Page 1 of 1 JDF 891 SC R 9/18 Registration and Recognition of Protective Orders from Other States and Sworn Statement Conservator for Adult District Court Denver Probate Court County, Colorado Court Address: In the Interests of: Protected Person COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #:: Case Number: Division Courtroom REGISTRATION AND RECOGNITION OF PROTECTIVE ORDERS FROM OTHER STATES AND SWORN STATEMENT - CONSERVATOR FOR ADULT PURSUANT TO 247 15 - 14.5 - 402, C.R.S. UNIFORM ADULT GUARDIANSHIP AND PROTECTIVE PROCEEDINGS JURISDICTION ACT I, ( n ame) , was appointed as the conservator for an adult in the State of on ( d ate) . As the conservator I hereby file with this c ourt the following documents: Certified, exemplified, or authenticated copies of the foreign c or affecting my authority to act as conservator; Certified, exemplified, or authenticated copies of any bonds filed with the appointing foreign court; Other: I state that no petition for a protective proceeding is pending in Colorado for the protected person. The statutorily required notice to the foreign appointing court of an intent to register was given on (date) . VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , (date) (month) (year) at (city or other location, and state OR coun try) (printed name) (signature) American LegalNet, Inc. www.FormsWorkFlow.com