PETITION FOR MODIFICATION OF A GUARDIANSHIP OF MINOR

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*NOTE: A separate packet is required for each minor. PETITION FOR MODIFICATION OF A GUARDIANSHIP OF MINOR G-3 The District Court Filing Office is located on the first floor at: 75 Court Street Reno, NV 89501 www.washoecourts.com

PETITION FOR MODIFICATION OF GUARDIANSHIP OF A MINOR PACKET G-3 USE THIS PETITION PACKET ONLY IF ALL OF THE FOLLOWING REQUIREMENTS HAVE BEEN MET: To modify an existing court ordered guardianship of a minor. INSTRUCTIONS FOR COMPLETING FORMS CAREFULLY READ ALL INSTRUCTIONS BEFORE STARTING TO FILL OUT ANY OF THE FORMS. Use black or blue ink only. Neatly print the information requested. Do not use correction fluid/tape on the forms. This packet contains the following forms: 1. Petition for Modification of Guardianship of a Minor. Citation to Appear and Show Cause 3. Proof of Service The penalty for willfully making a false statement under penalty of perjury is a minimum of 1 year, and a maximum of 4 years in prison, in addition to a fine of not more than $5,000.00. N.R.S. 199.145. Do Not Copy Or File This Page REV 4/016 ER G3 VISUAL INSTRUCTIONS

INSTRUCTIONS: STEP 1 Do Not Copy Or File This Page Complete the Petition as Shown: If you have documents that support your petition to modify guardianship, attach copies of the documents to your petition as exhibits (see INSTRUCTIONS: STEP 3). Explain in your Petition how the documents support your petition. If you do not have any exhibits, please continue to INSTRUCTIONS: STEP 4. A separate petition packet must be completed and filed for each minor. 1) Print your name, address, telephone number, and email. ) Print the name of the minor, Case No., and Department No. just as they appear on all other documents in this case. 3) Complete pages 1-3, following the instructions on each page. REV 4/016 ER G3 VISUAL INSTRUCTIONS

1 3 4 5 Code: Name: Address: Telephone: Email: Self-Represented Litigant 6 7 8 9 10 11 1 IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA In the Matter of the Guardianship of the Person, the Estate, or the Person and Estate of: IN AND FOR THE COUNTY OF WASHOE 13 14 15, A Minor. / Case No. Dept. No. 16 17 18 19 0 1 3 4 5 6 Petitioner(s) PETITION FOR MODIFICATION OF GUARDIANSHIP OF A MINOR (Name of Petitioner) (If two people are filing the petition, the second name is filled in here) and, petition this Court for an Order modifying the guardianship of THE PERSON OR THE ESTATE OR THE PERSON AND THE ESTATE of the following minor: Minor s Name: Age: Male Female Minor s Address (Street Address, City, State) And Telephone Number Your Relationship To The Minor 7 8 REV 04/016 1 G3 PETITION

1 3 1. Petitioner,, currently resides at (Street Address, City, (Name of Petitioner) State, Zip Code, and Telephone Number): 4 5 6 7 8 9.. Petitioner,, currently resides at (Street Address, City, (Name of Second Petitioner, if any) State, Zip Code, and Telephone Number): 10 11 1 13 14 15 16 17 18 19 0 1 3 4 5 6 7 8 3. The names of the present guardian(s) of the minor is/are: 4. The present guardian(s) reside at (Street Address, City, State, Zip Code, and Telephone Number): 5. The guardianship should be modified because:... REV 04/016 G3 PETITION

1 3 4 5 6 7 8 9 10 11 1 13 14 15 16 17 18 19 0 1 If more room is needed, attach additional sheets. 6. Attached as Exhibit 1 is a General Description of Minor s Estate (please disregard if the minor guardianship is over the Person only). WHEREFORE, Petitioner(s) pray as follows: 1. For this Court s order modifying the guardianship of THE PERSON OR THE ESTATE OR THE PERSON AND THE ESTATE as requested above.. For all other relief found necessary by this Court. This document does not contain the Social Security number of any person. I/We declare, under penalty of perjury under the law of the State of Nevada, that I/we have read the foregoing document and am/are competent to testify of its contents of my/our own knowledge and the contents are true of my/our own knowledge except for those matters stated therein on information and belief, and, as to those matters, I /we believe them to be true. 3 4 5 6 7 8 Date: Date: First Petitioner Signature: Print Your Name: Second Petitioner Signature: Print Your Name: REV 04/016 3 G3 PETITION

