GN-3200, 11/18 Letters of Guardianship of the Person Due to Incompetency 24724754.18, 54.25, 54.46(5), 54.52 and Chapter 54, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Name Date of Birth Amended Letter s of Guardianship of the Person Due to Incompetency Case No. To: Address: These Letters of Guardianship are effective on [Date] . You are appointed guardian co- guardian successor guardian of the person of the above-named ward. You are appointed standby guardian and your authority to act is limited to the following time period: [Starting date] through [Ending date] . Power of Attorney for Health Care is revoked . limited as follows: You are issued Letters of Guardianship of the Person with the following powers or limitations: A. Co-guardians must agree with each other when making decisions on behalf of the ward. Co-guardians may act independently when making decisions on behalf of the ward. Co-guardians may act independently when making decisions on behalf of the ward only in these limited circumstances: . B. The successor guardian is authorized to exercise powers as previously authorized or modified for this ward. See attached Letters dated . C. The guardian of the person has all the duties specified under 24754.25(1), Wis. Stats. The ward may exercise rights as follows: (If any box is not checked for a right, the ward retains that right in full.) Ward may not exercise this right. Remove right in full. Ward may exercise only with the consent of the Guardian of the Person. (1) consent to marriage. (3) apply for a fishing license. (4) apply for a license under Ch. 29, Wis. Stats., other than fishing. (5) apply for any other license or credential under 24754.25(2)(c)1.d., Wis. Stats. Specifically: American LegalNet, Inc. www.FormsWorkFlow.com GN-3200, 11/18 Letters of Guardianship of the Person Due to Incompetency 24724754.18, 54.25, 54.46(5), 54.52 and Chapter 54, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 (6) consent to sterilization. (7) consent to organ, tissue, or bone marrow donation. D. The guardian of the person is authorized to exercise the following specific powers in full or in part to 1.A. give informed consent to the voluntary receipt by the ward of a medical examination, medication, including any appropriate psychotropic medication, and medical treatment t hat is in the ward 's best interest, if the guardian has first made a good - faith attempt to discuss with the ward the voluntary receipt of the examination, medication, or treatment and if the ward does not protest. Full Transfer. Partial Transfer. The ward retains the power to: 1.B. give informed consent, if in the ward 's best interests, to the involuntary administration of a medical examination, medication other than psychotropic medication, and medical treatment that is in the ward 's best interest. Full Transfer. Partial Transfer. The ward retains the power to: 2. authorize participation in an accredited or certified research project if the research project might help the ward , or others if minimal risk of harm. Full Transfer. Partial Transfer. The ward retains the power to: 3. authorize ward ward but might help others if greater than minimal risk of harm to the ward but evidence indicates ward would have elected t o participate. Full Transfer. Partial Transfer. The ward retains the power to: 4. consent to experimental treatment in the ward . Full Transfer. Partial Transfer. The ward retains the power to: 5. give informed consent to receipt by ward of social and supported living services. Full Transfer. Partial Transfer. The ward retains the power to: 6. give informed consent to release of confidential records other than court, treatment, and patient health care records and redisclosure as appropriate. Full Transfer. Partial Transfer. The ward retains the power to: 7. make decisions related to mobility and travel. Full Transfer. Partial Transfer. The ward retains the power to: 8. choose providers of medical, social, and supported living services. Full Transfer. Partial Transfer. The ward retains the power to: 9. make decisions regarding educational and vocational placement and support services or employment. Full Transfe r. Partial Transfer. The ward retains the power to: 10. make decisions regarding initiating a petition for termination of marriage. Full Transfer. Partial Transfer. The ward retains the power to: 11. receive all notices on behalf of the ward. Full Transfer. Partial Transfer. The ward retains the power to: 12. act in all proceedings as an advocate of the ward , except the power to enter into a contract that binds the ward or the ward ward in any legal proceeding pertaini ng to the property, unless the g uardian of the p erson is also the g uardian of the e state. Full Transfer. Partial Transfer. The ward retains the power to: 13. apply for protective placement or for commitment on behalf of the ward which does not require court approval . Full Transfer. Partial Transfer. The ward retains the power to: 14. have custody of the ward . Full Transfer. Partial Transfer. The ward retains the power to: 15. Other: When exercising powers as guardian of the person, you shall: place the least possible restriction statutory rights, and promote the greatest possible integration of the ward into his or her community. American LegalNet, Inc. www.FormsWorkFlow.com GN-3200, 11/18 Letters of Guardianship of the Person Due to Incompetency 24724754.18, 54.25, 54.46(5), 54.52 and Chapter 54, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3 ce of place of living, personal liberty and mobility, choice of associates, communication with others, personal privacy, and choices related to sexual expression and procreation. f the decision, the level of risk involved, the value of the opportunity of the ward to develop decision-making skills, and the need of the ward for wider experience. The guardianship of the person terminates when the ward dies, when terminated by the court, or when provided by law. These Letters of Guardianship of the Person supersede any previously issued Letters of Guardianship of the Person. American LegalNet, Inc. www.FormsWorkFlow.com