District Court Denver Probate Court _________________________________ County, Colorado Court Address: In the Interests of: COURT USE ONLY Minor Attorney or Party Without Attorney (Name and Address): Phone Number: FAX Number: Case Number: E-mail: Atty. Reg. #: Division Courtroom VERIFIED PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR 1. The Petitioner is: an adult 21 years of age or older and is interested in the welfare of the Minor. or the Minor and is 12 years of age or older. This is a Petition for appointment of a: Guardian, pursuant to §15-14-204(1) and (2), C.R.S. (expires on Minor’s 18th birthday, unless otherwise ordered by the Court.) If you are seeking Temporary Guardianship or Emergency Guardianship only, then select one of the two boxes below: Temporary Guardian (not to exceed six months), pursuant to §15-14-204(4), C.R.S. Emergency Guardian (not to exceed 60 days), pursuant to §15-14-204(5), C.R.S. 2. Information about the Petitioner: Name: _________________________________________ Relationship to Minor: _____________________ Address: _______________________________________________________________________________ City: ____________________ State: _____ Zip Code: _________ Home Phone #: ____________________ Email Address: _______________________________Work Phone #: ______________________________ 3. Information about the Minor: Name: ____________________________________ Current age: _____ Date of Birth: __________________ Address: _______________________________________________________________________________ City: ____________________ State: _____ Zip Code: _________County of Residence: _________________ 4. Information about the Biological Mother and Father: Mother’s Name: __________________________________ Deceased Address: _______________________________________________________________________________ City: ____________________ State: ___ Zip Code: ________ JDF 824 4/08 VERIFIED PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 1 of 4 American LegalNet, Inc. www.FormsWorkflow.com Father’s Name: __________________________________ Deceased Unknown (attach Birth Certificate) Address: _______________________________________________________________________________ City: ____________________ State: ___ Zip Code: ________ 5. Is there a nomination of a guardian by will or other writing signed by a parent or guardian? If Yes, attach copy of document. Yes No 6. Venue for this proceeding is proper in this county because the Minor resides in this county. is present in this county at the time the proceeding is commenced. 7. The best interests of the Minor will be served by appointment of a guardian for the Minor. 8. The minor is unmarried and Parent(s) consent to the appointment of a guardian. Attach Verified Consent of Parent (JDF 825). all parental rights have been terminated by prior court order. Attach a copy of the court order to this Petition. death. If available, attach a copy of the death certificate to this Petition. parents are unwilling or unable to exercise their parental rights. (Briefly explain.) ____________________________________________________________________________________ ____________________________________________________________________________________ guardianship has previously been granted to a third party who has died or become incapacitated, and the guardian has not appointed a successor guardian by will or written instrument. Describe and attach order or any relevant documents. _____________________________________ ___________________________________________________________________________________ Petitioner is requesting to be appointed as Guardian. 9. or Petitioner is requesting the following person be appointed as Guardian: Name: _____________________________________ Relationship to Minor: ______________________ Address: _____________________________________________________________ City: __________________ State: ___ Zip Code: ________ Email Address: ______________________ Home Phone #: __________________________ Work Phone #: _______________________________ He/She has priority for appointment as guardian pursuant to §15-14-206, C.R.S. because the proposed Guardian is nominated by the Minor and the Minor is 12 years of age or older. Attach Verified Consent or Nomination by Minor (JDF 825). JDF 824 4/08 VERIFIED PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 2 of 4 American LegalNet, Inc. www.FormsWorkflow.com 10. It is necessary to appoint a temporary guardian (may not exceed six months) for the Minor until a hearing can be held on this petition because an immediate need exists and the appointment of a temporary guardian is in the best interest of the Minor. Explain what the immediate need is. (§15-14-204(4), C.R.S.) _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ 11. It is necessary to appoint an emergency guardian (may not exceed 60 days) for the Minor because of the likelihood of substantial harm to the Minor’s health or safety, an emergency exists and no other person appears to have authority to act in the circumstances. Explain why this is an emergency. (§15-14-204(5) C.R.S.) Note: If an emergency guardian is appointed, then a mandatory review hearing shall be set five business days from the date of the appointment. _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ _______________________________________________________________________________________ 12. Who other than you had primary care and custody of the Minor during the 60 days prior to filing this None Petition: Name: ________________________________________ Relationship to Minor: _______________________ Address: _______________________________________________________________________ City: ____________________ State: ___ Zip Code: ________ Email Address: ________________________ Home Phone #: ______________________________ Work Phone #: _______________________________ Dates of Care: _______________________________ 13. If mother and father are deceased, list adult relative, for example aunt, uncle, grandparent that can be found: Name: __________________________________________ Relationship to Minor: ____________________ Address: _______________________________________________________________________________ City: ____________________ State: ___ Zip Code: ________ Email Address: ________________________ Home Phone #: ______________________________ Work Phone #: _______________________________ 14. Is any person currently acting as a Guardian or Conservator for the Minor in Colorado or elsewhere? Yes No If Yes, identify: Name: ________________________________________ Relationship to Minor: _______________________ Address: _______________________________________________________________________________ City: ____________________ State: ___ Zip Code: ________ Email Address: ________________________ Home Phone #: ______________________________ Work Phone #: ______________________________ JDF 824 4/08 VERIFIED PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 3 of 4 American LegalNet, Inc. www.FormsWorkflow.com If a conservatorship case exists or you are also filing a Petition for Appointment of Conservatorship, do not complete sections 15 and 16. Please note that a guardianship case does not provide authority over substantial funds. 15. Does the Minor have any assets, e.g. bank accounts, property? Yes No If Yes, identify: Description of Assets, e.g. Bank Accounts, Property Estimated Value of Property $ Total $ 16. Does the Minor have any anticipated income, e.g. Social Security, interest? Yes No If Yes, identify: Description of Income e.g. Social Security, interest Amount of Anticipated Income or Receipts $ Total $ The Petitioner shall provide notice to the parents, Minor if 12 years of age or older, and persons listed in paragraphs 9 and 12 - 14 of the time and place for a hearing on this Petition in accordance with Colorado Rules of Probate Procedures and pursuant to §15-14-205(1)(a)-(f) and §15-14-113, C.R.S. Notice requirements may be different if this is an emergency guardianship. The Petitioner is interested in the welfare and best interests of the Minor and requests that an appointment of a guardian be made after notice and hearing pursuant to §15-14-204 - 205, C.R.S. In addition, I request that the Court: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ VERIFICATION AND ACKNOWLEDGMENT I swear/affirm under oath that I have read the foregoing Petition and that the statements set forth therein are true and correct to the best of my knowledge. Date: __________________________ ______________________________________ Signature of Petitioner Subscribed and affirmed, or sworn to before me in the County of _________________________, State of ________________, this ___________ day of _______________, 20 _______. My Commission Expires: ____________________ ______________________________________ Notary Public/Clerk JDF 824 4/08 VERIFIED PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 4 of 4 American LegalNet, Inc. www.FormsWorkflow.com