qDistrict Court qDenver Probate Court
______County, Colorado
Court Address:
In the Interests of:
Minor /

COURT USE ONLY

Attorney or Party Without Attorney (Name and Address):
Phone Number: E-mail:
FAX Number: Atty. Reg. #: / Case Number:
Division Courtroom

PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR

1.  The Petitioner qis the minor and is 12 years of age or older or qis interested in the welfare of the minor as follows: ______

2.  Information about the Petitioner:

Full Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

3.  Information about the Co-Petitioner, if applicable:

Full Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

4.  Information about the Minor:

Name: ______Current age: _____ Date of Birth: ______

Current Residence: ______

City, State & Zip: ______County of Residence: ______

5.  Venue for this proceeding is proper in this county because the minor

q  resides in this county.

q  is present in this county.

6.  The best interests of the minor will be served by appointment of a guardian for the minor.

7.  The minor is unmarried and

q  the parents consent to the appointment of a guardian. Attach consent statements of parents.

q  all parental rights have been terminated by

q  prior court order. Attach a copy of the court order to this petition.

q  death.

q  the parents are unwilling or unable to exercise their parental rights. Attach an explanation to this Petition.

q  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.

8.  q No person appointed by will or other writing has accepted appointment as guardian within 30 days after notice of this guardianship proceeding.

q An appointment of a guardian for the minor has been made. Attach an explanation to this petition.

9.  Petitioner nominates:

Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

He/She has priority for appointment as guardian pursuant to §15-14-206, C.R.S. because:

q the nominee is nominated by the minor, and the minor is 12 years of age or older.

q the nominee is appointed by a will or by a written instrument of a parent or guardian of the minor, and the appointment has not been prevented or terminated pursuant to §15-14-203, C.R.S. Attach a copy of the will or written instrument nominating guardian.

q  the nominee is an interested person. (State nature of interest.) ______

10.  qThe minor is 12 years of age or older and nominates:

Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

11.  qIt is necessary to appoint a temporary guardian 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. The nature of the immediate need pursuant to §15-14-204(4), C.R.S.is:

______

______

______

______

12.  qIt is necessary to appoint an emergency guardian 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. The nature of the emergency pursuant to §15-14-204(5) C.R.S. is:

______

______

______

______

13.  Information on each person who has had primary care and custody of the minor during the 60 days prior to filing this petition:

Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

14.  Information on each living parent of the minor or, if there is none, the adult nearest in kinship that can be found:

Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

15.  Information on any person appointed as guardian by a parent or guardian whose appointment has not been prevented or terminated under §15-14-203(1) or whose appointment has been consented to under §15-14-203(2), C.R.S.:

Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

16.  Information on any guardian or conservator currently acting for the minor in Colorado or elsewhere:

Name: ______Relationship to Minor: ______

Current Residence: ______

City, State & Zip: ______E-mail Address: ______

Home Phone #: ______Work Phone #: ______

The persons listed in paragraphs 12 - 16 will be given notice of the time and place for hearing on this petition at least ten days before the hearing in accordance with Colorado Rules of Probate Procedures and pursuant to §§15-14-205(1)(a)-(f) and §15-14-113, C.R.S.

The Petitioner and Co-Petitioner, if applicable, request that the Court set a time and place of hearing; that the Court find, after notice and hearing, that a qualified person seeks appointment, the requirements of §1514204, C.R.S. have been met, and the welfare and best interests of the minor will be served by appointment of a guardian; that the Court appoint the nominee as guardian; and that Letters of Guardianship be issued.

In addition, I/we request that the Court

q  appoint a temporary guardian to serve for no more than six months until appointment of a permanent guardian.

q  appoint an emergency guardian to serve for no more than 60 days.

q  Other: ______

______

______

______

VERIFICATION AND ACKNOWLEDGEMENT

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.

______

Petitioner Signature Date Co-Petitioner Signature Date

Subscribed and affirmed, or sworn to before me Subscribed and affirmed, or sworn to before me

in the County of ______, in the County of ______,

State of ______, this ______State of ______, this ______

day of ______, 20 ____. day of ______, 20 ____.

My Commission Expires: ______My Commission Expires: ______

______

Notary Public/Clerk Notary Public/Clerk

______

Petitioner’s Attorney Signature, if any Co-Petitioner’s Attorney Signature, if any

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