Guardianship Questionnaire Proposed Ward (the person who needs a guardian)Name *Permanent Street Address *Apartment, suite, etcCity *State/Province *ZIP / Postal Code *DOB *0 / 100Has Proposed Ward selected a guardian by a prior written declaration? *YesNoPlease provide that person’s name and relationship to Proposed Ward *0 / 500Your InformationRelationship to Proposed Ward *0 / 250Name *Permanent Street Address *Apartment, suite, etcCity *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 / 500Proposed Ward’s Incapacity Nature and Degree of Incapacity *0 / 500Cause of Incapacity: *0 / 500Date (or approximate date range) for Onset of Incapacity *0 / 500Family Of Proposed WardSpouse *Father *Mother *List All Siblings *0 / 500List All Children *0 / 500Guardianship IssuesPlease 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 Send MessagePlease do not fill in this field. Please do not fill in this field.