Form 264 (Rev.10/11) The Family Court of the State of Delaware In and For New Castle Kent Sussex County PETITION FOR CONFIRMATION OF STANDBY GUARDIANSHIP Petitioner Name Street Address P.O. Box Number City/State/Zip Code Attorney Name v. Respondent Name Street Address P.O. Box Number City/State/Zip Code Attorney Name File Number Petition Number Interpreter needed? Language Yes No Interpreter needed? Language Yes No Petitioner respectfully requests this Court to enter an Order confirming as the guardian of the following children (please provide full name and date of birth): In support of this Petition, the Petitioner states as follows: 1. The triggering event indicated in the attached Court Order has occurred. 2. Written consent of the parent/guardian OR a letter from the attending physician stating a determination of the parent/guardian's incapacity, debilitation or death OR a death certificate is attached to this Petition. 3. Affiant Sworn to subscribed before me this ______ day of ______________________, _________ Mediator/Notary Public 1 of 2 Date American LegalNet, Inc. www.FormsWorkFlow.com Form 264 (Rev.10/11) Affidavit of Mailing I, the Movant, affirm that a true and correct copy of this Motion was placed in the U.S. Mail on this date , and sent to the other party or attorney at the address listed on the petition, being , first class postage pre-paid. SWORN TO AND SUBSCRIBED before me this date, Movant/Attorney Notary Public/Clerk of Court 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com