Adult Guardianship / Conservatorship Petition Packet
NEW HAMPSHIRE ADULT GUARDIANSHIP PETITION PACKET (GUARDIAN OF THE PERSON AND/OR ESTATE)
PART 0 — PRE-PETITION CHECKLIST AND TRIAGE
0.1 Type of Guardianship Sought (RSA 464-A:2)
☐ Guardian of the Person — manages personal/care decisions
☐ Guardian of the Estate — manages financial affairs (the "conservator" function)
☐ Both Person and Estate
☐ Limited Guardianship — least restrictive; only powers necessitated by demonstrated incapacity (RSA 464-A:1, :9)
☐ Temporary Guardian (RSA 464-A:12) — immediate, time-limited need
0.2 Least Restrictive Alternatives Reviewed (REQUIRED — RSA 464-A:1, :9)
☐ Durable Power of Attorney for finances (RSA 564-E) reviewed and found insufficient / abused
☐ Advance Directive / Durable POA for Health Care (RSA 137-J) reviewed and found insufficient
☐ Representative Payee (SSA / VA) considered
☐ Supported decision-making considered
☐ Trust / supplemental needs planning considered
☐ Community-based / area agency supports evaluated
☐ Capacity to execute new planning documents assessed — INSUFFICIENT
0.3 Pre-Filing Diligence
☐ "Petition for Guardian of Incapacitated Person" prepared and notarized
☐ To be filed in the Circuit Court — Probate Division for the county where the proposed ward resides (or where institutionalized)
☐ Specific examples of incapacity occurring within the last 6 months, with at least one incident within 20 days of filing (RSA 464-A:2)
☐ Proposed ward is entitled to counsel; court will appoint counsel if none retained (RSA 464-A:8)
☐ Notice of hearing to be given at least 14 days in advance (RSA 464-A:5)
☐ Relatives and interested persons identified for notice
☐ Filing fee or fee waiver prepared
PART 1 — PETITION FOR GUARDIAN OF INCAPACITATED PERSON
THE STATE OF NEW HAMPSHIRE
CIRCUIT COURT — PROBATE DIVISION
[____________________] COUNTY
| Caption | |
|---|---|
| In re Guardianship of [NAME OF PROPOSED WARD], | Case No.: [____________________________] |
| An Incapacitated Person. | PETITION FOR GUARDIAN OF INCAPACITATED PERSON (PERSON AND/OR ESTATE) |
| (RSA 464-A:4) |
1. PETITIONER
Petitioner is [FULL NAME OF PETITIONER], of [________________________________].
Relationship to / interest in the proposed ward: ☐ Spouse ☐ Adult child ☐ Parent ☐ Adult sibling ☐ Other relative ☐ Interested person ☐ Public guardian agency ☐ Self ☐ Other [____________________].
2. PROPOSED WARD
| Field | Information |
|---|---|
| Full legal name | [________________________________] |
| Date of birth / Age | [__/__/____] / [____] |
| Residence address | [________________________________] |
| County of residence (or institution location) | [____________________] |
| Current location (if institutionalized) | [________________________________] |
| Existing guardian / agent under POA / advance directive | ☐ None ☐ [____________________] |
3. RELIEF REQUESTED
☐ [NAME] as Guardian of the PERSON of the proposed ward
☐ [NAME] as Guardian of the ESTATE of the proposed ward
☐ Both
☐ Limited guardianship — specify powers in Part 1.6
☐ Temporary guardian (RSA 464-A:12) — facts in Part 1.7
Length of time for which guardianship is sought: [____________________]
4. GROUNDS — INCAPACITY (RSA 464-A:2)
The proposed ward is an incapacitated person who is unable, by reason of a physical, mental, or other condition, to provide for one or more of the basic needs of food, shelter, clothing, health care, or safety, and/or is unable to manage the proposed ward's financial affairs, and:
☐ The proposed ward is incapable of making an informed choice not to provide for these needs / not to manage financial affairs
☐ The proposed ward will or has come to substantial harm as a result of the incapacity
☐ There are no available less restrictive alternatives
5. SPECIFIC EXAMPLES SUPPORTING NEED FOR GUARDIANSHIP (RSA 464-A:2)
Provide specific examples of the proposed ward's inability. Each example must (a) have occurred within the last 6 months, with at least one incident within 20 days of filing; (b) show substantial harm has or will result; (c) show the inability is not the result of informed judgment; and (d) show no less restrictive alternative is available.
| # | Date of Incident | Description (food/shelter/health/safety/finances) | Harm Resulting |
|---|---|---|---|
| 1 | [__/__/____] | [____________________] | [____________________] |
| 2 | [__/__/____] | [____________________] | [____________________] |
| 3 | [__/__/____] | [____________________] | [____________________] |
(At least one incident above must be within 20 days before filing.)
