardian. The c ourt has considered t he powers and duties of the guardian, the scope of the guardianship, and the priority and qualifications of the nominee. The c ourt finds , determines and orders : 1. V enue is proper and required notices have been given or waived. 2. T he evidence is c lear and c onvincing that the respondent is an incapacitated person and the respondent needs cannot be met by less restrictive means, including the use of appropriate and reasonably available technological assistance. 3. T he nature and extent of the respondent in capacity is as follows: 4. The c ourt appoints the following person as g uardian for the ward : Name: Street address : City: State: Zip c ode : Mailing address , if different: City: State: Zip code: Primary phone: Alternate phone: Email address : 5. The guardian must promptly notify the c ourt if street address, email address, or phone number changes or of any change of address for the ward . 6. The guardian may not establish or move the custodial dwelling outside the State of Colorado without a c ourt order . American LegalNet, Inc. www.FormsWorkFlow.com J DF 848 SC R 9/18 ORDE R APPOINTING GUARDIAN FOR ADULT Page 2 of 3 7. Within 30 days of appointment, t he g uardian must provide a copy of this Order Appointing Guardian for Adult to the w ard and persons given notice of the p etition and must advise those persons using Notice of Appointment of Guardian and/or Conservator ( JDF 812 ) that they have the right t o request termination or modification of the g uardianship . 8. The guardian must file the i nitial G - Adult (JDF 850) by (date 60 days from appointment) and must file a nnual G - Adult (JDF 850) by each (date) beginning in (year), for the duration of the guardianship . 9. The guardian must manage the day - to - day finances for the support, care, education, health and welfare of the ward . The guardian is required to maintain support ing documentation for all receipts and all disbursements during the duration of this appointment. The c ourt further orders the following: 10. Medical p ower s of attorney, whether executed prior to or following the entry of this o rder , are terminated , except as follows: 11. Copies of all future c ourt filings must be provided to the following interested persons : Name Relationship to the Ward Ward Guardian Spouse or Par tner in a civil union Parent Adult Child 12. is inform ation, as provided in HIPAA, Section 45 CFR 164.502(g)(2). 13. The g uardian does not have the authority to obtain hospital or institutional care and treatment for mental illness, developmental disability , alcoholism or substance abuse against the will of the w ard. 14. and if the guardian has reasonable cause to believe that the war d has been abused or exploited or is at imminent risk of abuse or exploitation, the guardian is required to make a report to law enforcement within 24 hours after the observation or discovery pursuant to C.R.S. 247 18 - 6.5 - 108(1)(b)(XII). 15. Letters of Guardi anship will be issued. The powers and duties of the g uardian are unrestricted. The powers and duties of the g uardian are limited by the following restrictions: American LegalNet, Inc. www.FormsWorkFlow.com J DF 848 SC R 9/18 ORDE R APPOINTING GUARDIAN FOR ADULT Page 3 of 3 16. The c ourt further orders : Date: Judge Magistrate American LegalNet, Inc. www.FormsWorkFlow.com