Petition For Appointment Of *guardian Of The Person And/or Conservator Of The Estate Of Minor Form Page 3
ADVERTISEMENT
1
2
3
4IN THE
ELEVENTH JUDICIAL CIRCUIT
STATE OF MISSOURI
PROBATE DIVISION
300 N 2
STREET, ROOM 512
ND
ST. CHARLES, MO
GUARDIANSHIP SUITABILITY STUDY
MINOR’S NAME ______________________________________________ MALE/FEMALE
BIRTHDATE ______________________________________________ AGE _______
PLACE OF BIRTH____________________________CITY_____________STATE ___
SCHOOL_______________________________________________________________
GRADE LEVEL ______________________
DOES THE CHILD CONSENT TO GUARDIANSHIP:
YES/NO/UNDER AGE
HOW DID THE CHILD COME TO LIVE WITH THE PETITIONER(S):
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
BIRTHPARENTS
MOTHER_____________________________________________________ D/O/B___________
CONSENTS TO GUARDIANSHIP: YES/NO
UNABLE, UNWILLING, UNFIT, OR DECEASED (CIRCLE APPROPRIATE CHOICE)
EXPLAIN:_____________________________________________________________
_____________________________________________________________________
FATHER_____________________________________________________ D/O/B___________
CONSENT TO GUARDIANSHIP: YES/NO
UNABLE, UNWILLING, UNFIT, OR DECEASED (CIRCLE APPROPRIATE CHOICE)
EXPLAIN:_____________________________________________________________________
_____________________________________________________________________________
IS FATHER’S NAME ON THE BIRTH CERTIFICATE?
YES/NO
PETITIONER(S)
FEMALE PETITIONER – NAME_____________________________________________________
D/O/B________________________
RELATIONSHIP TO MINOR:
(CHOOSE ONE) MATERNAL/PATERNAL
GRANDMOTHER
AUNT
SIBLING
OTHER:______________________________________
MILITARY SERVICE: _____________ RECORD OF ARREST OR CONVICTION:
YES/NO
IF YES, EXPLAIN _____________________________________________________________
HAVE YOU OR ANYONE ELSE LIVING IN THE HOME BEEN TREATED FOR A MENTAL DISORDER?
(IF SO, EXPLAIN)_____________________________________________________________
_____________________________________________________________________________
MALE PETITIONER – NAME_______________________________________________________
D/O/B_________________________
RELATIONSHIP TO MINOR:
(CHOOSE ONE)
MATERNAL/PATERNAL
GRANDFATHER
UNCLE
SIBLING
OTHER: ____________________________________
MILITARY SERVICE: _________
RECORD OF ARREST OR CONVICTION:
YES/ NO
IF YES, EXPLAIN:____________________________________________________________
HAVE YOU OR ANYONE ELSE LIVING IN THE HOME BEEN TREATED FOR A MENTAL DISORDER?
(IF SO, EXPLAIN)____________________________________________________________
____________________________________________________________________________
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal