CONSENT OR NOMINATION OF GUARDIAN Page 1 of 2
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, )
CONSENT OR NOMINATION OF GUARDIAN
I, (full name of Proposed Ward) ________________________________, am 14 years of age or older
and:
1. I consent to the appointment of _____________________________________ (name
of proposed guardian) as my guardian.
OR;
I do not consent to the appointment of _____________________________________
(name of proposed guardian) as my guardian pursuant.
OR;
I Nominate _____________________________________ (name of proposed
guardian) as my guardian:
Relationship to the Proposed Ward: ____________________________________
Street Address:
Mailing Address, if different:
City: State: Zip Code:
Home Phone #: __________ Work Phone #: __________________
Email Address: .
CONSENT OR NOMINATION OF GUARDIAN Page 2 of 2
This form is available for free at www.legalhelpwy.org. Last Revised 12/2013.
VERIFICATION AND ACKNOWLEDGMENT
STATE OF WYOMING )
) ss.
COUNTY OF ________________ )
I, (full name of Proposed Ward) __________________________________, swear/affirm under
oath that I have read the foregoing Consent or Nomination of Guardian and that the statements
set forth therein are true and correct to the best of my knowledge.
Signature of Proposed Ward
Phone Number: _____
Address: _____
City/State/Zip Code: ___________
Subscribed and sworn to before me this ______ day of ___________, 20____.
Notary Public/Deputy Clerk of District Court
My Commission/Term Expires: ________________