Person Filing: Mailing Address: City, State, Zip: Phone Number: Representing Self IN THE SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO In the Matter of the Guardianship and/or Conservatorship of: Ward 1: Ward 2: Ward 3: [ ] An Adult [ ] A Minor I gave copies of the following: Case Number: GC PROOF OF NOTICE or I published the Notice of Hearing, as follows: WARD 1 THE WARD NAME: Street Address: City, State, Zip: Notice Method: Notice Date: THEIR MOTHER NAME: Street Address: City, State, Zip: Notice Method: Notice Date: THEIR FATHER NAME: Street Address: City, State, Zip: Notice Method: Notice Date: THEIR CLOSEST ADULT RELATIVE NAME: Street Address: City, State, Zip: Notice Method: Notice Date: THEIR COURT-APPOINTED ATTORNEY NAME: Street Address: City, State, Zip: Notice Method: Notice Date: WARD 2 WARD 3 Page 1 of 2 Revised June 2013 American LegalNet, Inc. www.FormsWorkFlow.com Coconino County Law Library and Self-Help Center Forms WARD 1 THEIR GUARDIAN AND/OR CONSERVATOR NAME: Street Address: City, State, Zip: Notice Method: Notice Date: NAME: Street Address: City, State, Zip: Notice Method: Notice Date: PEOPLE HAVING CARE OR CUSTODY OF THEM NAME: Street Address: City, State, Zip: Notice Method: Notice Date: NAME: Street Address: City, State, Zip: Notice Method: Notice Date: PEOPLE WHO FILED A DEMAND FOR NOTICE NAME: Street Address: City, State, Zip: Notice Method: Notice Date: NAME: Street Address: City, State, Zip: Notice Method: Notice Date: THE WARD'S SPOUSE NAME: Street Address: City, State, Zip: Notice Method: Notice Date: WARD 2 WARD 3 THE WARD'S ADULT CHILDREN THE VETERANS' ADMINISTRATION I swear or affirm that the statements set forth above are true and correct, subject to the penalties of making a false affidavit or declaration. Date: Signature: Date: Signature: Page 2 of 2 Revised June 2013 American LegalNet, Inc. www.FormsWorkFlow.com Coconino County Law Library and Self-Help Center Forms