6. GUARDIAN OF THE ESTATE — CHARACTER AND VALUE OF ESTATE (if estate guardianship sought)
| Asset Category | Estimated Value |
|---|---|
| Real property | $[____________] |
| Personal property / accounts | $[____________] |
| Annual gross income / benefits (SSA / SSI / VA) | $[____________] |
Particular powers requested if limited guardianship of estate: [________________________________]
7. TEMPORARY GUARDIAN (RSA 464-A:12) — if requested
Facts showing an immediate, time-limited need (e.g., medical procedure, sale of property, imminent harm) requiring temporary guardianship: [________________________________]
8. LESS RESTRICTIVE ALTERNATIVES (RSA 464-A:1, :9)
| Alternative | Considered | Sufficient? | Reason Insufficient |
|---|---|---|---|
| Durable Power of Attorney (finances) | ☐ Yes ☐ No | ☐ Yes ☐ No | [____________] |
| Advance Directive / Health-Care POA | ☐ Yes ☐ No | ☐ Yes ☐ No | [____________] |
| Representative Payee | ☐ Yes ☐ No | ☐ Yes ☐ No | [____________] |
| Supported decision-making | ☐ Yes ☐ No | ☐ Yes ☐ No | [____________] |
| Area agency / community supports | ☐ Yes ☐ No | ☐ Yes ☐ No | [____________] |
9. RELATIVES / INTERESTED PERSONS; NOMINATION
Whether the proposed ward has nominated a guardian: ☐ Yes ☐ No — Nominee: [____________________]
Whether the proposed ward has a durable POA and/or living will: ☐ Yes ☐ No
Name of any attorney the proposed ward has retained: [____________________]
VERIFICATION (NOTARIZED — RSA 464-A:4)
I, [PETITIONER NAME], being duly sworn, state that the foregoing Petition is true and correct to the best of my knowledge and belief.
[____________________________]
Petitioner
State of New Hampshire, County of [____________________]
Subscribed and sworn to before me on [__/__/____].
[____________________________]
Notary Public / Justice of the Peace My commission expires: [__/__/____]
PART 2 — INTERESTED PERSONS ENTITLED TO NOTICE (RSA 464-A:5)
| Name | Relationship | Address |
|---|---|---|
| [________________] | [____________] | [________________] |
| [________________] | [____________] | [________________] |
| [________________] | [____________] | [________________] |
PART 3 — NOTICE OF HEARING (RSA 464-A:5)
NOTICE OF HEARING ON PETITION FOR GUARDIAN OF INCAPACITATED PERSON
NOTICE IS GIVEN that a Petition for Guardian of an Incapacitated Person has been filed regarding [NAME OF PROPOSED WARD] in the Circuit Court — Probate Division, [____________________] County, and will be heard on:
| Hearing | Detail |
|---|---|
| Date | [__/__/____] |
| Time | [____________________] |
| Location | [________________________________] |
Notice is given at least 14 days before the hearing (RSA 464-A:5). The proposed ward is entitled to counsel; if none is retained, the court will appoint counsel (RSA 464-A:8). You may appear and be heard.
PART 4 — STATEMENT OF PROPOSED WARD'S RIGHTS (RSA 464-A:8)
TO: [NAME OF PROPOSED WARD] — A petition has been filed asking the Probate Division to find that you are an incapacitated person and to appoint a guardian of your person and/or estate. You have the following rights:
- The right to be represented by an attorney; if you do not have one, the court will appoint counsel for you (RSA 464-A:8).
- The right to receive notice of the hearing at least 14 days in advance (RSA 464-A:5).
