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DISTRICT COURT

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© 2018 Nevada Supreme Court
Page 1 of 5 - Order Appointing Guardian(s) (Child)
COURT CODE: _____________________
Your Name:
Address:
City, State, Zip:
Telephone:
Email Address:
DISTRICT COURT
________________COUNTY, NEVADA
In the Matter of the Guardianship of the:
Person
Estate
Person and Estate
of:
_
___________________________________
(name of child who has a guardian)
A Protected Minor.
CASE NO.: ____________________
DEPT: ____________________
ORDER APPOINTING GUARDIAN(S) OVER A MINOR CHILD
This matter having been submitted to the court (☒ check one) without a hearing
after a hearing on (date of hearing) ____________________________.
Petitioner (first guardian’s name) ________________________________________,
was present representing
HIMSELF/HERSELF –OR– WITH COUNSEL, (attorney’s
name; or “n/a” if none) ________________________________________.
Petitioner (second guardian’s name) ________________________________________,
was present representing HIMSELF/HERSELF –OR– WITH COUNSEL, (attorney’s
name; or “n/a” if none) ________________________________________.
The Proposed Protected Minor, (child’s name) _________________________________,
WAS PRESENT –OR– WAS NOT PRESENT.
CLARK
Page 2 of 5 – Order Appointing Guardian(s) (Child)
(First parent’s name) ____________________________________________________
WAS PRESENT –OR– WAS NOT PRESENT.
(Second parent’s name) __________________________________________________
WAS PRESENT –OR– WAS NOT PRESENT.
It appearing to the satisfaction of the Court that notice is sufficient; and
It appearing by clear and convincing evidence that it is necessary to appoint a guardian
for the proposed protected minor;
IT IS HEREBY ORDERED AND DETERMINED BY THE COURT as follows:
1. (Child’s name) ___________________________________________, date of birth
(date) ______________________, is a resident of the State of ___________________.
2. The child needs the appointment of a guardian. This request is supported by recent
documentation demonstrating the need for a guardianship.
3. Notice has been served upon any living relative within the second degree of
consanguinity, or the public guardian, if necessary, and/or any other persons or agency
having the care, custody and control of the minor.
4. It is necessary and in the best interest of the Protected Minor that Petitioner(s) be
appointed as guardian(s). The following are appointed to act as guardian(s) of the
PERSON –OR– ESTATE –OR– PERSON AND ESTATE and shall have the
power and authority as may be necessary for the benefit of the above named protected
minor until further order of this Court:
a. First Guardian: __________________________________________________
Street Address ___________________________________________________
City, State, Zip: __________________________________________________
Telephone: ______________________________________________________
b. Second Guardian: __________________________________________ N/A
Street Address ___________________________________________________
City, State, Zip: __________________________________________________
Telephone: ______________________________________________________
Page 3 of 5 – Order Appointing Guardian(s) (Child)
(the judge will complete all sections on this page)
5. The Guardian(s) shall participate in the Minor Guardianship training class, if offered,
through _________________________________________________ –OR– N/A.
6. The Guardian(s) shall file an Annual Report every year between the anniversary date of
_______________________________ and _______________________________ for
the first report and each year thereafter. This obligation continues until the guardianship
of the person ends –OR– N/A.
7. Bond is:
Not applicable.
Reserved pending the filing of the inventory.
Ordered in the amount of $__________________.
Waived.
A blocked account is ordered in lieu of bond.
8. Inventory:
This is a person only guardianship; no estate is involved.
The Guardian(s) shall file a verified inventory of all of the property of the
Protected Minor which comes to the possession, or knowledge of the guardian(s)
by (date) ______________________.
9. Accounting:
This is a person only guardianship; no estate is involved.
Summary administration of the estate is granted. An annual accounting is not
required until assets exceed the statutory threshold for summary administration.
A verified account of the estate of the Protected Minor shall be made and filed
annually by (date) ___________________________, and must be filed within
60 days of this date and each year thereafter. This obligation continues until the
guardianship of the estate ends.
10. Future guardianship:
The protected minor will not need a guardianship after reaching 18 years of age.
It is anticipated that the Protected Minor will need a guardianship after reaching
18 years of age.
Page 4 of 5 – Order Appointing Guardian(s) (Child)
11. If a court order is in effect for the payment of child support, (the judge will check one)
The payment of child support is assigned to the Guardian(s).
The payment of child support shall remain in effect unchanged.
12. The Guardian(s) shall file a Guardian’s Acknowledgement of Duties and
Responsibilities upon entry of this Order and before entering into his/her duties as
Guardian.
13. The Guardian(s) shall properly maintain, care, educate and support the Protected Minor.
14. The Guardian(s) shall enjoy all normal powers conferred by the Nevada Revised
Statutes to take those steps necessary to preserve the real and/or personal property of the
Protected Minor.
15. The Guardian(s) must immediately have the Letters of Guardianship and Oath issued.
The Letters of Guardianship may be revoked for failure to file the annual report,
inventory, or accounting.
16. A copy of this order must be served personally or by mail upon the Protected Minor no
later than 5 days after the date of the appointment of the guardian. A notice of entry of
the order must be filed with the Court.
17. The relatives and interested persons/entities required to be served notice of this order are
as follows:
Name and address: ________________________________________________
________________________________________________
Name and address: ________________________________________________
________________________________________________
Name and address: ________________________________________________
________________________________________________
Name and address: ________________________________________________
________________________________________________
Name and address: ________________________________________________
________________________________________________
Name and address: ________________________________________________
________________________________________________
18. A notice of entry of order must be provided to those identified above.
Page 5 of 5 – Order Appointing Guardian(s) (Child)
19. Other: (the judge will complete if applicable)
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Pursuant to the Nevada Revised Statutes, the following information is provided:
Child’s Attorney: ____________________________________________ N/A
Street Address ___________________________________________________
City, State, Zip: __________________________________________________
Telephone: ______________________________________________________
Court Investigator: __________________________________________ N/A
Street Address ___________________________________________________
City, State, Zip: __________________________________________________
Telephone: ______________________________________________________
IT IS SO ORDERED.
Dated this _____ day of _________________________, 20___.
____________________________________
DISTRICT COURT JUDGE
Respectfully Submitted by:
(Your Signature)
(Printed Name)
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DISTRICT COURT

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Completed 1 January 2021

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