Fill and Sign the Wi Guardian Minor Form

Designation of Standby Guardian I, ___________________________ (name and address of parent), being of sound mind, do hereby designate ___________________________ (name and address of standby guardian) as standby guardian of the person and estate of my child(ren) ___________________________ (name(s), birth date(s) and address(es) of child(ren)). (You may, if you wish, provide that the duty and authority of the standby guardian shall extend only to the person, or only to the estate, of your child(ren), by crossing out "person and" or "and estate", whichever is inapplicable, above.) The duty and authority of the standby guardian shall begin on one of the following events, whichever occurs first: 1. I die. 2. My doctor determines that I am mentally incapacitated, and thus unable to care for my child(ren). 3. My doctor determines that I am physically debilitated, and thus unable to care for my child(ren), and I consent in writing, before 2 witnesses, to the standby guardian's duty and authority taking effect. If the person I designate above is unwilling or unable to act as standby guardian for my child(ren), I hereby designate ___________________________ (name and address of alternate standby guardian) as standby guardian for my child(ren). I also understand that the duty and authority of the standby guardian designated above will end 180 days after the day on which that duty and authority begin if the standby guardian does not petition the court within those 180 days for an order appointing him or her as standby guardian. I understand that I retain full parental rights over my child(ren) even after the beginning of the standby guardianship, that I may revoke the standby guardianship at any time before the standby guardianship begins, that I may revoke the standby guardianship at any time after the standby guardianship begins, subject to the approval of the court, and that the standby guardianship will be suspended on my recovery or remission from my incapacity or debilitation. Signature ________________ Date ____________________ Statement of Witnesses I declare that the person whose name appears above signed this document in my presence, or was physically unable to sign the document and asked another person 18 years of age or over to sign the document, who did so in my presence, and that I believe the person whose name appears above to be of sound mind. I further declare that I am 18 years of age or over and that I am not the person designated as standby guardian or alternate standby guardian. Witness No. 1: (print) Name ___________________________ Date ____________________ Address ___________________________ Signature ___________________________ Witness No. 2: (print) Name ___________________________ Date ____________________ Address ___________________________ Signature ___________________________ Statement of Standby Guardian and Alternate Standby Guardian I ___________________________ (name and address of standby guardian), and I, ___________________________ (name and address of alternate standby guardian), understand that ___________________________ (name of parent) has designated me to be the standby guardian or alternate standby guardian of the person and estate(cross out "person and" or "and estate", if inapplicable) of his or her child(ren) if he or she dies, becomes mentally incapacitated, or becomes physically debilitated and consents, to my duty and authority taking effect. I hereby declare that I am willing and able to undertake the duty and authority of standby guardianship and I understand that within 180 days after that duty and authority begin I must petition the court for an order appointing me as standby guardian. I further understand that ___________________________ (name of parent) retains full parental rights over his or her child(ren) even after the beginning of the standby guardianship, that he or she may revoke the standby guardianship at any time before the standby guardianship begins, that he or she may revoke the standby guardianship at any time after the standby guardianship begins, subject to the approval of the court, and that the standby guardianship will be suspended on his or her recovery or remission from his or her incapacity or debilitation. Standby guardian's signature _________________ Date ___________________________ Address ___________________________ Alternate standby guardian' signature _________________ Date ___________________________ Address ___________________________ 3. A written designation of a standby guardian may also contain a consent to that designation that substantially conforms to the following form and that shall be completed if the child's other parent can be located: Consent to Designation of Standby Guardian I, ___________________________ (name and address of other parent), being of sound mind, do hereby consent to the designation by ___________________________ (name of designating parent) of ___________________________ (name of standby guardian) as standby guardian, and of ___________________________ (name of alternate standby guardian) as alternate standby guardian, of the person and estate (cross out "person and" or "and estate", if inapplicable) of my child(ren) ___________________________ (name(s), birth date(s) and address(es) of child(ren)). I also consent to the terms and conditions of the standby guardianship stated above and I understand that I retain full parental rights over my child(ren) even after the beginning of the standby guardianship and that I may revoke my consent to the standby guardianship at any time. Signature _______________ Date ___________________________ Statement of Witnesses I declare that the person whose name appears above signed this document in my presence, or was physically unable to sign the document and asked another person 18 years of age or over to sign the document, who did so in my presence, and that I believe the person whose name appears above to be of sound mind. I further declare that I am 18 years of age or over and that I am not the person designated as standby guardian or alternate standby guardian. Witness No. 1: (print) Name ___________________________ Date ____________________ Address ___________________________ Signature ___________________________ Witness No. 2: (print) Name ___________________________ Date ____________________ Address ___________________________ Signature ___________________________