- The right to attend the hearing, to present evidence and testimony, and to cross-examine witnesses.
- The right to require the petitioner to prove the need for guardianship beyond a reasonable doubt — the highest burden of proof under the law (RSA 464-A:8).
- The right to have the court consider whether you are capable of making an informed choice and whether less restrictive alternatives are available (RSA 464-A:2).
- The right to the least restrictive form of intervention consistent with preserving your civil rights and liberties (RSA 464-A:1, :9).
- The right to tell the court whom you do or do not want appointed as guardian.
- If a guardian is appointed, you may lose certain rights, which the court's order will specify; you may later petition to limit or terminate the guardianship (RSA 464-A:40).
PART 5 — MEDICAL / PSYCHOLOGICAL EVIDENCE OF INCAPACITY (Placeholder) (RSA 464-A:8)
| Field | Information |
|---|---|
| Name of proposed ward | [________________________________] |
| Date of examination | [__/__/____] |
| Examiner name / license / specialty | [________________________________] |
| Diagnosis (DSM-5 / ICD-10) | [________________________________] |
| Functional limitations (food/shelter/health/safety/finances) | [________________________________] |
| Whether proposed ward can make informed choices | ☐ Yes ☐ No |
| Recommended scope (full or limited; person/estate) | [________________________________] |
| Able to attend hearing? | ☐ Yes ☐ No — reason: [____________] |
Examiner signature: [____________________________] Date: [__/__/____]
PART 6 — PROPOSED ORDER (RSA 464-A:9)
ORDER APPOINTING GUARDIAN OF INCAPACITATED PERSON
This matter came before the Court on the Petition. Having considered the petition, the medical/psychological evidence, the report of any visitor, the report of the proposed ward's counsel, the notice given, and the evidence, the Court FINDS beyond a reasonable doubt:
- ☐ Notice was given at least 14 days before the hearing (RSA 464-A:5).
- ☐ The proposed ward is an incapacitated person within the meaning of RSA 464-A:2.
- ☐ The proposed ward is incapable of making an informed choice and has or will come to substantial harm.
- ☐ No less restrictive alternative is available, and guardianship is the least restrictive form of intervention (RSA 464-A:1, :9).
- ☐ The proposed guardian is suitable, willing, and has no disqualifying conflict of interest.
IT IS ORDERED:
- [NAME] is appointed ☐ Guardian of the Person ☐ Guardian of the Estate ☐ Both of [PROPOSED WARD NAME].
- The guardianship is ☐ full ☐ limited; powers granted and rights retained by the ward: [________________________________]
- Guardian of the estate shall file bond of $[____________] or bond is waived; assets ☐ restricted.
- Guardian of the estate shall file an inventory and annual accountings (RSA 464-A:26, :35).
- Guardian of the person shall file annual reports (RSA 464-A:35).
- Review date: [__/__/____].
- Letters of guardianship shall issue upon qualification.
Dated: [__/__/____] [____________________________]
Judge, Circuit Court — Probate Division
SOURCES AND REFERENCES
- RSA 464-A (Guardians and Conservators) — https://www.gencourt.state.nh.us/rsa/html/XLIV/464-A/464-A-mrg.htm
- RSA 464-A:2 (Definitions) — https://law.justia.com/codes/new-hampshire/title-xliv/chapter-464-a/section-464-a-2/
- RSA 464-A:4 (Procedure for court appointment of a guardian); RSA 464-A:5 (notice); RSA 464-A:8 (hearing; counsel; beyond a reasonable doubt); RSA 464-A:9 (findings; order)
- RSA 464-B (Uniform Adult Guardianship and Protective Proceedings Jurisdiction Act)
- New Hampshire Judicial Branch — Guardianship of Incapacitated Persons: https://www.courts.nh.gov/our-courts/circuit-court/probate-division/guardianship
END OF PACKET
About This Template
Estate planning documents decide what happens to your property, your children, and your medical care when you cannot make those decisions yourself. Wills, trusts, powers of attorney, and health care directives each serve different purposes and each have to meet state law requirements for signing, witnessing, and notarization. A document that looks fine on the page but was not executed correctly can be rejected in probate, which is exactly when it is too late to fix.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: June 2026
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