Guardianship Of Minor Form

ADVERTISEMENT

Guardianship of Minor Form
Guardianship of Minor Form
STATE OF COLORADO
COUNTY OF __________________________
POWER OF ATTORNEY / LIMITED GUARDIANSHIP
Pursuant to Section 15-10-104, C.R.S., I hereby delegate to
_____________________________________________________________________________
Name(s) of Guardian(s)
_____________________________________________________________________________
Address of Guardian(s)
Whom I designate my attorney in fact for this purpose, all of my power regarding custody, well being
(and property) of my minor child, ____________________________________, which are delegable
under the Colorado Probate Code, including the power to consent to surgical procedures and medical and
dental treatment (and to receive delivery or payment of money and property due the said minor child).
In accordance with the said Section, this delegation does not include power to consent to marriage or
adoption. This delegation is made for a period not exceeding twelve months and shall terminate on
_______________________. This power of attorney shall not be affected by disability of the principal
and shall remain in effect, to the extent permitted by Section 15-14-104 of the said Code,
notwithstanding later disability or incapacity of the principal is dead or alive. It is agreed that both
parents have a right to visit with the children.
Date: ____________________________
___________________________________
Signature of Mother
___________________________________
Signature of Father
Accepted by:
_________________________________
___________________________________
Signature of Guardian
Address of Guardian
Subscribed and sworn to before me on
___________________________________
Date
My commission expires on:
___________________________________
Date
____________________________________
___________________________________
Notary Public Signature
Address
Student Support Services
Revised: 8-11-11

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go