Guardian Application Form

GUARDIAN APPLICATION FORM

This Guardian Application is submitted on by Applicant Name: and Proposed Guardian Name: in connection with the proposed guardianship of the person and/or estate of Proposed Ward Name: (Date of Birth: ).

RECITALS

WHEREAS, Applicant desires to be appointed as guardian with respect to the care, custody, and/or property management of the Proposed Ward and represents that Applicant meets the statutory qualifications for appointment; and

WHEREAS, the Proposed Guardian has provided information concerning qualifications, background, financial ability, and proposed plan of care and management for the Proposed Ward; and

WHEREAS, the guardianship sought is necessary to provide for the personal needs and/or estate management of the Proposed Ward in a manner consistent with the Proposed Ward's best interests and rights;

NOW, THEREFORE

Applicant hereby petitions and applies to the court for appointment as guardian and submits the following information, certifications, and proposed orders in support of the petition.

1. PETITIONER / APPLICANT INFORMATION

2. PROPOSED GUARDIAN INFORMATION

3. PROPOSED WARD

Proposed Ward Full Legal Name: Date of Birth: Current Residence:

4. TYPE AND SCOPE OF GUARDIANSHIP SOUGHT

Select the guardianship powers requested (check all that apply):

Guardian of the Person (personal care, health care, residence decisions)
Guardian of the Estate (financial management, asset control)
Limited or Specific Powers (describe in proposed plan)

5. POWERS, DUTIES, AND LIMITATIONS

The proposed guardian requests authority to exercise those powers necessary to provide for the health, safety, and welfare of the Proposed Ward and to manage the Proposed Ward's property as required by law. Such powers are to be exercised for the benefit of the Proposed Ward, subject to court supervision and applicable statutory limits.

The guardian agrees to: (a) act in the best interests of the Proposed Ward; (b) avoid conflicts of interest; (c) keep accurate records of receipts, disbursements, and accountings; (d) seek court approval for extraordinary transactions as required by statute; and (e) comply with court-ordered conditions, including bonding if ordered.

6. BACKGROUND, QUALIFICATIONS AND HISTORY

Has the Proposed Guardian ever been convicted of a felony or any offense involving fraud or dishonesty? Yes No

7. PROPOSED CARE AND FINANCIAL PLAN

8. NOTICES AND INTERESTED PARTIES

9. REPORTING, ACCOUNTING, AND SUPERVISION

The Proposed Guardian acknowledges that, if appointed, the guardian will be subject to court supervision. The guardian will prepare and file inventories, accountings, and periodic reports as required by statute and by order of the court. The guardian acknowledges that all transactions involving the Proposed Ward's estate shall be documented and made available to interested parties upon lawful request or court order.

10. CERTIFICATIONS AND ACKNOWLEDGMENTS

By signing below, Applicant and Proposed Guardian each certify under penalty of perjury that the information provided in this application is true and correct to the best of their knowledge; that they understand the duties, responsibilities, and potential liabilities of guardianship; and that they consent to such inquiries and background checks as may be required by law or court order.

Applicant and Proposed Guardian further acknowledge that appointment as guardian carries fiduciary duties and that misuse of the Proposed Ward's property or failure to comply with court orders may result in sanctions, removal, or other remedies provided by law.

11. AUTHORIZATION FOR BACKGROUND CHECKS

Applicant and Proposed Guardian authorize the release of criminal, child welfare, adult protective services, and other records necessary for the court to determine fitness for appointment as guardian. Such authorization is provided to the extent permitted by law and solely for the purpose of this guardianship proceeding.

12. GOVERNING LAW

This Application shall be governed by and construed in accordance with the laws applicable to guardianship proceedings in the jurisdiction where the petition is filed. Any disputes concerning the interpretation of this Application shall be subject to the exclusive jurisdiction of the court hearing the petition.

13. ENTIRE AGREEMENT; SEVERABILITY; AMENDMENTS

This Application, together with any attachments or exhibits submitted herewith, constitutes the entire written statement of Applicant and Proposed Guardian with respect to the matters herein. If any provision of this Application is held to be invalid or unenforceable, such provision shall be severed and the remainder of the Application shall remain in full force and effect. This Application may be amended only by written instrument signed by the parties and filed with the court or by subsequent filings in the guardianship proceeding.

14. WAIVER; COUNTERPARTS

No waiver of any provision of this Application shall be valid unless in writing and signed by the party against whom the waiver is asserted. This Application may be executed in counterparts, each of which shall be deemed an original, and facsimile or electronic signatures shall be treated as original signatures for purposes of filing with the court to the extent permitted by local rules.

15. ATTACHMENTS

The following documents are attached and submitted in support of this Application: (a) proposed order appointing guardian; (b) medical certification or evaluation supporting incapacity (if applicable); (c) financial information and proposed inventory; (d) background check authorizations; and (e) names and addresses of interested persons. List attachments:

16. DECLARATION AND SIGNATURES

The undersigned declare under penalty of perjury under the laws of the applicable jurisdiction that the foregoing statements are true and correct.

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