IN THE CIRCUIT COURT FOR FLORIDA IN RE: GUARDIANSHIP OF COUNTY, PROBATE DIVISION File No. Division PETITION FOR APPOINTMENT OF LIMITED GUARDIAN (Incapacity - Person) Petitioner 1. Petitioner's residence is and petitioner's post office address is 2. is the Ward is 3. ( ( ( ( ( ( ) ) ) ) ) ) physical health or safety. Consequently, the following rights should be removed: to marry, to vote, to personally apply for government benefits, to have a driver's license, to travel, to seek or retain employment, . _______________________________________________________________(the Ward) years of age. The residence of the Ward is , and the post office address of . The Ward is unable to meet the essential requirements for certain aspects of the Ward's alleges: is an alleged incapacitated person who was born on _______________________, ___________,and who and the following rights should be delegated to a limited guardian of the person of the Ward: () () () to determine the Ward's residence, to consent to medical and mental health treatment, to make decisions about the Ward's social environment or other social aspects of the Ward's life. Petitioner is unaware of any alternatives to guardianship that could sufficiently address the 4. problems of the alleged incapacitated person in whole or in part. Thus, it is necessary that a limited guardian of the person be appointed for the Ward. 5. Petitioner is aware that the Ward has an advance directive described as follows: ____________________________________________________________________________________. (strike if inapplicable) Bar Form No. G-3.027- 1 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com 6. NAME The names and addresses of the next of kin of the Ward are: ADDRESS RELATIONSHIP 7. The proposed guardian, , ; whose residence is whose post office address is , is sui juris and otherwise qualified under the laws of Florida to act as limited guardian of the person of the Ward. The proposed guardian (is) (is not) a professional guardian and, if a is professional guardian (he)he (she) has complied with the registration requirements of Florida Statutes Section 744.2002. The relationship and previous association of the proposed guardian to the Ward are . The proposed guardian should be appointed because 8. Reasonable search has been made for all of the information required by Florida law and by the applicable Florida Probate Rules. Any such information that is not set forth in full above cannot be ascertained without delay that would adversely affect the Ward. Petitioner requests that appointed limited guardian of the person of the Ward. Under penalties of perjury, I declare that I have read the foregoing, and the facts alleged are true, to the best of my knowledge and belief. Signed on this day of , . be Petitioner Attorney for Petitioner Email Addresses: _______________________________________ _______________________________________ Florida Bar No. (address) Telephone: [Print or Type Names Under All Signature Lines] Bar Form No. G-3.027- 2 of 2 © Florida Lawyers Support Services, Inc. Revised January 1, 2017 American LegalNet, Inc. www.FormsWorkFlow.com