Form Section 1

Guardianship Letter

A member of our staff will contact you to go over the information you are about to provide us. 

We have provided a blank area for comments at the very end.

1. Information about the Customer

2. Information about the Minor Child(ren)

Minor Child # 1

Minor Child # 2

Minor Child # 3

Minor Child # 4

Form Section 2

3. Information about the Mother

4. Information about the Father

Form Section 3

5. Information about the Proposed Guardian

6. Emergency Contact

In case of emergency, if the proposed guardian cannot be reached, please contact...

7. Length of Authorization

Form Section 4

Contact Info, Comments