Fill and Sign the Illinois Standby Form

DESIGNATION OF STANDBY GUARDIAN (755 ILCS 5/11a-3.1) IT IS IMPORTANT TO READ THE FOLLOWING INSTRUCTIONS: A standby guardian is someone who has been appointed by the court as the person who will act as guardian of the disabled person when the disabled person's guardian dies or is no longer willing or able to make and carry out day-to-day care decisions concerning the disabled person. By properly completing this form, a guardian is naming the person that the guardian wants to be appointed as the standby guardian of the disabled person. Signing the form does not appoint the standby guardian; to be appointed, a petition must be filed in and approved by the court. 1. . Guardian and Ward. I, ___________________________________ (insert name of appointing guardian), currently residing at ___________________________________ (insert address of appointing guardian), am the guardian of the following disabled person: ___________________________________ (insert name of ward). 2. Standby Guardian. I hereby designate the following person to be appointed as standby guardian for my ward listed above _________________________________________________ (insert name and address of person designated). 3. Successor Standby Guardian. If the person named in item 2 above cannot or will not act as standby guardian, I designate the following person to be appointed as successor standby guardian for my ward: _________________________________________________ (insert name and address of person designated). 4. Date and Signature. This designation is made this ___________ (insert day) day of _____________________________ (insert month and year). Signed: _______________________________________________________________________ (designating guardian) Witnesses. I saw the guardian sign this instrument or I saw the guardian direct someone to sign this instrument for the guardian. Then I signed this instrument as a witness in the presence of the guardian. I am not appointed in this instrument to act as the short-term guardian for the guardian's ward. (insert space for names, addresses, and signatures of 2 witnesses) Witness Signature: ________________________________________________________ Witness Name: ___________________________________________________________ Address: ________________________________________________________________ Witness Signature: ________________________________________________________ Witness Name: ___________________________________________________________ Address: ________________________________________________________________ 7. Acceptance of short-term guardian. I accept this appointment as short-term guardian on this ___________(insert day) day of _________________________, 20 _______(insert month and year). Signed: _____________________________________________________ (short term guardian)