© 2018 Nevada Supreme Court
Page 1 of 2 – Confidential Information Sheet (Adult)
COURT CODE: CISG
Your Name:
Address:
City, State, Zip:
Telephone:
Email Address:
Self-Represented
DISTRICT COURT
CLARK COUNTY, NEVADA
In the Matter of the Guardianship of the:
Person
Estate
Person and Estate
of:
___________________________________
(name of adult alleged to need a guardian)
A Proposed Protected Person.
CASE NO.: ____________________
DEPT: ____________________
CONFIDENTIAL INFORMATION SHEET – GUARDIANSHIP
First Guardian (full legal name): __________________________________________________
Identification Attached (check one and attach a copy):
Social Security Number
Valid Driver’s License Number
Valid ID Card Number
Valid Passport Number
Taxpayer Identification
Number
Valid Tribal Identification Card
Number
Second Guardian (full legal name, or “n/a” if none): ___________________________________
Identification Attached (check one and attach a copy):
Social Security Number
Valid Driver’s License Number
Valid ID Card Number
Valid Passport Number
Taxpayer Identification
Number
Valid Tribal Identification Card
Number
Adult (name of adult who needs a guardian): ________________________________________
Identification Attached (check one and attach a copy):
Social Security Number
Valid Driver’s License Number
Valid ID Card Number
Valid Passport Number
Taxpayer Identification
Number
Valid Tribal Identification Card
Number
