Visitors Report {JDF 810SC}

JDF 810SC R6/19 VISITOR222S REPORT Page 1 of 8 District Court Denver Probate Court County, Colorado Court Address: In the Interest of: Respondent COURT USE ONLY Court Visitor (Name): Case Number: Division Courtroom COURT VISITOR222S REPORT GUARDIANSHIP CONSERVATORSHIP COMBINED Instruction to court visitor: Please complete every applicable section of this form. If a section is not applicable, please enter N/A. I, (name), submit the following report concerning the investigation that I conducted as the court-appointed visitor in this guardianship pursuant to 247 15-14-305, C.R.S. conservatorship pursuant to 247 15-14-406, C.R.S. Summary: Yes No A. A lawyer should be appointed to represent the respondent. Reason:The respondent requested a lawyer. Other: B. A guardian ad litem should be appointed to represent the respondent222s best interests. Reason: C. A professional evaluator should be appointed to examine the respondent and prepare an evaluation. Reason:The respondent has demanded an evaluation. Other: D. I believe the proposed guardianship, including the type of guardianship, is appropriate and that less restrictive means of intervention are unavailable. Suggested limitations on guardian222s powers and duties: E. The nominated guardian should be appointed for the respondent. F. I believe the proposed conservatorship, including the type of conservatorship, is appropriate and that less restrictive means of intervention are unavailable. Suggested limitations on conservator222s powers and duties, and assets over which the conservator should be granted authority: G. The nominated conservator should be appointed for the respondent. American LegalNet, Inc. www.FormsWorkFlow.com JDF 810SC R6/19 VISITOR222S REPORT Page 2 of 8 Yes No H. The respondent needs an interpreter. If yes, for what language? List any interested persons involved who may need an interpreter, and for what language: I. Significant concern(s): I. Observations: A. The activities of daily living (daily functions) that the respondent can manage without assistance; could manage with the assistance of supportive services or benefits, including the use of appropriate technological assistance; and cannot manage are as follows: B. The financial functions that the respondent can or cannot effectively manage are as follows: II. Interview of Respondent: I interviewed the respondent, in person, on (date) at (location). I provided the Notice of Rights to Respondent (JDF 797) and, to the extent the respondent was able to understand, explained the rights contained therein. A. Other persons present at the interview: B. Respondent222s physical appearance: C. Respondent was oriented to time and place Yes No American LegalNet, Inc. www.FormsWorkFlow.com JDF 810SC R6/19 VISITOR222S REPORT Page 3 of 8 D. After I explained the substance of the petition, the nature, purpose, and effect of the proceeding, and the general powers and duties of a guardian, conservator, or both, as appropriate to this case, I asked the following questions and the respondent answered as follows: 1. Do you understand what I222ve explained to you? Yes No Did not respond If No, please explain or comment. 2. Do you understand the Notice of Rights to Respondent (JDF 797)? Yes No Did not respond 3. Do you have a lawyer? Yes No Did not respond If Yes, please provide name: 4. Do you want a lawyer to be appointed for you? Yes No Did not respond If Yes, please explain: 5. Do you have a doctor? Yes No Did not respond If Yes, please provide name: 6. Is your doctor the same doctor who provided the letter attached to the petition filed in these proceedings? Yes No Did not respond 7. Who are the family members or other people who are the most helpful to you? Guardianship Only 1. Do you need any help with your daily living activities or daily functions? Yes No Did not respond If Yes, in what areas? 2. Do you know the proposed guardian? Yes No Did not respond If Yes, who do you think the proposed guardian is? If No, why not? (If respondent provides the wrong name of the proposed guardian, then inform them of the correct proposed guardian). 3. Do you think that he or she should be appointed as your guardian? Yes No Did not respond 4. How do you feel about the proposed guardianship? (Scope, powers, duties, and duration.) Did not respond Responded as follows: American LegalNet, Inc. www.FormsWorkFlow.com JDF 810SC R6/19 VISITOR222S REPORT Page 4 of 8 Conservatorship Only 1. Do you need any help with your finances? Yes No Did not respond Identify specific areas (check writing, bill paying, etc.) 2. Do you know the proposed conservator? Yes No Did not respond If Yes, who do you think the proposed conservator is? If No, why not? (If respondent provides the wrong name of the proposed conservator, then inform them of the correct proposed conservator). 3. Do you think that he or she should be appointed as your conservator? Yes No Did not respond 4. How do you feel about the proposed conservatorship? (Scope, powers, duties, and duration.) Did not respond Responded as follows: III. Interview of Person Nominated as Guardian: A. Date and place of interview: B. Person seeking appointment was asked and responded as follows: 1. Name and address: 2. Relationship (including non-family) to respondent: 3. Occupation: 4. Why was this petition initiated? 5. Where has the respondent resided during the last 3 months? American LegalNet, Inc. www.FormsWorkFlow.com JDF 810SC R6/19 VISITOR222S REPORT Page 5 of 8 a. Who, if anyone, has been caring for the respondent during this period? b. What type of care has been provided? None In-home care Assisted living Hospital or nursing home c. What type of care will be provided if you are appointed as guardian? None In-home care Assisted living Hospital or nursing home 6. What changes in residence are contemplated? None Private home Other facility. Please provide name and address: 7. What are your qualifications to be guardian for respondent? IV. Interview of Person Nominated as Conservator: A. Date and place of interview: B. Person seeking appointment was asked and responded as follows: 1. Name and address: 2. Relationship (including non-family) to respondent: 3. Occupation: 4. Why was this petition initiated? American LegalNet, Inc. www.FormsWorkFlow.com JDF 810SC R6/19 VISITOR222S REPORT Page 6 of 8 5. Where has the respondent resided during the last 3 months? 6. Who, if anyone, has been handling the respondent222s financial affairs during this period? 7. Does the respondent owe you (conservator nominee) any money or property? Yes No If Yes, please explain. 8. Do you (conservator nominee) owe the respondent any money or property? Yes No If Yes, please explain. 9. What are your qualifications to be conservator for respondent? V. Interview of Petitioner, if Different than the Nominated Guardian or Conservator: A. Name of person: B. Date and place of interview: C. Petitioner was asked and responded as follows: 1. Occupation: 2. Have there been any significant changes since you filed the petition? Yes No Comments: VI. Interview of Other Interested Persons: A. Name of person: Relationship to respondent: B. Date and place of interview: C. Other person asked and responded as follows: 1. Address: 2. Occupation: 3. Should a guardian or conservator be appointed? Yes No American LegalNet, Inc. www.FormsWorkFlow.com JDF 810SC R6/19 VISITOR222S REPORT Page 7 of 8 Comments: Note: This section should be completed as many times as there are interested persons interviewed. Attach the additional interview notes to this report. VII. Report on Condition of Respondent222s Current Residence: A. Date visited: // B. Address: C. Type of dwelling: D. Condition: 1. Lawn and landscaping: 2. Exterior: 3. Interior: a. Utilities working Yes No Additional comments b. Clean Yes No Additional comments c. Fire hazards Yes No Additional comments d. Appropriate accessibility Yes No Additional comments e. Other issues or concerns (explain) E. I believe the respondent222s current dwelling meets his or her needs. Yes No VIII. Report on Condition of Respondent222s Proposed Residence, if a change is contemplated: A. Date visited: // B. Address: C. Type of dwellin