Form C - Petition For Appointment As Guardian Advocate Of The Person And Appointment Of Standby Guardian Advocate - Seminole County Page 2
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410. The person has the following developmental disability that manifested before the age of
18 and constitutes substantial handicap that can reasonably be expected to continue
indefinitely:
(Place a check next to the disability that applies)
(
) Intellectual Disability
(
) Autism
(
) Cerebral Palsy
(
) Prader- Willi Syndrome
(
) Spina Bifida
(
) Down Syndrome
11. The Petitioner believes that the person with a developmental disability needs a Guardian
Advocate. The factual information regarding why a Guardian Advocate is necessary is:
I have attached copies of the following listed reports and records documenting the condition
and needs of the person with developmental disability:
12. The person lacks capacity to make decisions in the following areas:
(Place a check next to
which area the person lacks the decision-making capacity)
(
) to marry
(
) to vote
(
) to contract
(
) to travel
(
) to have a driver's license
(
) to seek or retain employment
(
) to determine his or her residence
(
) to consent to medical and mental health treatment
(
) to apply for government benefits
(
) to make decisions about his or her social environment or other social aspects of
his or her life including but not limited to education decisions.
State the exact areas in which the person with developmental disability lacks the capacity to make
decisions if not listed above:
Page 2 of 4 of Form C
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