Once this template is filled in and signed by the concerned Parents/Guardian, this is the person who will act as the Minor’s Guardian when called to. Use the first blank space after the term “I/We Hereby Appoint” to fill in the name of the Attorney-in-Fact who is the intended Guardian. Here, we will use the format as the previously named parties to accomplish this in a declaration statement. Section II will focus on defining the intended recipient of Guardian Powers over the Child/Minor’s welfare. If another Parent is involved or there is a second Current Guardian responsible for the welfare of the concerned Minor, then his or her information must be presented in a similar fashion using the statement below the words “If Co-Guardian/Parent Exists.” If there is no additional Parent or Current Guardian, this may be left blank, crossed out, or deleted.ģ – State The Determined Guardian’s Identity Follow through with this Address by presenting the City and State where the Principal’s Street Address is located. Use the blank line after the phrase “…A Street Address” to enter the Parent or Guardian’s Building Number, Street, and Unit Number. In addition to the Parent or Current Guardian’s Name and Status, his or her Residential Address must be properly documented. This will be handled by producing the Full Name of the Minor on the blank line just after the word “I.” Immediately following this will be two check boxes: “Parent” and “Court Appointed Guardian.” Only the checkbox that defines the role of the individual just named can be checked. In addition to the Minor’s Identity, Section I will require that of each Parent or Current Guardian. If more Minors are involved, and there is not enough room, you may manufacture a list of the remaining concerned Minors that includes each one’s Full Name and Date of Birth. This must be the same date as that on the Minor’s Birth Certificate. This will need to be entered as a Two-Digit Calendar Date, the Name of the Month, and the Two-Digit year when he or she was born. The next three blank spaces in this section are reserved for the presentation of the Minor’s Date of Birth. Locate Section I, then fill in the Minor’s Full Name on the first blank line. Once this document is opened and ready to be filled out, we will need to solidify the concerned Minor’s Identity before proceeding to the Principal and Attorney-in-Fact’s information. You may obtain this appointment template as a PDF, ODT, or MS Word file.Ģ – The Minor And Both Parents (Or Current Guardian) Should Be Introduced In Section I Download this form using one of the buttons on this page. Only the Minor’s Parent or Current Guardian may perform this action and each one in charge of the Minor’s welfare will need to sign these papers. The document one will require to delegate Guardian Authority to an Attorney-in-Fact over a Minor or Child. How to Writeġ – Download The Document On This Page To Appoint A Minor’s Guardian In Pennsylvania Orphans’ Court Forms – For any other type of guardianship claims. Standby Guardianship – If the parent would like to designate someone else to take custody of their child(ren) in the event of incapacitation they may do so in accordance with § 5611.
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