Questionnaire
Guardianship of a Child using automated documents online

Guardianship of a Child - Questionnaire
To help gather information needed to fill out the automated documents program


County where you are filing the petition for guardianship:
______________________________________________

Name of any other person you are asking to be a co-guardian
______________________________________________


Child’s Full legal name: (first, middle, last) _____________________________________________________

Birth date: (day, month, year) _____/_____/______

Social security number ______-_______-_______


Member of an Indian tribe? Name of tribe _____________________________________________________


Current address of child (City, State) _____________________________________________________


City, State of child for/in the past 5 years _____________________________________________________

_____________________________________________________


Names of people the child has lived during the past 5 years (if any):
____________________________________________________

Other court proceedings involving each child (Court (district or juvenile), County, Case number), if any

____________________________________________________
____________________________________________________

Mother of Child 1-full legal name ____________________________________________________


Address, if possible ____________________________________________________


Father of Child 1-full legal name full legal name ____________________________________________________

Address, if possible __________________________________________________________

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Revised 7/29/2014