1 FORM D IN THE CIRCUIT COURT OF THE SIXTH JUDICIAL CIRCUIT FOR PINELLAS COUNTY, FLORIDA Probate Division IN RE: GUARDIAN ADVOCACY OF A Person with a Developmental Disability, / CASE NO.: SECTION: WAIVER AND CONSENT TO APPOINTMENT OF GUARDIAN ADVOCATE The undersigned, whose complete name and address are: , and who Has an interest in the above Guardian Advocacy as the spouse brother sister parent child Of the person with a developmental disability/Ward, acknowledges receipt of a copy of the Petition for Appointment of Guardian/Co-Guardian Advocate(s) and hereby waives hearing and notice of hearing thereon, and consents to the settlement and entry of an order granting the relief requested in the Petition without notice or hearing. Signed this day of , 20 . Name Address Phone E-mail address American LegalNet, Inc. www.FormsWorkFlow.com