Fill and Sign the Tcchum 8801 the Pacific Salmon Commission Joint Chum Technical Form

JDF 824 SC R 6/1 9 PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 1 of 6  District Court  Denver Probate Court ___________________ County, Colorado Court Address: I n the Interest of: Minor 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 APPOINTMENT OF GUARDIAN FOR MINOR 1.  No court proceeding is pending in this state or elsewhere concerning the respondent.  The following proceeding(s) concern(s) the respondent. Identify name of court, case number, state, date, and type of proceeding if any. 2. The petitioner is :  a person interested in the welfare of the m inor. or  the minor and is 12 years of age or older. This is a p etition for appointment of a (n):  Guardian. (NOTE: T he appointment will expire on the minor’s 18 th birthday, unless otherwise ordered by the c ourt.)  Guardian with a request for findings establishing the Minor’s eligibility for classification as a special immigrant juvenile under federal law pursuant to § 15- 14-204(2.5)(b), C.R.S. (NOTE: The appointment will expire on the minor’s 21 st birthday, unless otherwise ordered by the court.)  Temporary Guardian (not to exceed 6 months). ( § 15 -14- 204(4), C.R.S.)  Emergency Guardian (not to exceed 60 days). ( § 15 -14- 204(5), C.R.S.) 3. Information about the p etitioner: Name: List all names used (also known as, formerly known as, etc.): __________________________________________ Relationship to minor: Street Address : City: State: Zip Code: Mailing Address, if different: City: State : Zip Code: Name of Cou rt Case Number State Date of Proceeding Type of Proceeding JDF 824 SC R 6/1 9 PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 2 of 6 Primary Phone : Alternate Phone : Email Address: Does Petitioner need an interpreter?  No  Yes (Language:______________________________) 4. Information about the m inor: Name: Current age: Date of Birth: Street Address : City: State: Zip Code: Mailing Address, if different: City: State: Zip Code: Primary Phone : Alternate P hone : Email Address: Does the m inor need an interpreter?  No  Yes (Language:______________________________) 5. Information about the parents : Parent's Name:  Deceased  Unknown (attach Birth Certificate) Street Address: City: ____________ State: _________ Zip Code: _____________ Mailing Address, if different: City: State: Zip Code: Primary Phone : Alternate P hone : Email Address: Does this person need an interpreter?  No  Yes (Language:______________________________) Parent’s Name:  Deceased  Unknown (attach Birth Certificate) Street Address: City: _________ State:_________________ Zip Code: _______________ Mailing Address, if different: City: State: Zip Code: Prim ary Phone: Alternate Phone: Email Address: Does this person need an interpreter?  No  Yes (Language:______________________________) 6. The parent or g uardian  has nominated  has not nominated a guardian by will or other writing . (Attach copy of document, if applicable.) 7. Venue for this proceeding is proper in this county because the m inor:  resides in this county.  is present in this county at the time the proceeding is commenced. 8. The best interest of the m inor will be served by the appointment of a g uardian. 9. The minor is unmarried and :  the p arent consents (s ) consent (s) to the appointment of a g uardian. (Attach Consent of Parent - JDF 825). JDF 824 SC R 6/1 9 PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 3 of 6  all parental rights have been terminated by  prior court order. (Attach a copy of the court order to this petition.)  death. (If available, attach a copy of the death certificate to this p etition.)  parents are unwilling or unable to exercise their parental rights. (Briefly explain.)  guardianship has previously been granted to a third party who has died or become incapacitated and the g uardian has not appointed a successor g uardian by will or written instrument . (Describe and attach order or any relevant documents.) 10.  Petitioner is 21 years of age or older , nominates himself or herself and requests to be appointed as g uardian. or  Petitioner nominates the following person, who is 21 years of age or older, to be appointed as guardian. (§15-14- 206, C.R.S.) Name: List all names used (also known as, formerly known as, etc.): __________________________________________ Relationship to Minor: Street Address : City: __________ State: ___________ Zip Code: __________________ Mailing Address, if different: City: State: Zip Code: Primary phone: Alternate phone: Email Address: Does this person need an interpreter?  No  Yes (Language:______________________________) 11.  The minor , who is 12 years of age or older , has nominated a g uardian. (Attach Consent or Nomination of Minor - JDF 826). 12.  It is necessary to appoint a temporary guardian (may not exceed six months) 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. (§15-14 -204(4), C.R.S.) (Describe the immediate need.) JDF 824 SC R 6/1 9 PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 4 of 6 13.  It is necessary to appoint an emergency guardian (may not exceed 60 days) for the m inor, b ecause of the likelihood of substantial harm to the m inor’s health or safety, an emergency exists and no other person appears to have authority to act in the circumstances. (§ 15-14 -204(5) C.R.S.) (Describe the nature of the emergency.) 14. The following person had the primary care and custody of the minor during the 60 days prior to the filing of this petition: Name: Relationship to Minor: Street Address : City: ___________ State: ____________ Zip Code: __________________ Mailing Address, if different: City: State: Zip Code: Primary Phone : Alternate P hone : Email Address: Dates of Care: Does this person need an interpreter?  No  Yes (Language:______________________________) 15.  The parents are both deceased. The following person is the adult relative nearest in kinship that can be found: Name: Relationship to Minor: Street Address : City: ____________ State: ___________ Zip Code: ___________________ Mailing Address, if different: City: State: Zip Code: Primary p hone: Alternate phone: Email Address: Does Petitioner need an interpreter?  No  Yes (Language:______________________________) 16.  The following person is currently acting as g uardian or conservator for the m inor in Colorado or elsewhere : Name: Relationship to Minor: Street Address : City: ____________ State: __________ Zip Code: ___________________________ Mailing address, if different: JDF 824 SC R 6/1 9 PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 5 of 6 City: State: Zip Code: Primary Phone : Alternate P hone : Email Address: Does Petitioner need an interpreter?  No  Yes (Language:______________________________) 17. The guardian may receive compensation.  The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or in an attachment to this p etition. *  The basis of compensation has not yet been determined. * There is a continuing obligation to disclose any material changes to the basis f or charging fees. (§ 15-10-602, C.R.S.) 18. The guardian may compensate his, her, or its counsel.  The hourly rates to be charged, any amounts to be charged pursuant to a published fee schedule, including the rates and basis for charging fees for any extraordinary services, and any other bases upon which a fee charged to the estate will be calculated, are as stated below or i n an attachment to this p etition. *  The basis of compensation has not yet been determined. * There is a continuing obligation to disclose any material changes to the basis for charging fees . (§ 15-10-602, C.R.S.) 19. The minor ’s assets are: Description of Assets (e.g. bank accounts, property )  None Estimated Value $ $ Total $ 20. T he m inor ’s income is: Description of Income (e.g. social security , insurance )  None Estimated Amount of Income $ $ Total $ JDF 824 SC R 6/1 9 PETITION FOR APPOINTMENT OF GUARDIAN FOR MINOR Page 6 of 6 21. The petitioner requests that an appointment of a g uardian be made after notice and hearing.  In addition, p etitioner requests the following:  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