FORM GC-202A Gd Adult Letters & Acceptance Testamentary Appt

• Legal Form Number: FORM GC-202A
• Date: 01 January 2024
• Section: AZ GC Forms Annotated

FORM GC-202-A

(Attorney's name, State Bar No.)

(Attorney's law firm name)

(Law firm bar number)

(Address)

(Phone number)

(Attorney or firm's e-mail address)

Attorney for: __________

SUPERIOR COURT OF ARIZONA, __________ COUNTY

In the Matter of the Guardianship of: an Adult. NO. __________ LETTERS OF GUARDIAN AND ACCEPTANCE (TESTAMENTARY APPOINTMENT)

LETTERS OF GUARDIAN

1. (Appointee's name) is appointed guardian of (subject person's name) and granted the general powers of a guardian pursuant to A.R.S. §§ 14-5312 and -5312.01(A), including but not limited to the power to consent for (subject person's name) to receive psychiatric and psychological care and treatment so long as it takes place outside a level one behavioral health facility licensed by the Arizona Department of Health Services.

2. Guardian's powers are limited to ______________________________.

[3. (Subject person's name)'s right to obtain or retain a driver license is suspended.]

[4. (Subject person's name)'s right to vote and to exercise any other civil right is retained.]

DATED: _______________ Clerk of the Superior Court

By

Deputy Clerk

ACCEPTANCE OF APPOINTMENT

STATE OF ARIZONA )

) ss.

County of )

[On behalf of and as authorized by (company name),] I accept the appointment as guardian of (subject person's name) and swear or affirm that [I] [it] will perform the fiduciary duties of a guardian.

(Guardian's name)

[Company name]

(Guardian's address)

SUBSCRIBED AND SWORN TO before...