Petition For Guardianship Of Minor (Person Only) {NHJB-2024-F} | | New Hampshire

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Petition For Guardianship Of Minor (Person Only) {NHJB-2024-F} |  | New Hampshire

Petition For Guardianship Of Minor (Person Only) {NHJB-2024-F}

This is a New Hampshire form that can be used for Guardianship within Statewide, Family Division.

Alternate TextLast updated: 4/22/2011

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THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) Guardianship of PETITION FOR GUARDIANSHIP OF MINOR (PERSON ONLY) RSA 463 The petitioner states the following: 1. Petition is made for guardianship over the minor's person: 2. Petitioner Name Mailing Address Petitioner Name Mailing Address 3. Attorney for Petitioner Mailing Address 4. The minor is: Mailing Address Alternate Names Alternate Addresses 5. Name of minor's natural parents. If both parents are deceased, attach a list of the names and addresses of the minor's grandparents, adult siblings, aunts and uncles. (Attach copy of death certificate of deceased parent(s), if applicable.) Father Name Mailing Address Residence Address (if different from above) Mother Name Mailing Address Residence Address (if different from above) 6. Proposed Guardian Name Relationship to Minor Mailing Address Proposed Guardian Name Relationship to Minor Mailing Address Relationship to Minor Telephone Relationship to Minor Telephone Telephone OR over the age of fourteen. (Attach copy of birth certificate.) Date of Birth Telephone under Minor's Legal Name Date of Birth Telephone Date of Birth Telephone Date of Birth Occupation Telephone Date of Birth Occupation Telephone NHJB-2024-F (12/01/2010) Page 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: PETITION FOR GUARDIANSHIP OF MINOR (PERSON ONLY) Questions 7 ­ 11 are required under RSA 458-A, the Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA). It is important that you answer these questions with as much detail and accuracy as possible. Lack of adequate information could significantly delay orders being issued in your case. There are several situations that might result in New Hampshire exercising jurisdiction over a child. The continuous presence of the child in New Hampshire for six (6) months is not the only basis for jurisdiction. In some emergency situations, the court may be able to exercise jurisdiction on a temporary basis. 7. List the places where the minor child has lived in the last five (5) years and the names of the people s/he lived with at that time, if you know. Start with where the child lives now and work backward in time. Dates From/To Town/City, State Parent(s)/Caretaker Current Address/Contact Address of Parent/Caretaker Which Child If more space is needed, attach Extra Page (Form NHJB-2656-FPS). I have attached Form NHJB-2656-FPS because additional space was needed. 8. Are there any person(s), not a party to this proceeding, who have physical custody of the child or who claim to have custody, physical custody or parenting time rights? Yes No If yes, list name(s) and address(es) of person(s): 9. Check one of the following: I have not participated in any court case(s) concerning the custody, visitation, parenting time or placement of the child in this or any other state. OR I have participated in court case(s) concerning the custody, visitation, parenting time or placement of the child in this or any other state. I have participated in the following: Name of Court State Case No. Date of Court Order 10. Are there any actions for enforcement, or proceedings relating to domestic violence, domestic relations, protective orders, marriage dissolution, paternity, legitimation, custody, parental rights and responsibilities, termination of parental rights, adoption, juvenile, or other proceedings in any court in any state affecting the child named in this petition or parents of that child? Yes No If yes, complete the following: Name of Court State Case No. Type of Court Case NHJB-2024-F (12/01/2010) Page 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: PETITION FOR GUARDIANSHIP OF MINOR (PERSON ONLY) 11. Optional: I am alleging, under oath, that my or my child/ren's health, safety, or liberty would be jeopardized by the disclosure of identifying information set forth in this Petition. To support my allegation, I state as follows: 12. List the names and addresses of any persons having the principal care and custody of the minor during the 60 days preceding the filing of this petition. Name Address Relationship to minor Telephone 13. List names and addresses of any person(s) nominated as guardian(s) of the person in the will of a deceased parent. Name Address Relationship to minor Telephone 14. List names and addresses of any adults, other than the proposed guardian, who will be living in the same home as the minor. Those persons must provide the court with a completed Criminal Record Release Authorization form and a DHHS Record Release Authorization form. 15. Is an adoption of the minor by the proposed guardian(s) contemplated? 16. Is the minor entitled to receive local, state or federal benefits and/or entitlements? 17. Is there an existing child support order for this child? If yes, is support collected by the Division of Child Support Services? If no, are you seeking a child support order as part of this guardianship? 18. Is there an existing court visitation order for this child? If yes, attach a copy of that order to this petition. 19. Is there any reason that this child should not visit with his/her parents? If yes, state clearly and specifically any reason(s). Yes No Yes Yes Yes Yes Yes Yes No No No No No No 20. Is this guardianship being sought by the Department of Health and Human Services as part of a permanency Yes plan pursuant to the Adoption and Safe Families Act of 1997? No 21. Is the child an American Indian child as defined by the Indian Child Welfare Act? Yes No If yes, the name and address of the tribe are: Is the tribe recognized by the federal government as eligible for federal services or certain Alaskan native corporations as defined in 43 U.S.C. §1602(c)? Yes No 22. Is this petition filed in conjunction with a settlement of minor's action, per RSA 464-A:42? Yes No If yes, attach a copy of the petition or proposed petition seeking approval and all supplemental documentation to be filed with the Superior or District Court. NHJB-2024-F (12/01/2010) Page 3 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Case Name: Case Number: PETITION FOR GUARDIANSHIP OF MINOR (PERSON ONLY) 23. State specific facts which are claimed to demonstrate that the appointment of a guardian is in the best interests of the minor. (Attach additional pages as needed. Make each allegation a separate paragraph and number each paragraph.) REQUEST FOR TEMP

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