The Law Office of WLP

Today's Date *

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Proposed Ward's Name *

First Name Last Name

Client's DOB *

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Ward's Place of Birth? *

City, State

Ward's Age *

Please enter your current age.

Ward's Sex *

Female Male

Does the Ward have a SSN? *

Yes No

Ward's SSN *

This information will be kept confidential. Do not use any dashes or other symbols

Ward's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Is the Ward Married? *

Yes No

Does the Ward have a Job? *

Yes No

Ward's Employer's Name *

Ward's Job Title *

Ward's Employer's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Name of Ward's Primary Physician *

First Name Last Name

Ward's Doctor's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Date of Ward's last Medical Examination *

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Date of Ward's last Psychological Examination *

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Date of Ward's last Intellectual Examination *

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What type of guardianship are you seeking? *

Guardianship of Person and Estate Guardianship of Person Only Guardianship of Estate Only

How long are you requesting the term of the guardianship last? *

Year(s), month(s), or day(s)

Describe the facts that require that a Guardian be appointed for the Ward *

Provide as much information as possible.

Describe the Nature and degree of incapacity of the Ward: *

Provide as much information as possible.

Specify the area of protection and assistance the Ward needs: *

Provide as much information as possible.

Describe what limitations and/or rights you want to be included in the Court's Order: *

Provide as much information as possible.

Is there a Guardianship of any kind in Texas or any other state? *

Yes No

If Yes, describe the other Guardianship that is in place. *

Please provide as much information as possible.

Name of person and/or institution that has care and custody of the proposed ward: *

Address of the person/institution that has care and custody of the proposed ward *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Does the proposed ward have an administrator? *

Yes No

Administrator's Name

First Name Last Name

Administrator's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Does someone hold a Power of Attorney for the Ward? *

Yes No

Name of the Person who holds a Power of Attorney *

First Name Last Name

Address of the person who holds a Power of Attorney *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Description of the Power of Attorney: *

Please list any information you have about the Power of Attorney in place.

Are you seeking Guardianship of the Estate for the Ward? *

Yes No

Please list the Ward's Income (if none, please type in none). *

Please provide as much information as possible.

Please list the Ward's Real Property (Give address and/or location and general description of the property). *

Please provide as much information as possible.

Please list the Ward's Personal Property (Give general description such as, stocks and bonds, bank accounts, household goods, and jewelry. Please included the estimated values of each item). *

Please provide as much information as possible, and be sure to inlcude the estimated value of each item.

(1) Relative's Name *

First Name Last Name

(1) Relative's Relationship to Wad? *

(1) Relative's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

(1) Do you have another relative to enter? *

Yes No

(2) Relative's Name *

First Name Last Name

(2) Relative's Relationship to Wad? *

(2) Relative's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

(2) Do you have another relative to enter? *

Yes No

(3) Relative's Name *

First Name Last Name

(3) Relative's Relationship to Wad? *

(3) Relative's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

(3) Do you have another relative to enter? *

Yes No

(4) Relative's Name *

First Name Last Name

(4) Relative's Relationship to Wad? *

(4) Relative's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

(4) Do you have another relative to enter? *

Yes No

(5) Relative's Name *

First Name Last Name

(5) Relative's Relationship to Wad? *

(5) Relative's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

(5) Do you have another relative to enter? *

Yes No

(6) Relative's Name *

First Name Last Name

(6) Relative's Relationship to Wad? *

(6) Relative's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

(6) Do you have another relative to enter? *

Yes No

(7) Relative's Name *

First Name Last Name

(7) Relative's Relationship to Wad? *

(7) Relative's Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Proposed Guardian's Name *

First Name Last Name

Proposed Guardian's Address: *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Proposed Guardian's Email Address *

Please include an email address that the proposed guardian would like to be contacted at about the case.

Is the Proposed Guardian a resident of Texas? *

Yes No

If No, list the name and address of the registered agent who can accept service of process: *

Proposed Guardian's Number *

Area Code Phone Number

Proposed Guardian's Relationship to Ward *

Proposed Guardian's Age *

Proposed Guardian's Current Occupation: *

Has the Proposed Guardian every been adjudicated by a court to be incapacitated? *

Yes No

Is the Proposed Guardian indebted to the Ward? *

Yes No

Is the Proposed Guardian a party to a lawsuit against the Ward? *

Yes No

Will anyone object to the Proposed Guardian *

Yes No

If Yes, who? *

Guardianship Questionnaire

Medical Information About Ward

Proposed Ward's Property

Ward's Relatives

Proposed Guardian