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ORDER APPOINTING GUARDIAN FOR AN ADULT Page 1 of 4

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, )

ORDER APPOINTING GUARDIAN FOR AN ADULT

Upon consideration of the Petition for Appointment of Guardian for the above adult and

after hearing on (date),

THE COURT FINDS THAT:

1. All parties required to be served have been duly served or have consented to the

appointment of the guardian named herein and this Court has jurisdiction over the parties

and the subject matter herein, and venue is proper.

2. The Petitioner is ________________________________(Petitioner’s name) who 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.)

3. The Proposed Ward/Respondent is:

Full 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:

________________________________________________________________________

ORDER APPOINTING GUARDIAN FOR AN ADULT Page 2 of 4

This form is available for free at www.legalhelpwy.org. Last revised 12/2013.

4. 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 filed a voluntary petition for guardianship.

5. The appointment of a guardian is necessary for the following reasons:

_____.

6. The requested guardianship is the least restrictive and most appropriate guardianship

suitable to the Ward’s circumstances and needs.

7. The Proposed Guardian is a fit and proper person to serve as guardian for the Ward.

8. The Proposed Guardian has priority for appointment, or those who have a higher priority

are unwilling, unable, or unfit to serve as guardian.

9. It is in the Ward’s best interest that the requested guardianship be approved.

10. The Guardian shall not be required to give bond.

11. The Guardian shall serve without compensation.

The Court has considered any expressed wishes of the Adult concerning the selection of the

Guardian. The Court has considered the powers and duties of the Guardian, the scope of the

Guardianship, and the priority and qualifications of the Nominee.

NOW THEREFORE, THE COURT ORDERS THE FOLLOWING:

The Court appoints the following person as Guardian of the Adult Ward:

Name: _

Street Address:

Mailing Address, if different:

City: State: Zip Code:

Home Phone #: ________ Work Phone #: ____________

Email Address:

ORDER APPOINTING GUARDIAN FOR AN ADULT Page 3 of 4

This form is available for free at www.legalhelpwy.org. Last revised 12/2013.

The Court directs the issuance of Letters of Guardianship, without bond upon the taking

and filing of a proper oath, as follows:

Unless otherwise ordered by the Court, the Letters shall expire on,

_________________________(date);

OR,

The Letters of Guardianship are permanent and shall expire on the death of the Ward,

unless terminated earlier by further Court order.

The Court finds that the least restrictive and most appropriate guardianship suitable to the

Ward’s circumstances and needs is as follows:

The powers and duties of the Guardian are unrestricted and the Guardian shall have

plenary duties, powers, and responsibilities as set forth by Wyoming law.

OR

The powers and duties of the Guardian are limited by the following restrictions:

And, under the limited guardianship, the Ward retains the following rights:

The Court further orders the following:

1. The Guardian shall notify the Court within thirty (30) days if his/her home address,

email address, or phone number changes and/or any change of address for the Ward.

2. The Guardian may not establish or move the Ward’s custodial dwelling outside the State

of Wyoming without a Court order.

ORDER APPOINTING GUARDIAN FOR AN ADULT Page 4 of 4

This form is available for free at www.legalhelpwy.org. Last revised 12/2013.

3. The guardian shall present to the court and file in these proceedings a signed, written

report on the physical condition, including level of disability or functional incapacity,

principal residence, treatment, care, and activities of the ward, as well as providing a

description of those actions the guardian has taken on behalf of the ward. As required by

W.S. § 3-2-109, the first such report is to be made within six (6) months following the

guardian’s appointment and, thereafter, every six (6) months following the initial report,

and at other times as the Court may order. The guardian’s report must be filed within

thirty (30) days of the guardian’s removal or resignation from, or the termination of, the

guardianship, or at other times as the Court may order. The Court shall maintain a

calendar for filing of guardianship reports. If the guardian’s report is not timely filed,

the Court shall enter an order for the guardian to show cause why the guardian should

not be held in contempt.

4. The Court further orders:

DATED: __________________________, 20____.

__________________________________

District Court Judge

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