"Consent and Authorization Application to the Court for a Guardianship and/or Trusteeship Order" - Northwest Territories, Canada

ADVERTISEMENT
ADVERTISEMENT

Download "Consent and Authorization Application to the Court for a Guardianship and/or Trusteeship Order" - Northwest Territories, Canada

Download PDF

Fill PDF online

Rate (4.8 / 5) 13 votes
The Public Trustee for the N.W.T.
Office of the Public Trustee
th
5
Floor, Courthouse
P.O. Box 1320
Yellowknife, NT X1A 2L9
CONSENT AND AUTHORIZATION
Application to the Court for a Guardianship and/or Trusteeship Order for
________________________________
The undersigned consent(s) to the appointment of the Public Guardian as guardian
_____________________
and to the appointment of the Public Trustee as the trustee
for
_____________________. The undersigned authorizes the Public Guardian and the Public Trustee to take
all steps necessary including, obtaining an assessment report, to obtain the above appointments.
(Please type or print legible the following information, insert the full legal name)
Name:
Name:
Relationship:
Relationship:
Address:
Address:
Signature
Date
Signature
Date
Name:
Name:
Relationship:
Relationship:
Address:
Address:
Signature
Date
Signature
Date
Please have as many family member(s) as possible sign this form. Print the name, relationship and address
below each signature ie; spouse, mother, father, son, daughter, etc. If it is not convenient to have all close
family members sign, kindly forward the form with the signatures of available persons to the above address.
The day, month and year must be recorded on this document. Please refer to the attached sheet if
additional space is required for signatures.
The Public Trustee for the N.W.T.
Office of the Public Trustee
th
5
Floor, Courthouse
P.O. Box 1320
Yellowknife, NT X1A 2L9
CONSENT AND AUTHORIZATION
Application to the Court for a Guardianship and/or Trusteeship Order for
________________________________
The undersigned consent(s) to the appointment of the Public Guardian as guardian
_____________________
and to the appointment of the Public Trustee as the trustee
for
_____________________. The undersigned authorizes the Public Guardian and the Public Trustee to take
all steps necessary including, obtaining an assessment report, to obtain the above appointments.
(Please type or print legible the following information, insert the full legal name)
Name:
Name:
Relationship:
Relationship:
Address:
Address:
Signature
Date
Signature
Date
Name:
Name:
Relationship:
Relationship:
Address:
Address:
Signature
Date
Signature
Date
Please have as many family member(s) as possible sign this form. Print the name, relationship and address
below each signature ie; spouse, mother, father, son, daughter, etc. If it is not convenient to have all close
family members sign, kindly forward the form with the signatures of available persons to the above address.
The day, month and year must be recorded on this document. Please refer to the attached sheet if
additional space is required for signatures.