Fill and Sign the Petition Guardianship of Form

Form 126 Rev 7/18 The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR GUARDIANSHIP OF A MINOR Petitioner Respondent Name Name File Number             D.O.B. D.O.B.                   Street Address Street Address             P.O. Box Number P.O. Box Number Petition Number             City/State/Zip Code City/State/Zip Code                   Phone Number Phone Number             Attorney Name Attorney Name             Interpreter needed? Yes No Interpreter needed? Yes No Language       Language       2 nd Petitioner (if any) 2 nd Respondent (if any) Name Name             D.O.B. D.O.B.             Street Address Street Address             P.O. Box Number P.O. Box Number             City/State/Zip Code City/State/Zip Code             Phone Number Phone Number             Attorney Name Attorney Name             Interpreter needed? Yes No Interpreter needed? Yes No Language       Language       Guardian Ad Litem (if any) 1 of 4Name       Law Firm       Office Address       City/State/Zip Code       Phone Number       Form 126 Rev 7/18 Does this matter relate to a federal immigration case? YES NO IN THE INTEREST OF THE FOLLOWING CHILD(REN): ( Complete the table below for each child for which petitioner wants guardianship . Attach additional sheets if necessary.) Petitioner’s relationship to the child(ren) (select one relationship from choices below) brother or sister grandparent or great-grandparent aunt or uncle first cousin grandaunt or granduncle half-brother or half-sister non relative other relative: If you have checked other relative, please also check one of the following. step grandparent stepparent great uncle or great aunt step uncle or step aunt stepbrother or stepsister first cousin once removed other please explain:       1. Complete the table below regarding the child(ren)’s parents (individuals holding parental rights): NAME Address Date of Birth MOTHER                   FATHER                   2. If you do not know the name/address of the child(ren)’s mother and/or father, write in the space provided below what you have done to try to locate him/her/them.                   2 of 4Child’s Name Child’s Date of Birth Child’s Place of Birth (City, State) Child’s Gender (Check one)                   Male Female                   Male Female                   Male Female Form 126 Rev 7/18             ► I have attached to this Petition the following affidavits: Affidavit that a Party’s Address is Unknown 3. Name(s) of the person(s) or organization holding parental rights of the child(ren):       Address of person(s) or organization: 4. Name(s) of the person(s) or organization having the guardianship, care, control or custody of the child(ren):       Address of person(s) or organization if address is different from address of Petitioner(s): 5. Name(s) of the person(s) to whom guardianship shall be vested if this Petition is granted       Address of person(s) or organization if address is different from address of Petitioner(s): 6. Proposed guardian(s)’ relationship to child(ren) if proposed guardian is NOT the Petitioner:       7. Please check all that apply: The following child(ren) is/are not yet 14 years of age or older: OR The child(ren) is/are 14 years of age or older and consents to (agree with) this Petition ( Attach Affidavit of Consent executed by each child(ren) who consents ) Name(s) of child(ren) 14 years of age or older who consent(s): 3 of 4                                          Form 126 Rev 7/18 The child(ren) is/are 14 years of age or older does/do NOT consent to (agree with) this Petition. Name(s) of child(ren) 14 years of age or older who do NOT consent: 8. I am filing this petition because: (Check ALL that apply) The child(ren)’s parent(s) agree that I/we should become the guardian(s) of the child(ren) (Attach an Affidavit of Consent executed by the parent(s) who agree). The child(ren)’s parent(s) are deceased. (Attach a certified copy of the death certificate) The child(ren) is/are dependant, neglected and/or abused based on the following reason(s):                               NOTICE – This request for guardianship, if filed by a non-relative or a relative whose relationship is not captured in the definition of “relative” found in 10 Del. C. § 901, is subject to an assessment conducted by the Department of Services for Children, Youth and Their Families, as required by 31 Del. C . § 351. WHEREFORE , Petitioner(s) seek appointment as Guardian(s) of the above-named minor child(ren). Petitioner Date 2 nd Petitioner (if any) Date Sworn to subscribed before me: Sworn to subscribed before me: Clerk of Court/Notary Public Date Clerk of Court/Notary Public Date 4 of 4