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JDF 877 R8/13 ORDER APPOINTING SPECIAL CONSERVATOR - ADULT OR MINOR Page 1 of 3© 2013 Colorado Judicial Department for use in the Courts of Colorado District Court Denver Probate Court___________________ County, ColoradoCourt Address:In the Interest of:Protected Person COURT USE ONLY Case Number:Division: Courtroom: ORDER APPOINTING SPECIAL CONSERVATOR ADULT MINOR Upon consideration of the Petition for Appointment of Conservator for the above person and hearing on ________________________ (date), The Court finds that:1.Venue is proper and required notices have been given or waived2. An interested person seeks the appointment of a Special Conservator. 3.The Protected Person’s best interest will be served by the appointment of a Special Conservator. The Court finds by clear and convincing evidence that:For the following reasons, it is necessary to appoint a Special Conservator to preserve and apply the Protected Person’s property as may be required for the support of the Protected Person or individuals who are in fact dependent upon the Protected Person, until a hearing can be held on the Petition for Appointment of Conservator:It is necessary to appoint a Special Conservator to assist in the accomplishment of the following protective arrangement or other authorized single transaction. (§15-14-412(3), C.R.S.) The Court appoints the following person as Special Conservator:Name: Street Address: Mailing Address, if different: City: State: Zip Code: Home Phone: Email Address: Work Phone: JDF 877 R8/13 ORDER APPOINTING SPECIAL CONSERVATOR - ADULT OR MINOR Page 2 of 3© 2013 Colorado Judicial Department for use in the Courts of Colorado The Court directs the issuance of Letters of Conservatorship as follows:The Letters shall expire on (date), unless otherwise ordered by the Court.The Special Conservator is granted only the following authority:The Court orders the following: 1.The Special Conservator shall notify the Court within 30 days if his/her home address, email address, or phone number changes and/or of any change of address for the Protected Person.2.Within 30 days of appointment, the Special Conservator shall provide a copy of this Order Appointing Special Conservator to the Protected Person, if 12 years of age or older, and persons given notice of the Petition and shall advise those persons using Notice of Appointment of Guardian and/or Conservator (JDF 812) that they have the right to request termination or modification of the Special Conservatorship.3.This appointment is for single transactions and protective arrangements. The Special Conservator shall report to the Court by _______________________ (date). The report shall include the following information: 4. The Special Conservatorshall serve without bond for the following reason(s). shall serve with bond in the amount of $ _______________. The bond must be posted with the Court by ______________________ (date). If bond is posted by a surety, notice of any proceeding must be provided to the surety. 5. Copies of all future Court filings must be provided to the following: Name of Interested PersonRelationship to Adult/Minor Adult/MinorSpouse or partner in a civil unionAdult ChildrenParentsSpecial Conservator JDF 877 R8/13 ORDER APPOINTING SPECIAL CONSERVATOR - ADULT OR MINOR Page 3 of 3© 2013 Colorado Judicial Department for use in the Courts of Colorado 6. The Court further orders:Date: __________________________ ______________________________________ Judge Magistrate