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Petition For Guardianship Of Minor GN-3290 - Wisconsin
| Petition For Guardianship Of Minor Form. This is a Wisconsin form and can be used in Guardianship Circuit Court Statewide . |
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FORM SUMMARY Name of Form Petition for Temporary Guardianship and/or Permanent Guardianship of Minor GN-3290 Form Number Statutory Reference §§54.10(1), 54.34, 54.50 and Chapter 54, Wisconsin Statutes GA-4 Initiate guardianship of a minor. Petitioner or attorney. Original to court. Benchbook Reference Purpose of Form Who Completes It: Distribution of Form Accompanying Forms: New Form/Modification: Modifications: Comments: About this Form: Modification, last update 05/02. Modified to comply with 2005 Wis. Acts 264, 387 and 388. For cases involving Chapter 48, see JC-1605. PLEASE BE INFORMED: This form is based on unofficial text from Revisor of Statutes. This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. Date: 10/05/2006 Page 1 American LegalNet, Inc. www.FormsWorkflow.com For Official Use STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Amended Petition for Temporary Guardianship Permanent Guardianship of Minor Case No. Date of Birth FOR TEMPORARY AND/OR PERMANENT GUARDIANSHIPS (Complete #1 through #14) UNDER OATH, I STATE THAT: 1. I am interested as: a relative a public official. My authority to act as petitioner is: other: . . . 2. This petition is filed in: the county of residence of the minor. the county in which the minor is physically present. Other: 3. The residence of the minor is in and post-office address is: County, State of , . 4. The minor's date of birth is: . 5. The name and post-office address of the person or institution, if any, that has care and custody of the minor or the facility, if any, that is providing care to the minor is: Phone Number: Name: Post-office Address: 6. I have exercised due diligence to locate all interested parties. The names and post office addresses of See attached. all interested parties and all others entitled to notice are as follows: POST-OFFICE ADDRESS RELATIONSHIP NAME 7. The minor, if married, does does not have children who are not of the current marriage. 8. This petition is made in the best interests of the minor. The minor needs a guardian because: 9. aware of a guardianship or other related proceeding or ordered proceeding not aware I am involving the minor in another state or county. The details of the guardianship, or other related proceedings See attached. of which I am aware are as follows: guardian(s) appointed in Wisconsin: (Name and county where appointed) guardian(s) appointed out-of-state: (Name and state where appointed) A separate petition for receipt and acceptance of a foreign guardianship is being filed. GN-3290, 10/06 Petition for Temporary Guardianship and/or Permanent Guardianship of Minor §§54.10(1), 54.34, 54.50 and Ch. 54, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material. Page 1 of 4 GN-3290 Petition for Temporary Guardianship and/or Permanent Guardianship of Minor Page 2 of 4 Case No. 10. The following person is nominated as guardian: Type of Guardian Guardian of the Person Guardian of the Estate Temporary Guardian of the Person Temporary Guardian of the Estate Standby Guardian of the Person Standby Guardian of the Estate Name & Address See attached. Phone One or both of the parents of the minor have not been nominated as guardian because: 11. A sworn and notarized Statement of Acts by Proposed Guardian and Consent to Serve: accompanies this petition. will be filed at least 96 hours before the hearing. will be provided, if required by the court for temporary guardianship. 12. A. The approximate value of minor's property is: Amounts General Description Cash/Bank $ Real estate: $ General Description Other Liquid Assets: Other Assets: See attached. Amounts $ $ B. Assets of minor previously derived from or benefits of minor now due and payable from U.S. Department of Veterans Affairs are: See attached. none C. The minor is receiving public benefits, including medical assistance, SSI, SSDI or long term community Yes, type and amount: No options program benefits: D. Any other claim, income, compensation, pension, insurance or allowance to which the minor may be See attached. as follows: none. entitled is Amounts (monthly) General Description Amounts (monthly) General Description Social security $ Investment Income $ Child Support $ Other $ Disability $ Other $ 13. I request the court order payment of child support. See attached. FOR PERMANENT GUARDIANSHIP (Complete #14) 14. I petition the court to appoint a permanent guardian of the minor with the following powers: A. Guardian of person and extent of powers consent to medical examination and treatment, and consent to voluntary medication, including psychotropic medication that is in the minor's best interests, if the guardian has first made a good-faith attempt to discuss with the minor the minor's voluntary receipt of the psychotropic medication and the minor does not protest. limited full Guardian of person's authority: authorize minor's participation in an accredited or certified research project if the research project might help the minor, or others if minimal risk of harm limited full Guardian of person's authority: GN-3290, 10/06 Petition for Temporary Guardianship and/or Permanent Guardianship of Minor Page 2 of 4 §§54.10(1), 54.34, 54.50 and Ch. 54, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material. GN-3290 Petition for Temporary Guardianship and/or Permanent Guardianship of Minor Page 3 of 4 Case No. authorize minor's participation in research that might not help the minor but might help others if greater than minimal risk of harm to the minor but evidence indicates minor would have elected to participate limited full Guardian of person's authority: consent to experimental treatment in the minor's best interests limited full Guardian of person's authority: consent to receipt by minor of social and supported living services limited full Guardian of person's authority: consent to release of confidential records other than court, treatment, and patient health care records and redisclosure as appropriate limited full Guardian of person's authority: power to make decisions related to
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