IN THE COURT OF CHANCERY OF THE STATE OF DELAWARE In the matter of: ________________________, An alleged disabled person : : : : : C.M. #: _________________ WAIVER OF NOTICE AND CONSENT I, ___________________________________, whose relationship to the alleged disabled person is that of ________________________, hereby waive my right to notice of the hearing and hereby consent to the appointment of _____________________________ as guardian for the alleged disabled person's (check all that apply) person (to make his/her medical decision) and/or property (to make his/her financial decisions) without further notice. _____________________________________ Interested Party's signature Address: ___________________________________________________________ Phone Number: _____________________________________________________ SWORN TO AND SUBSCRIBED before me on this date: ___________________ ____________________________ Notary Public or Clerk of the Court American LegalNet, Inc. www.FormsWorkFlow.com