My Name
Address
City, State, Zip
Phone
Email
I am the Petitioner
Attorney for the Petitioner and my Utah Bar number is ______
In the District Court of ______County,Utah
Court Address ______
In the Matter of Protection for
______,
Respondent/Protected Person / Order Appointing Temporary Guardian for an Adult
______
Case Number
______
Judge

The matter before the court is a petition to appoint a temporary guardian. This matter is being resolved by: (Choose  all that apply.)

The ex parte pleadings and other papers of the petitioner.

A hearing held on ______(date).

Petitioner

was present.

was not present.

was represented by ______(name).

was not represented.

Respondent/Protected Person was not present and was not represented.

Having considered the documents filed with the court, the evidence and the arguments, and now being fully informed,

The Court Orders That:

(1)______(name) is appointed as temporary guardian of the above-named respondent/protected person.

(2)The appointment terminates ______days (no more than 30), from the date of this order unless earlier terminated by the court.

(3)The authority of any permanent guardian previously appointed by this or other court is suspended so long as the temporary guardian has authority.

(4)The temporary guardian is charged with the care and custody of the above-named respondent/protected person and is authorized to exercise the following authority:

(5)The temporary guardian shall not permit the above-namedrespondent/protected person to be removed from the state.

(6)Upon acceptanceby the temporary guardian, the clerk of court shall issuean appropriate letter of temporary guardianship.

(7)The clerk of the court shall schedule a hearing no more than five days from the date of this order.

(8)The temporary guardian shall serve this order and a notice of hearing on all persons required by law to be served.

(9)If a Petition to Appoint a Guardian is filed before the hearing, the petitioner shall serve a copy of the petition on all personsrequired by law to be served.

Sign here ►
Date / Judge
Certificate of Service
I certify that I served a copy of this Order Appointing Temporary Guardianon the following people.
Person’s Name / Method of Service / Served at this Address / Served on this Date
(Petitioner or Attorney) / Mail
Hand Delivery
Fax (Person agreed to service by fax.)
Email (Person agreed to service by email.)
Left at business (With person in charge or in receptacle for deliveries.)
Left at home (With person of suitable age and discretion residing there.)
(Protected Person’s Attorney) / Mail
Hand Delivery
Fax (Person agreed to service by fax.)
Email (Person agreed to service by email.)
Left at business (With person in charge or in receptacle for deliveries.)
Left at home (With person of suitable age and discretion residing there.)
(Clerk of Court) / Mail
Hand Delivery
Electronic File
(Interested Person or Attorney) / Mail
Hand Delivery
Fax (Person agreed to service by fax.)
Email (Person agreed to service by email.)
Left at business (With person in charge or in receptacle for deliveries.)
Left at home (With person of suitable age and discretion residing there.)
(Interested Person or Attorney) / Mail
Hand Delivery
Fax (Person agreed to service by fax.)
Email (Person agreed to service by email.)
Left at business (With person in charge or in receptacle for deliveries.)
Left at home (With person of suitable age and discretion residing there.)
Sign here ►
Date / Typed or Printed Name
Order Appointing Temporary Guardian for and Adult / Approved Board of District Court Judges September 12, 2012 / Page 1 of 3