The designation of a standby guardian shall be in substantially the following form:

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Terms Used In Connecticut General Statutes 45a-624b

  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.

I …. (insert name of principal) do hereby appoint …. (insert name and address of the standby guardian) as the standby guardian of …. (insert names of minor children) to take effect upon the occurrence of the following contingency or contingencies …. (insert specific contingency or contingencies).

This designation is made after careful reflection, while I am of sound mind.

Date …., 20 ..

…. L.S.

….

….

(Witness)

(Witness)

….

….

(Number and Street)

(Number and Street)

….

….

(City, State and Zip Code)

(City, State and Zip Code)