Fill and Sign the To Appointment of a Guardian Form

Page 1 of 2 PG -61 5 (2/17 )(cs) Probate Rule 15(b) PARENT’S CONSENT TO APPOINTMENT OF A GUARDIAN AS 13.06.115 & AS 13.26.132- .147 IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Protective Proceeding of ) ) ) ) ) ) CASE NO. Minor ) Date of Birth: ) PARENT’S CONSENT TO APPOINTMENT OF A GUARDIAN I swear (or affirm) that the following is true: 1. I am the mother father of the minor child named above. My full name is Mailing Address (box or street number) (city) (state) (ZIP) Daytime Telephone Number 2. The child’s other parent is the mother father Full name Mailing Address (box or street number) (city) (state) (ZIP) Daytime Telephone Number 3. I am over 18 years of age. 4. I understand that a petition has been or will be filed asking the court to appoint a guardian for the child named above because my parental rights have been suspended by circumstances and the child’s other parent is not able to take care of this child. 5. I agree that I am not able to take care of the child at this time. The reason for this is (gi ve specific details ) 6. I agree that it is in my child’s best interests for the court to appoint as the child ’s guardian. 7. I understand that the guardian will have almost the same powers and duties as a parent (except that the guardian is not legally obligated to use his or her own money to support the child). 8. I understand that, during the guardianship, my parental rights will be suspended, but not my duty to provide financial support for the child . Page 2 of 2 PG -61 5 (2/17 )(cs) Probate Rule 15(b) PARENT’S CONSENT TO APPOINTMENT OF A GUARDIAN AS 13.06.115 & AS 1 3.26. 132 - .147 9. I understand that the court may mak e changes in the guardianship order in the future if the court decides it is in the child’s best interests. I also understand that I can request a review hearing and ask the court to change or end the guardianship order. However, the court will decide wh ether or not to change or end the guardianship based on the child’s best interests. [ Form PG -190 can be used to make the request. Court addresses are on the court website : www.courts.alaska.gov .] 10. I unders tand that the court will hold a hearing to decide whether to appoint a guardian and that I am entitled to attend this hearing and to speak at the hearing. I want to receive notice of the time and place of the hearing. I do not want to receive notice about the hearing. 11. Indian Child or Parent. a. The child named above is is not an Indian or Alaska Native child. 1 Name of child’s tribe or Native village : b. I am am not a member of an Indian tribe. Tribe Name c. The child’s other parent (name ) is is not a member of an Indian tribe. Tribe Name d. I understand that if the child is an Indian child (as defined in the Indian Child Welfare Act), notice of the guardianship hearing must be given to the child’s tribe, and the tribe may intervene in the case. However, I also understand that it is not necessary to give notice to the tribe if the parents of the child agr ee in writing to the gua rdianship and file a statement that the tribe has not been served with notice in order to protect the privacy of the parents. Please serve a notice of hearing on the child’s tribe In order to protect my privacy, please do not serve the tribe with notice. Date Signature of Parent Subscribed and sworn to or affirmed before me at , Alaska on . Date (SEAL) Clerk of Court, Notary Public, or other person authorized to administer oaths. My commission expires: 1 “Indian Child” means any unmarried person who is under age eighteen and is either (a) a member of an Indian tribe or (b) is eligible for membership in an Indian tribe and is the biological child of a member of an Indian tribe.” 25 USC §1903(4). Note: “Indian tribe” includes Alaskan Native villages as defined in 43 USC 1602(c).