251 2018 Nevada Supreme Court Page 1 of 2 226 Certificate of Mailing (Child) COURT CODE: Your Name: Address: City, State, Zip:Telephone:Email Address:Self-Represented DISTRICT COURT COUNTY, NEVADA In the Matter of the Guardianship of the: Person EstatePerson and Estate of: (name of child who needs a guardian) A Proposed Protected Minor. CASE NO.: DEPT: CERTIFICATE OF MAILING FOR THE PETITION FOR APPOINTMENT OF GUARDIANS I HEREBY CERTIFY that I served the: ( check all that apply) Petition for Appointment of GuardianCitation to Appear and Show CauseOther: on (month) (day), 20, by depositing a copy of the same in the U.S. Mail, enclosed in sealed envelopes, prepaid Certified Mail, Return Receipt Requested, addressed to: Relatives / Required Notices: Name: Address: Name: Address: American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 2 226 Certificate of Mailing (Child) Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: If the child receives or has received Medicaid, check the following box and mail to: irector of the Department of Health and Human Services 4126 Technology Way, Suite 100Carson City, Nevada 89706-2009I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. DATED (month) (day) , 20. ATTACH THE SIGNATURE RECEIPTS (GREEN CARDS FROM THE POST OFFICE) TO THIS FORM WHEN RECEIVED (Signature) (Printed Name) American LegalNet, Inc. www.FormsWorkFlow.com