Fill and Sign the San Mateo Creek Basin Preliminary Assessment Epa Form

JDF 852SC R 6/1 9 PETITION FOR TERMINATION OF GUARDIANSHIP – ADULT Page 1 of 3  District Court  Denver Probate Court ___________________ County, Colorado Court Address: In the Interest of: Ward COURT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E -mail: FAX Number: Atty. Reg. #.: Case Number: Division Courtroom PETITION FOR TERMINATION OF GUARDIAN SHIP – ADULT PURSUANT TO § 15 -14 -318 , C.R.S. 1. Petitioner (s), ( full name(s)) Street A ddress: City: ________________ State: ___________________ Zip Code: ________________ Mailing Address, if different: ________________________________ City: ___________________________ State: __________________ Zip: _____________________ Primary Phone :________________________________ Alternate Phone: ______________________ Email Address:  is the guardian  is the ward  is a person interested in the welfare of the ward (State nature of interest)? 2. Th e guardian was appointed on (date). 3. The Petitioner requests that the guardianship be terminated because the ward no longer meets the standard for establishing the guardianship for the following reasons:  Physician's letter or professional evaluation by qualified person is attached, if appropriate in compliance with C.R.P.P . 60 (§ 15- 14-306, C.R.S.) 4. The court, in its Order Appointing Guardian, ordered that notice of all proceedings be given to the following p erson(s ): JDF 852SC R 6/1 9 PETITION FOR TERMINATION OF GUARDIANSHIP – ADULT Page 2 of 3 Full Name Address Relationship T he people listed above will be given notice of the time and place for hearing on this p etition, pursuant to § 15 -14- 309( 3), C.R.S. 5. The petitioner request s that the c ourt appoint ( c heck all that apply ):  Court Visitor  Guardian ad Litem (GAL)  Attorney  Other:  None. 6. The ward is required to be present at the hearing , unless excused by the court for good cause.  The petitioner request s that the ward be excused from attending the hearing for the following reasons:  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. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of Executed on the ______ day of (date) (date) _______________________, _________, _______________________, _________, (month) (year) (month) (year) at ______________________________________ at ______________________________________ (city or other location, and state OR country) (city or other location, and state OR country) _______________________________ _______________________________ (printed name) (printed name) _______________________________ _______________________________ (Signature of Petitioner ) (Signature of Co- Petitioner, if any) _________________________________________ __________________ Attorney Signature, (if any) Date JDF 852SC R 6/1 9 PETITION FOR TERMINATION OF GUARDIANSHIP – ADULT Page 3 of 3 CERTIFICATE OF SERVICE I certify that on ___________________ (date), a copy of this _______________ (name of document) was served as follows on each of the following: Name and Address Relationship to Decedent, Ward, or Protected Person Manner of Service* *Insert one of the following: hand delivery, first -class mail, certified mail, e -service, or fax. ______________________________________ Signature Note: • The petitioner must contact the c ourt to set a date and time for a hearing.