District Court
Denver Probate Court
___________________ County, Colorado
Court Address:
In the Interest of:
Ward/Protected Person
COURT USE ONLY
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:___________ E-mail:________________________
FAX Number:____________ Atty. Reg. #: _________________
Division ________ Courtroom _______
PETITION REQUESTING COLORADO TO ACCEPT
GUARDIANSHIP
CONSERVATORSHIP FROM SENDING STATE
§15-14.5-302, C.R.S. of the
This Petition is submitted pursuant to
Uniform Adult Guardianship
and Protective Proceedings Jurisdiction Act.
The Guardian and/or Conservator, Petitioner hereby submits certified copies of any documents evidencing
authority to act (Order of Appointment, Letters) and the Provisional Order of Transfer from the sending state
relating to a
Guardianship
Conservatorship, as identified below:
Sending State:
Sending Court:
Sending Court Case #:
1. Information about the Guardian and/or Conservator:
Name:
Street Address:
Mailing Address, if different:
City:
State:
Zip Code:
Home Phone #:
Email Address:
Work Phone #:
2. Information about the Ward/Protected Person:
Name:
Current age:
Date of Birth:
Address (Include name of facility, if any):
City:
State:
Zip Code:
Telephone Number:
Type of Residence:
Private
Nursing Home
Assisted Living Home
Other: ____________________
JDF 783 R1/10
PETITION REQUESTING COLORADO TO ACCEPT GUARDIANSHIP/CONSERVATORSHIP
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