JDF 877 SC R 9/18 ORDER APPOINTING SPECIAL CONSERVATOR - ADULT OR MINOR Page 1 of 3 District Court Denver Probate Court County, Colorado Court Address: I n the Interest of: Protected Person COURT USE ONLY Case Number: Division: Courtroom: ORDER APPOINTING SPECIAL CONSERVATOR ADULT MI NOR Upon consideration of the Petition for Appointment of Conservator for the above person and hearing on (date), The c ourt finds that : 1. Venue is proper and required notices have been given or waived . 2. A n interested person se eks the appointment of a s pecial c onservator . 3. The p rotected p best interest will be served by the appointment of a s pecial c onservator . T he c ourt finds by clear and convincing evidence that: For the following reasons, i t is necessary to appoint a s pecial c onservator to preserve and apply the p rotected p as may be required for the support of the p rotected p erson or individuals who are in fact dependent upon the p rotected p erson , until a hearing can be held on the P etition for Appointment of Conservator : It is necessary to appoint a s pecial c onservator to assist in the accomplishment of the following protective arrangement or other authorized single transactio n . ( 247 15 - 14 - 412(3), C.R.S . ) The c ourt appoints the following person as s pecial c onservator : Name: Street Address: City: S tate: Zip Code: Mailing Address, if different: City: State: Zip Code: Primary Phone: Alternate Phone: Email Address: American LegalNet, Inc. www.FormsWorkFlow.com JDF 877 SC R 9/18 ORDER APPOINTING SPECIAL CONSERVATOR - ADULT OR MINOR Page 2 of 3 The c ourt directs the issuance of Letters of Conservator ship as follows: The l etters will expire on (date), unless otherwise ordered by the c ourt. The s pecial c onservator is granted only the following authority : The c ourt orders the following: 1. The s pecial c onservator must notify the c ourt within 30 days if his or her home address, email address, or phone number changes and/or of any change of address for the p rotected p erson . 2. Within 30 days of appointment, the s pecial c onservator must provide a copy of this Order Appointing Special Conservator to the Protected Person, if 12 years of age or older, and persons given notice of the p etition and m ust advise those persons using Notice of Appointment of Guardian and/or Conservator (JDF 812) that they have the right to request termination or modification of the s pecial c onservatorship. 3. This appointment is for single transactions and protective arrangements. T he s pecial c onservator must report to th e c ourt by (date). The report must include the following information: 4. The s pecial c onservator will serve without bond for the following reason(s). serve with bond in the amount of $ . The b ond must be posted with the c ourt by (date). If bond is posted by a surety, notice of any proceeding must be provided to the surety. 5. Copies of all future c ourt filings must be provided to the f ollowing : Name of Interested Person Relationship to Adult /Minor Adult /Minor Spouse or p artner in a civil union Adult Children Parents Special Conservator Agent under power of attorney American LegalNet, Inc. www.FormsWorkFlow.com JDF 877 SC R 9/18 ORDER APPOINTING SPECIAL CONSERVATOR - ADULT OR MINOR Page 3 of 3 6. The c ourt further orders : Date: Judge Magistrate American LegalNet, Inc. www.FormsWorkFlow.com