Nevada > County > Washoe > District Court > Family
Petition For Guardianship Of Minor Child Or Children With Emergency Temporary Guardianship Requested 3481 - Nevada
| Petition For Guardianship Of Minor Child Or Children With Emergency Temporary Guardianship Requested Form. This is a Nevada form and can be used in Family District Court Washoe County . |
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1 Code: 3481/$3481 Name: 2 Address: 3 Phone: 4 Acting In Proper Person 5 6 IN THE FAMILY DIVISION 7 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 8 IN AND FOR THE COUNTY OF WASHOE 9 10 In The Matter Of The Guardianship Case No. 11 Of the Person, The Estate, or The 12 Person and Estate of: Dept. No. 13 14 15 A Minor Child / Minor Children. 16 ________________________________________/ 17 PETITION FOR GUARDIANSHIP OF A MINOR CHILD OR CHILDREN WITH 18 EMERGENCY TEMPORARY GUARDIANSHIP REQUESTED (Form #1) 19 Petitioner(s) ( Your Name) 20 21 and , in propen, petitions r perso (If two people are to be guardians, the second name is filled in here) 22 the Court for an Order appointing as guardian(s) of the person, the estate, or the 23 (Him, Her, Them) 24 person and the estate of the minor child(ren) above named. 25 This Petition is based on the following facts: 26 27 28 I. 1 <<<<<<<<<********>>>>>>>>>>>>> 2 1 PETITIONERS INFORMATION 2 The following questions must be answered by each person petitioning for the guardianship. If only 3 one person is petitioning, fill in the information under Petitioner Number One and print not applicable in the spaces for Petitioner Number Two. 4 5 PETITIONER NUMBER ONE 6 7 1. I currently reside at: 8 (Street Address) 9 10 (City, State and Zip Code) 11 (Telephone Number) 12 13 2. My relationship to the minor child(ren) is as follows: 14 (How are you related to the child(ren) or if you are not related, how do you 15 know the child(ren) 16 3. My date of birth is 17 4. Have you ever been convicted of a felony? Yes No 18 19 If your answer to question 4 is yes, complete the following information: a. The charge for which I was convicted was: 20 21 22 b. The County and State in which I was convicted was: 23 24 c. The date of my conviction was: 25 26 d. Were you incarcerated for the conviction? Yes No 27 If your answer to d is yes, complete the following information: 28 2<<<<<<<<<********>>>>>>>>>>>>> 3 1 The prison/jail in which I was incarcerated was: 2 3 4 I was incarcerated for (months, years) 5 e. Did you receive parole or probation on the conviction? Yes No 6 If your answer to e is yes, complete the following: 7 My parole (has or has not) been completed. 8 Date of discharge or contemplated discharge: 9 My discharge from parole was: honorable dishonorable 10 My probation (has or has not) been completed. 11 Date of completion or contemplated completion: 12 13 My discharge from probation was: honorable dishonorable If your discharge from parole or probation was dishonorable, please explain: 14 15 16 17 18 PETITIONER NUMBER TWO 19 1. I currently reside at: 20 (Street Address) 21 22 (City, State and Zip Code) 23 24 (Telephone Number) 25 2. My relationship to the minor child(ren) is as follows: 26 (How are you related to the child(ren) or if you are not related, how do you 27 know the child(ren) 28 3. My date of birth is 3<<<<<<<<<********>>>>>>>>>>>>> 4 1 4. Have you ever been convicted of a felony? Yes No 2 If your answer to question 4 is yes, complete the following information: 3 a. The charge for which I was convicted was: 4 5 b. The County and State in which I was convicted was: 6 7 c. The date of my conviction was: 8 9 10 d. Were you incarcerated for the conviction? Yes No 11 If your answer to d is yes, complete the following information: 12 The prison/jail in which I was incarcerated was: 13 14 I was incarcerated for (months, years) 15 e. Did you receive parole or probation on the conviction? Yes No 16 If your answer to e is yes, complete the following: 17 My parole (has or has not) been completed. 18 19 Date of discharge or contemplated discharge: My discharge from parole was: honorable dishonorable 20 My probation (has or has not) been completed. 21 22 Date of completion or contemplated completion: 23 My discharge from probation was: honorable dishonorable 24 If your discharge from parole or probation was dishonorable, please explain: 25 26 27 28 4 <<<<<<<<<********>>>>>>>>>>>>> 5 1 II. 2 CHILDRENS INFORMATION 3 4 All of the following information regarding the child(ren) must be completed. 5 6 1. The minor children in this matter are: 7 Name A ge Date of Birth 8 9 10 11 12 13 2. The minor child(ren) presently live at: 14 (Street Address) 15 16 (City, State and Zip Code) 17 18 (Telephone Number) 19 3. How long has/have the child(ren) lived at the above address: 20 (days, months, years). 21 4. With whom is/are the child(ren) living at the above address? 22 23 5. Are there any kind of orders regarding custody, visitation or guardianship of the 24 25 child(ren) out of any court? Yes No If your answer to question 5 is yes, complete the following information: 26 a. The name of the Court and the County and State in which the orders were 27 issued is: 28 5 <<<<<<<<<********>>>>>>>>>>>>> 6 1 b. The kind of case in which the orders were issued (divorce, custody, guardianship, temporary protective order, child support, child 2 protection/CPS): 3 4 c. Were the orders issued as a result of abuse or neglect of the child(ren)? Yes No 5 d. To your knowledge, has there ever been any abuse or neglect charges filed 6 involving the children? 7 Yes No If your answer is yes to question d, complete the following: 8 The name and address the Court in which the abuse or neglect charges were of 9 filed is: 10 11 12 The final outcome of those charges was: (for instance: case closed, case still 13 open, children placed in Wittenburg Hall or with Social Services) 14 15 16 6. Will the child, or any of the children need an ongoing guardianship after they reach 17 the age of eighteen years? Yes No 18 If your answer to question 6 is yes, please state why you believe the child will 19 need an ongoing guardianship once the child reaches the age of majority. 20 21 22 23 24 25 26 27 28 7. Is the child or children entitled to any income or property such as child support, welfare benefits, Social Security benefits? Yes No 6 <<<<<<<<<********>>>>>>>>>>>>> 7 1 If your answer to question 7 is yes, what kind of benefits is the child receiving or 2 entitled to, what amount per month is the child receiving and who is receiving the benefits on behalf of the child at this time? 3 4 5 6 7 8. Have you tried to contact the parents, any agency or institution that has custody of the child(ren) or any other relatives of the child(ren) regarding this guardianship? 8 Yes No 9 If your answer to question 8 is no, explain why you have not tried to contact 10 them and if you believe the child(re
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