INSTRUCTIONS: STEP Do Not Copy Or File This Page Complete the General Description of Estate as Shown If you are requesting to modify a guardianship of the estate, or person and estate, you must attach as an exhibit a completed copy of the General Description of Estate (see INSTRUCTIONS: STEP 3). 1) Print the name of the minor. ) Complete the remaining information as requested, following the instructions on the page. REV 4/016 ER G3 VISUAL INSTRUCTIONS

1 3 4 5 6 7 8 9 GENERAL DESCRIPTION OF MINOR S ESTATE If you are requesting a modification or termination of a guardianship over the estate or person and estate, please fill out the information as requested below. 1. Minor s Name:. Check all that apply: The minor has income in the amount of $ per MONTH OR YEAR. The minor owns the following assets: 10 11 1 13 14 15 List all assets belonging to the minor s estate (include Social Security, any inheritances, bank accounts, investment accounts, real estate, etc.) Value of Asset 16 17 18 If more room is needed, attach additional sheets. 3. The minor has not yet received, but should be receiving the following income and/or assets: 19 0 1 3 If more room is needed, attach additional sheets. 4. Please describe how the minor s assets and income will be safeguarded and/or disposed of: 4 5 6 7 If more room is needed, attach additional sheets. 8 REV 04/016 ER 1 General Description of Estate Termination/Modification

INSTRUCTIONS: STEP 3 Complete the Index of Exhibits and Exhibit Cover Sheet(s) as Shown: 1) Write the exhibit number, number of pages (not including the Exhibit Cover Page), and a description for each exhibit. If more space is needed, attach additional sheets. ) Attach the Index of Exhibits to the document after the last page of the document, before any exhibits. 3) For each exhibit, create an Exhibit Cover Page. Do Not Copy Or File This Page 4) Write the exhibit number on the Exhibit Cover Page. 5) Attach the correct Exhibit Cover Page to the front of each exhibit. 6) Attach your exhibits in the order listed on the Index of Exhibits. REV 4/016 ER G3 VISUAL INSTRUCTIONS

INDEX OF EXHIBITS Exhibit Number Number of Pages Exhibit Description Exhibit Number Number of Pages Exhibit Description Exhibit Number Number of Pages Exhibit Description Exhibit Number Number of Pages Exhibit Description Exhibit Number Number of Pages Exhibit Description Exhibit Number Number of Pages Exhibit Description Exhibit Number Number of Pages Exhibit Description Exhibit Number Number of Pages Exhibit Description Exhibit Number Number of Pages Exhibit Description

EXHIBIT EXHIBIT EXHIBIT

INSTRUCTIONS: STEP 4 Do Not Copy Or File This Page Complete the Citation to Appear and Show Cause as Shown You must provide a copy of the Petition and Citation to Appear and Show Cause to the following people: minor (age 14 or older), mother, father, siblings (age 14 or older), maternal grandparents, paternal grandparents, legal guardian (if any), and the Director of the Department of Health and Human Services if the minor has received or is receiving benefits from Medicaid. 1) Print the name of the minor, the Case No. and Department No. just as they appear on all other documents in this case. ) Print the name of each person who must be notified of the guardianship hearing (see above). STOP HERE REV 4/016 ER G3 VISUAL INSTRUCTIONS

1 Code: 1395 3 4 5 6 IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE 7 8 9 10 11 1 13 In the Matter of the Guardianship of the Person, the Estate, or the Person and the Estate of: A Minor. / Case No. Dept. No. 14 CITATION TO APPEAR AND SHOW CAUSE 15 16 TO: 17 18 19 0 1 3 4 5 6 7 8 and any person having the care, custody, and control of the above-named minor: YOU ARE HEREBY CITED and required to appear before a Judge of this Court in Department of the Family Division of the Second Judicial District Court located at One South Sierra Street, Reno, Nevada, third floor, on, at the hour of, then and there to show cause why the Petition For Modification Of Guardianship Of A Minor should not be granted. / / / REV 04/016 1 G3 CITATION TO APPEAR and SHOW CAUSE

