Fill and Sign the Colorado Protective Form

 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 This Registration and Recognition of Protective Orders from Other States and Sworn Statement – Conservator for Adult is submitted pursuant to §15-14.5-402, C.R.S. of the Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act. I, ____________________________________, was appointed as the conservator for an adult in the State of ______________________ on _________________. As the conservator I hereby file with this Court the following documents:  Certified, exemplified, or authenticated copies of the foreign court’s order appointing me as conservator;  Certified, exemplified, or authenticated copies of the foreign court’s letters or other documents evidencing 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)  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. (Checking this box requires you to remove JDF number and copyright at the bottom of the form.) Page 1 of 2 JDF 891 R8-17 Registration and Recognition of Protective Orders from Other States and Sworn Statement – Conservator for Adult ©2017 Colorado Judicial Department for use in the Courts of Colorado VERIFICATION AND ACKNOWLEDGMENT As the foreign conservator, I swear/affirm under oath, and under penalty of perjury, that I have read the foregoing REGISTRATION AND RECOGNITION OF PROTECTIVE ORDERS FROM OTHER STATES AND SWORN STATEMENT – CONSERVATOR FOR ADULT and that the statements set forth therein are true and correct to the best of my knowledge. Date: ___________________________ ______________________________________ Signature of Foreign Conservator ______________________________________ Street _____________________________________ City/State/Zip Code ______________________________ Daytime Phone Number Subscribed and affirmed, or sworn to before me in the County of ______________________, State of __________________, this ___________ day of _______________, 20______. My Commission Expires: ___________________ ______________________________________ Notary Public/Deputy Clerk Page 2 of 2 JDF 891 R8-17 Registration and Recognition of Protective Orders from Other States and Sworn Statement – Conservator for Adult ©2017 Colorado Judicial Department for use in the Courts of Colorado