Nebraska State Court Form REQUIRED ACCEPTANCE OF APPOINTMENT OF TEMPORARY GUARDIAN BY THE PUBLIC GUARDIAN CC 16:2.228 New 11/15 Neb. Rev. Stat. §30-2626(a) and Neb. Ct. R. §6-1433.02(G) IN THE COUNTY COURT OF COUNTY, NEBRASKA Case # IN THE MATTER OF Ward/Incapacitated Person ACCEPTANCE OF APPOINTMENT OF TEMPORARY GUARDIAN BY THE PUBLIC GUARDIAN The Public Guardian accepts the appointment as temporary guardian of, (ward/incapacitated person) and swears that they will perform, according to law, all duties for the ward/incapacitated person as temporary guardian. Date Signature Print or Type Name Bar Number and Firm Name (attorneys only) Street Address/P.O. Box City/State/ZIP Code Phone of E-mail Address Page 1 of 1 Acceptance of Appointment of T e m p o r a r y Guardian by the Public Guardian CC 16:2.228 New 11/15 American LegalNet, Inc. www.FormsWorkFlow.com