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STATE OF WYOMING ) IN THE DISTRICT COURT (State of Wyoming)

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PETITION FOR APPOINTMENT OF GUARDIAN FOR AN ADULT Page 1 of 7
This form is available for free at www.legalhelpwy.org. Last revised 12/2013.
STATE OF WYOMING ) IN THE DISTRICT COURT
)SS
COUNTY OF ___________ ) JUDICIAL DISTRICT
IN THE MATTER OF THE ) Probate No.
GUARDIANSHIP OF )
)
, )
An Adult )
PETITION FOR APPOINTMENT OF GUARDIAN FOR AN ADULT
NOW COMES, ____________________________, Petitioner, and makes this Petition
for Appointment of Guardian for an Adult pursuant to W.S. §§3-2-101 and 3-3-101 et. seq., and
would respectfully show the Court the following in support:
1. The Petitioner is:
a person interested in the welfare of the Proposed Ward.
OR
the Proposed Ward. (Check this box only if Proposed Ward is filing a voluntary petition.)
2. The Proposed Ward/Respondent is:
Name: Current age: Date of Birth:
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Name and address of the person or facility having the care, custody or control of the
proposed ward:
________________________________________________________________________
3. The Proposed Ward is an incompetent or mentally incompetent person who is unable,
unassisted, to properly manage and take care of himself/herself or his/her property;
OR
The Proposed Ward has filed a voluntary petition for guardianship.
PETITION FOR APPOINTMENT OF GUARDIAN FOR AN ADULT Page 2 of 7
This form is available for free at www.legalhelpwy.org. Last revised 12/2013.
4. Information about the Petitioner:
Name: __________________________________________________________________
Relationship to the Proposed Ward: ___________________________________________
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Home Phone #: _________________ Work Phone #: _________________________
5. The following persons related to the proposed ward are entitled to notice of this
application for guardianship:
Spouse’s Name: __________________________________________ Deceased
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Home Phone #: ___________________ Work Phone #: ____________________
Mother’s Name: Deceased
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Home Phone #: ____________________ Work Phone #: ___________________
Father’s Name: Deceased Unknown
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Home Phone #: Work Phone #:
PETITION FOR APPOINTMENT OF GUARDIAN FOR AN ADULT Page 3 of 7
This form is available for free at www.legalhelpwy.org. Last revised 12/2013.
Name: _____________________________________________
Relationship to Proposed Ward: Adult Child Other ________________
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Home Phone #: _______________ Work Phone #: ________________
Email Address: ____________________________________________
Name: _____________________________________________
Relationship to Proposed Ward: Adult Child Other ________________
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Home Phone #: _____ Work Phone #: ____
Email Address: __________
6. Jurisdiction for this proceeding is proper because:
this state is the Proposed Ward’s home state (the Proposed Ward has resided in this state
for at least six consecutive months immediately before this petition was filed).
OR
the Proposed Ward has not resided in this state for at least six consecutive months before
the filing of this petition, BUT
no petition for guardianship is pending in any other state and
this state is an appropriate forum for this guardianship proceeding.
7. Venue for this proceeding is proper because the Proposed Ward
resides in this county.
is present in this county.
is admitted to an institution pursuant to an order of a court of competent jurisdiction
sitting in this county.
(Warning: If none of these apply, seek the advice of a lawyer before filing this Petition.)
PETITION FOR APPOINTMENT OF GUARDIAN FOR AN ADULT Page 4 of 7
This form is available for free at www.legalhelpwy.org. Last revised 12/2013.
8. An appointment of a guardian or conservator for the Proposed Ward has previously been
made. (Attach a copy of the Order.)
The previously appointed Guardian is still in place;
OR
Guardianship has previously been granted, but the previous Guardian has died or
become incapacitated.
9. A Power of Attorney exists for financial or medical matters. (Attach a copy.) The name
and address of any agent named under a Power of Attorney is:
.
10. The appointment of a guardian is necessary due to the following disabilities or impairments
of the Proposed Ward:
.
11. Petitioner requests the powers and duties of the Guardian to be unlimited/unrestricted
(plenary) OR limited/with restrictions. The requested limitations/restrictions on the
Guardian’s powers and duties, if any, are as follows:
.
PETITION FOR APPOINTMENT OF GUARDIAN FOR AN ADULT Page 5 of 7
This form is available for free at www.legalhelpwy.org. Last revised 12/2013.
12. The requested guardianship is the least restrictive and most appropriate guardianship suitable
to the Proposed Ward’s circumstances and needs.
13. Petitioner nominates himself/herself and requests to be appointed as Guardian.
OR
Petitioner nominates the following person to be appointed as Guardian:
Name: __________________________________________________________________
Relationship to the Proposed Ward: ___________________________________________
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Home Phone #: _____________ Work Phone #: _________________
OR
The Proposed Ward has nominated a Guardian. (Attach Consent or Nomination.)
14. The Proposed Guardian has priority for appointment because he/she is:
A person nominated by the Respondent/Proposed Ward and at the time of that
nomination, the Respondent had the capacity to make a reasonably intelligent choice;
The spouse of the Respondent;
A person nominated in the will of the Respondent’s deceased spouse;
The parent of the Respondent;
An adult child of the Respondent;
A person named in the will of the Respondent’s deceased parent;
A relative of the Respondent with whom the Respondent has resided for more than six
(6) months during the year preceding the filing of this petition;
A relative or friend who has demonstrated a sincere, longstanding interest in the welfare
of the Respondent. Explain: _________________________________________________
PETITION FOR APPOINTMENT OF GUARDIAN FOR AN ADULT Page 6 of 7
This form is available for free at www.legalhelpwy.org. Last revised 12/2013.
15. The Petitioner/Proposed Guardian is a fit and proper person to serve as guardian for the
proposed ward for the following reasons:
.
16. It is necessary to appoint a Temporary Guardian and the appointment of a Temporary
Guardian is in the best interest of the Proposed Ward. (Describe the reasons why a temporary
guardian is needed.) (A temporary guardian may not be appointed for a period of more than
90 days.) ________________________________________________________________
.
17. It is necessary to appoint an Emergency Guardian for the Proposed Ward because
compliance with the regular procedures for the appointment of a guardian would likely result
in substantial harm to the Proposed Ward’s health, safety or welfare, and no other person
appears to have authority and willingness to act in the circumstances. (Describe the nature of
the emergency that requires the appointment of an Emergency Guardian.) __
___________________________________________________________________________
.
18.
It is in the Proposed Ward’s best interest that the requested guardianship be approved.
PETITION FOR APPOINTMENT OF GUARDIAN FOR AN ADULT Page 7 of 7
This form is available for free at www.legalhelpwy.org. Last revised 12/2013.
WHEREFORE, Petitioner requests that an appointment of a Guardian be made, after notice and
hearing, and such other and further relief as the Court shall deem proper.
DATED: __________________, 20____.
(Signature of Petitioner)
(Printed Name of Petitioner)
(Phone Number)
(Address)
(City, State, Zip)
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STATE OF WYOMING ) IN THE DISTRICT COURT (State of Wyoming)

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Completed 8 May 2022

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