Next of kin (name, address, relationship, are they a minor?)
2. INFORMATION REGARDING PROPOSED GUARDIAN
How many proposed guardians?
Telephone Number (no dashes)
Are you a US Citizen?
Are you employed?
Employer | Position
Length of residence in current county
Have you ever been arrested for or convicted of a felony, even if the record for arrest or conviction has been expunged, unless the expunction was ordered pursuant to Florida Statutes Section 943.0583?
Have you ever been charged with fraud, misrepresentation or perjury in a judicial or administrative proceeding?
Have you ever been judicially determined to have committed abuse, abandonment or neglect against a child as defined by the Florida Statutes?
Have you ever been the subject of a confirmed report of abuse, neglect, or exploitation which has been uncontested or upheld pursuant to the provisions of Section 415.104 (elder abuse), Florida Statutes?
Have you ever been charged with, arrested for or convicted of any other crimes?