Letters And Their Acceptance For Guardianship And-Or Conservatorship
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Letters And Their Acceptance For Guardianship And-Or Conservatorship Form. This is a Arizona form and can be use in Coconino Local County.
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Tags: Letters And Their Acceptance For Guardianship And-Or Conservatorship, Arizona Local County, Coconino
(1) Person Filing:
Street Address:
City, State, Zip:
Phone Number:
SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO
(2) In the Matter of the Guardianship
and/or Conservatorship of:
Ward 1:
Ward 2:
Ward 3:
[ ] An Adult [ ] A Minor
(3) Case Number: GC
LETTERS AND THEIR ACCEPTANCE FOR:
(4) [ ] GUARDIANSHIP ONLY
[ ] CONSERVATORSHIP ONLY
[ ] GUARDIANSHIP AND CONSERVATORSHIP
ISSUANCE OF LETTERS:
(5)
is appointed [ ] guardian and/or [ ] conservator
of the ward until further order of this court, with the following restrictions:
For Guardianship of an Adult Only:
1.
[]
The ward’s right to obtain or retain a driver’s license is suspended.
2.
The guardian may consent to the ward’s outpatient mental health care and treatment.
3.
[]
The guardian may place the ward in a level one behavioral health facility for inpatient
mental health care and treatment. This authority expires on
Witness:
Clerk of the Superior Court
Seal:
By Deputy Clerk:
Page 1 of 2
Revised February 2005A
Coconino County Law Library and Self-Help Center Forms
American LegalNet, Inc.
www.FormsWorkflow.com
(6) ACCEPTANCE OF LETTERS:
I accept the duties of a guardian and/or conservator and swear or affirm that I will perform them
according to law.
Guardian and/or Conservator:
State of Arizona
County of
)
)
)
Subscribed and sworn before me this date:
Seal:
by:
Notary Public:
Notary Expiration Date:
I accept the duties of a guardian and/or conservator and swear or affirm that I will perform them
according to law.
Guardian and/or Conservator:
State of Arizona
County of
Subscribed and sworn before me this date:
Seal:
Page 2 of 2
Revised February 2005A
)
)
)
by:
Notary Public:
Notary Expiration Date:
Coconino County Law Library and Self-Help Center Forms
American LegalNet, Inc.
www.FormsWorkflow.com
