Guardianship Questionnaire

Proposed Ward (the person who needs a guardian)

Name *

Permanent Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

DOB *0 / 100

Has Proposed Ward selected a guardian by a prior written declaration? *YesNo

Please provide that person’s name and relationship to Proposed Ward *0 / 500

Your Information

Relationship to Proposed Ward *0 / 250

Name *

Permanent Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Email Address *

Any emergencies requiring immediate appointment of guardian? *(e.g., statute of limitations; abuse or neglect of ward; someone’s about to take the ward’s assets)0 / 500

Proposed Ward’s Incapacity

Nature and Degree of Incapacity *0 / 500

Cause of Incapacity: *0 / 500

Date (or approximate date range) for Onset of Incapacity *0 / 500

Family Of Proposed Ward

Spouse *

Father *

Mother *

List All Siblings *0 / 500

List All Children *0 / 500

Guardianship Issues

Please briefly describe any potential issues with the Guardianship *(e.g., the Proposed Ward will contest the guardianship, family members of the Proposed Ward will contest the guardianship, etc.)0 / 500