FORM GC-247 Gd-ct Adult Letters & Acceptance

• Legal Form Number: FORM GC-247
• Date: 01 January 2022
• Section: AZ GC Forms Annotated

FORM GC-247

(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 and Conservatorship for: an Adult. NO. __________ LETTERS OF GUARDIAN AND CONSERVATOR AND ACCEPTANCE OF APPOINTMENT

LETTERS OF GUARDIAN AND CONSERVATOR

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. (Appointee's name) is appointed conservator for (subject person's name) and is granted the general powers of a conservator pursuant to A.R.S. §§ 14-5424 and -5425.

[3. Conservator's powers are subject to the following restrictions:

a. (Identify the funds or accounts to be deposited into a newly created restricted account and the restrictions) shall be deposited into an interest bearing, federally insured restricted account at a financial institution engaged in business in Arizona...