1 3 4 5 6 7 8 9 10 11 1 THIS CITATION is based upon the Petition For Modification Of Guardianship Of A Minor filed by on Court. (Month, day and year Petition was filed) (Name of person(s) filing the Petition) and is issued pursuant to the Order of this This document does not contain the Social Security number of any person. Dated this day of, 0. JACQUELINE L. BRYANT CLERK OF THE COURT By: Deputy Clerk 13 14 15 16 17 18 19 0 1 3 4 5 6 7 8 REV 04/016 G3 CITATION TO APPEAR and SHOW CAUSE

INSTRUCTIONS: STEP 5 Do Not Copy Or File This Page Copying and Filing Documents Take the following documents to the Filing Office (include attachments): 1. Petition (original and 1 copy). Citation to Appear and Show Cause (original only) (this does not get filed yet, but you should bring it to the Court with you so that you can set your hearing after filing your Petition) Each document must be stapled. The Filing Office will not accept documents that are not stapled. The Filing Office is located on the first floor of the courthouse at 75 Court Street, Reno, NV. A copy machine is available at the Law Library located on the first floor of the courthouse at 75 Court Street, Reno, NV (to the left of the Filing Office). There is a per page charge to use the copy machine. The Filing Office will file and keep the original Petition and return file-stamped copies to you. Please make sure to keep copies of all the documents you file for your personal records. OR You may electronically file (E-File) the completed forms. You can do this by signing up for an E-Flex account at https://wceflex.washoecourts.com. You will need to upload the original documents to E-Flex. E-Flex is available online, in the Filing Office, Law Library, or Self Help Center. Scanners and copy machines are available at the Law Library. There is a per page charge to use the copy machine. INSTRUCTIONS: STEP 6 Setting the Hearing Take the original Citation to Appear and Show Cause and copy of the Petition to the front counter on the third floor of the Family Division at One South Sierra and request to set a guardianship hearing. A clerk or judicial assistant will come out to further assist you with setting the hearing and completing the Citation to Appear and Show Cause. A file stamped copy of the Citation to Appear and Show Cause will be returned to you. REV 4/016 ER G3 VISUAL INSTRUCTIONS

INSTRUCTIONS: STEP 7 Do Not Copy Or File This Page Making Copies of the Petition and Citation to Appear and Show Cause You will need one copy of the Petition and Citation to Appear and Show Cause for each of the people listed on the front of the Citation. You must include any attachments. Don t forget to keep a copy for yourself. INSTRUCTIONS: STEP 8 Serving the Documents Serve upon everyone listed on the front of the Citation one copy of the Petition and one copy of the Citation to Appear and Show Cause. Service may be made by certified mail, with a return receipt requested at least 0 calendar days before the hearing, or personal service at least 10 calendar days before the date set for the hearing. PERSONAL SERVICE CANNOT BE COMPLETED BY YOU. If you are completing service for more than one petition, you are able to serve multiple petitions by certified mail in one mailing. If you serve by certified mail, keep the white slips and green return cards to attach to your proof of service (see INSTRUCTIONS: STEP 9 and INSTRUCTIONS: STEP 10). If you serve by personal service, service may be completed by: The Civil Division of the Sheriff s Office in the County in which the person you are serving resides or works; or A responsible adult over the age of 18 years (such as a friend or relative); or A private process service. The Proof of Personal Service must be completed by the person who served and filed in this case. REV 4/016 ER G3 VISUAL INSTRUCTIONS

INSTRUCTIONS: STEP 9 Complete the Proof of Service as Shown: Page 1 of : 1) Print your name, address, telephone number, and email. ) Print the name of the minor, the Case No. and Department No. just as they appear in all other documents in this case. 3) Print the name of the person who served the documents. Do Not Copy Or File This Page 4) The person who serves the documents must complete the remainder of the Proof of Service, following the instructions on the Proof of Service. Page of : If you serve more than 4 people, additional pages may be attached and are available at the Self Help Center or online at www.washoecourts.com. 5) The person who serves the document(s) must sign and date page of the Proof of Service. REV 4/016 ER G3 VISUAL INSTRUCTIONS

1 3 4 5 6 7 8 9 Code: 370 Name: Address: Telephone: Email: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE 10 11 In the Matter of the Guardianship of the Person, the Estate, or the Person and Estate of: 1 13 14 A Minor. / Case No. Dept. No. 15 16 17 18 19 0 1 3 4 5 6 7 8 PROOF OF SERVICE I,, state as follows: (Print name of person making service) 1. I am eighteen years of age or older.. I served a true and correct copy of the documents entitled PETITION FOR MODIFICATION OF GUARDIANSHIP OF A MINOR and CITATION TO APPEAR AND SHOW CAUSE in the following way: Fill in the information requested on the next page for each person who has been served. If more space is needed, you may attach additional pages to this document. If you served by certified mail, return receipt requested, attach a copy of the certification receipts to this document. / / / REV 08/015 1 G3 PROOF OF SERVICE

