Massachusetts Guardianship Form 2Massachusetts Guardianship Form 2Massachusetts Guardianship Form 2
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PETITION FOR APPOINTMENT
OF CONSERVATOR FOR
DISABLED PERSON
OR FOR SINGLE TRANSACTION

Commonwealth of Massachusetts
The Trial Court
Probate and Family Court

Docket No.

Division

In the Interests of:
First Name

Middle Name

Last Name

Person to be Protected/Respondent
Minor

Adult

The Court, whenever feasible, shall grant to a Conservator only those powers necessary based on the
Protected Person's limitations and demonstrated needs and will issue orders that will encourage the
development of the Protected Person's maximum self-reliance and independence.
1. Information about Respondent:
Name:
Primary Language:

English

Principal Residence:

Age:

Last Name

M.I.

First Name

Other

Primary Phone #:

(Address)

(Apt, Unit, No. etc.)

(City/Town)

(State)

(Zip)

(City/Town)

(State)

(Zip)

Date Residence was established:
Current Address:

Same as Above or

the following address:

(Address)

(Apt, Unit, No. etc.)

If this appointment is made, Respondent's dwelling will be
(Address)