THE SUPERIOR COURT OF COCONINO COUNTY, ARIZONA Guardian/Conservator Cover Sheet Please provide the following information. (Type or Print) CASE NUMBER GC- PETITIONER'S INFORMATION d.o.b.: Name(s): Mailing Address: City/State/Zip: Phone: MINOR/WARD INFORMATION Name: Mailing Address: City/State/Zip: Date of Birth: (List additional on reverse side) PETITIONER'S ATTORNEY INFORMATION Name: Mailing Address: City/State/Zip: Phone: State Bar No.: FEES [ [ [ [ ] PAID ] DEFERRED ] WAIVED ] POLITICAL SUBDIVISION/GOVERNMENT AGENCY TYPE OF ACTION: Place an "X" next to ONE description below which best describes the type of case. CONSERVATOR Minor Adult Protected Person GUARDIANSHIP Minor Adult Protected Person GUARDIANSHIP/CONSERVATOR COMBINATION Minor Adult Protected Person OTHER COURT CASES: Has the person you want guardianship/conservatorship over ever been involved in another court case? [ ] Yes [ ] No If Yes: Court Name: Case Number: Court Name: Case Number: Rev. 3/13 FOR OFFICE USE ONLY: entered by: # American LegalNet, Inc. www.FormsWorkFlow.com