1 3 4 5 6 7 8 9 10 11 1 13 14 15 16 17 Name of Person Served: Date of Service: Name of Person Served: Date of Service: Name of Person Served: Date of Service: Name of Person Served: Date of Service: Address (Street, City, State, Zip Code): Certified mail, return receipt requested OR Personal Service Address (Street, City, State, Zip Code): Certified mail, return receipt requested OR Personal Service Address (Street, City, State, Zip Code): Certified mail, return receipt requested OR Personal Service Address (Street, City, State, Zip Code): Certified mail, return receipt requested OR Personal Service 18 19 0 1 3 4 5 This document does not contain the Social Security number of any person. I declare, under penalty of perjury under the law of the State of Nevada, that I have read the foregoing document and am competent to testify of its contents of my own knowledge and the contents are true of my own knowledge except for those matters stated therein on information and belief, and, as to those matters, I believe them to be true. Date: Your Signature: Print Your Name: 6 7 8 REV 08/015 G3 PROOF OF SERVICE

INSTRUCTIONS: STEP 10 Do Not Copy Or File This Page Copying, Filing, and Mailing the Proof of Service If you served some or all parties by certified mail, return receipt requested: As soon as you receive the green cards from the post office, attach the original green cards and the original post office receipt slips (white slips) to a plain piece of paper and make a copy. Attach the copy as an Exhibit to the Proof of Service (see INSTRUCTIONS: STEP 3). Keep your original and bring it to the hearing. If you completed service for more than one petition in the same mailing, make a copy to attach to the Proof of Service for each petition. If the certified letter is returned, unclaimed, make a copy of the envelope and attach a copy as an Exhibit to the Proof of Service. Keep the envelope and bring it to the hearing. Make one copy of the Proof of Service and any attachments. Take the original and one copy of the completed Proof of Service to the Filing Office to be filed. Each document must be stapled. The Filing Office will not accept documents that are not stapled. The Filing Office is located on the first floor of the courthouse at 75 Court Street, Reno, NV. OR You may electronically file (E-File) the completed forms. You can do this by signing up for an E-Flex account at https://wceflex.washoecourts.com. You will need to upload the original documents to E-Flex. E-Flex is available online, in the Filing Office, Law Library, or Self Help Center. A copy machine and scanner is available at the Law Library located on the first floor of the courthouse at 75 Court Street, Reno, NV (to the left of the Filing Office). There is a per page charge to use the copy machine. The Hearing Arrive approximately 15 minutes prior to your scheduled time for the hearing. Go to the third floor and check in with the clerk at the front counter. Bring with you anything you want to present to the court for consideration to modify the guardianship. This may include documents (3 copies of each document), records and/or witnesses that will testify on your behalf. REV 4/016 ER G3 VISUAL INSTRUCTIONS

Legal Assistance Do Not Copy Or File This Page The information in this packet is provided as a courtesy only. This packet is not a substitute for the advice of an attorney. Counsel is always recommended for legal matters. If you do not have an attorney, you are encouraged to seek the advice of a licensed attorney or visit the Family Division Self Help Center which is located at One South Sierra Street, Reno, NV. The Family Division Self Help Center cannot give legal advice but can give information regarding court procedures. You may also wish to speak with a family law lawyer at no cost through the Law Library s Lawyer in the Library program, or to seek assistance from other free or reduced-cost legal resources in the area, to include: LAWYER IN THE LIBRARY First Floor (to the left of the filing office) of the courthouse located at: 75 Court Street, Reno, NV. (775) 38-350 www.washoecourts.com/lawlib Tuesday Evenings Arrive by 4:5 p.m. *Please Note* The program is limited to 10 participants each evening. NEVADA LEGAL SERVICES 04 Marsh Avenue Reno, NV 89509 (775) 84-3491 x 37 leave message if necessary http://www.nlslaw.net WASHOE LEGAL SERVICES 99 S. Arlington Avenue Reno, NV 89501 (775) 39-77 leave message if necessary http://www.washoelegalservices.org REV 4/016 ER G3 VISUAL INSTRUCTIONS