Declaration Of Proposed Guardian {PGF-1} | Pdf Fpdf Docx | California
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Declaration Of Proposed Guardian {PGF-1} | Pdf Fpdf Docx | California

Declaration Of Proposed Guardian {PGF-1}

This is a California form that can be used for Probate within Local County, San Francisco.

Alternate TextLast updated: 3/28/2018

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PGF-1 (Revised 12/17) -CONFIDENTIAL- 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 - CONFIDENTIAL - SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO P roposed Guardianship of (name of the child(ren)): Case No.: Confidential Declaration of Proposed Guardian Please complete the following questions for each person applying for guardianship. (1) Why can222t the parents care for the child(ren)? (2) Do the parents agree that you can be the guardian? Yes No Not sure If No, or Not sure, explain: (3) Your full legal name: Your email address: Your date of birth: / / American LegalNet, Inc. www.FormsWorkFlow.com PGF-1 (Revised 12/17) 226CONFIDENTIAL- 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Your education (last grade completed): Your current job title: Are you in good health: Yes No If No, explain: (4) Are you already a guardian to any other child(ren)? Yes No If Yes, list the county where you are a guardian and the names of the child(ren) you are guardian to: (5) Tell us about everyone who lives in your household, or has frequent contact with the child(ren). If you need more room, list additional names and information on a separate sheet of paper and attach after the last page of the declaration: Complete Legal Name Date of Birth Relationship Social Security No. Driver222s License No. (6) Who has/have the child(ren) lived with since birth? List addresses; relationship, and dates. American LegalNet, Inc. www.FormsWorkFlow.com PGF-1 (Revised 12/17) 226CONFIDENTIAL- 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (7) Does/do the child(ren) have any special emotional, psychological, educational or physical needs? Yes No If Yes, explain, what the needs are and what you would do to meet the needs: (8) Will the child(ren) need day care? Yes No If Yes, give information about the child(ren)222s day care provider: Name of day care provider: Day care address: Day care Telephone number: (9) Is/are the child(ren) in school? Yes No If Yes, give information about the child222s school: N ame of school: School address: School Telephone number: If Yes, please attach a recent report card/proof of enrollment. (10) Will the child(ren) have his or her own room in your house? Yes No If No, explain who the child will share a room with. (11) Will you get or ask for financial support to help take care of the child(ren)? Yes No If Yes, explain type of financial support. American LegalNet, Inc. www.FormsWorkFlow.com PGF-1 (Revised 12/17) 226CONFIDENTIAL- 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (12) Do you or does anyone in your home have an arrest record? Yes No If yes, say what the charges were, the date and place of offense, and how the case ended, such as 223guilty224, or 223case dismissed224. (13) Is/are the child(ren) involved in any other court case? This can be in Juvenile Court, Family Court or any other court. Yes No If Yes, please state which Court, and why. (14) Have you, or anyone who lives with you, had any contact with Child Protective Services of the Department of Human Services? Yes No If Yes, explain: (15) Where does/do the child(ren) get health care? Name and telephone number of the child(ren)222s doctor or clinic: Please attach a copy of the minor(s) health insurance card or other documentation (e.g. immunization record) as proof of routine and consistent medical care. (16) Please attach a copy of the child(ren)222s birth certificate. If the birth certificate is in another language, please provide an English-language translation of the birth certificate. (17) Please provide the name and telephone number of someone who will always know how to contact you. American LegalNet, Inc. www.FormsWorkFlow.com PGF-1 (Revised 12/17) 226CONFIDENTIAL- 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 I declare under penalty of perjury under the laws of the State of California that the above information is true and correct. In signing below, I consent to a complete criminal and children222s services background screening by the San Francisco Superior Court, Court Investigator222s Office. Dated: Signed: Your name (Type or print) American LegalNet, Inc. www.FormsWorkFlow.com

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