Notice Of Designation Of Standby Guardian {GR 4} | Pdf Fpdf Doc Docx | Washington

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Notice Of Designation Of Standby Guardian {GR 4} | Pdf Fpdf Doc Docx | Washington

Notice Of Designation Of Standby Guardian {GR 4}

This is a Washington form that can be used for Guardianship within Local County, Snohomish, Superior Court.

Alternate TextLast updated: 2/4/2012

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SUPERIOR COURT OF WASHINGTON IN AND FOR SNOHOMISH COUNTY CASE NO. In the Guardianship of: NOTICE OF DESIGNATION OF STANDBY GUARDIAN GR 4 11-06 an Incapacitated Person. COME(S) NOW, herewith designates: Address: City, State, Zip: Phone: ( ) Guardian(s) of , and, pursuant to RCW 11.88.125 as Standby Guardian(s), to assume the duties and responsibilities of guardianship, pursuant to RCW 11.88, and RCW 11.92, in the event of the death or incapacity of the undersigned, or to consent to medical care per RCW 11.92.043(5). I/we revoke any previous designations of other person(s) to so act. Dated: ___________ GUARDIAN(S): Signature(s) ACCEPTANCE BY DESIGNATED STANDBY GUARDIAN(S) I/we acknowledge and accept the designation of Standby Guardian(s) in this matter. Dated:_________ Signature(s):_________________________________________ IMPORTANT NOTICE TO GUARDIAN(S) Please have Standby Guardian(s) sign above and read and follow the instructions on the second page of this form and sign under penalty of perjury that you have complied before filing this with the court. G:\SupCourt\Web\Current webpage forms\guardianship monitoring program forms\GR_4.doc Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com IMPORTANT NOTICE TO GUARDIAN In Accordance with RCW 11.88.125, copies of the completed form are to be filed with the court and also given to: Standby Guardian(s); Incapacitated Person, and his/her Spouse and Adult Children; Care Facility; and any others entitled to special notice in accordance with RCW 11.92.150. Please indicate below names and addresses of the persons given copies of this notice; as follows: The undersigned Guardian(s), under penalty of perjury as defined by the laws of the State of Washington, declares that he/she has given to the below-named copies of this Notice, by U.S. Mail, postage prepaid or by personal delivery on or before the date stated below on the following persons: Standby Guardian(s) Appointed herein: Previous Standby Guardian(s), if any. Spouse of ward if any: Facility where ward resides: And the following named adult children of the ward, if any, and/or persons entitled to special notice of proceedings, if any. (Add names, etc. on attachment if space insufficient.) Name: Address: City, State, Zip: Name: Address: City, State, Zip: Name: Address: City, State, Zip: Signed at Dated (mm/dd/yyyy): GUARDIAN(S): Signature(s) , Washington G:\SupCourt\Web\Current webpage forms\guardianship monitoring program forms\GR_4.doc Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com

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