Designation of Guardian for Minor Child - Oregon
DESIGNATION OF GUARDIAN FOR MINOR CHILD
STATE OF OREGON
Pursuant to ORS Chapter 125 and ORS Chapter 419B
ARTICLE I — DECLARANT INFORMATION
I, the undersigned Declarant, make this Designation of Guardian ("Designation") to express my preference concerning any future court appointment of a guardian for my minor child(ren). Under ORS 125.200, a parent's expressed preference is one factor the court considers when selecting the most suitable willing fiduciary. This document does not itself appoint a guardian or displace the required petition, notice, findings, qualification, suitability, and court-order process.
| Field | Information |
|---|---|
| Full Legal Name of Declarant | [________________________________] |
| Date of Birth | [__/__/____] |
| Current Residential Address | [________________________________] |
| City, State, ZIP | [________________________________] |
| Telephone Number | [________________________________] |
| Email Address | [________________________________] |
| Relationship to Minor(s) | ☐ Biological Parent ☐ Adoptive Parent ☐ Legal Guardian |
| Marital Status | ☐ Married ☐ Single ☐ Divorced ☐ Widowed |
Status of Other Parent:
| Field | Information |
|---|---|
| Full Legal Name of Other Parent | [________________________________] |
| Status | ☐ Living ☐ Deceased ☐ Parental Rights Terminated ☐ Unknown |
| Current Address (if known) | [________________________________] |
Oregon Law Note: ORS Chapter 125 governs protective proceedings for a minor who is in need of a guardian. ORS 125.200 requires the court to appoint the most suitable willing fiduciary after considering the case-specific circumstances, including any parental preference. ORS Chapter 419B uses separate guardianship routes in juvenile dependency proceedings. Counsel should select the applicable court process; this preference is not a self-executing appointment.
ARTICLE II — MINOR CHILDREN INFORMATION
I hereby designate a guardian for the following minor child(ren) for whom I have legal custody or parental authority:
| No. | Full Legal Name of Child | Date of Birth | Age | Social Security No. (Last 4) | Gender | Special Needs (Y/N) |
|---|---|---|---|---|---|---|
| 1 | [________________________________] | [__/__/____] | [____] | XXX-XX-[____] | [____] | ☐ Yes ☐ No |
| 2 | [________________________________] | [__/__/____] | [____] | XXX-XX-[____] | [____] | ☐ Yes ☐ No |
| 3 | [________________________________] | [__/__/____] | [____] | XXX-XX-[____] | [____] | ☐ Yes ☐ No |
| 4 | [________________________________] | [__/__/____] | [____] | XXX-XX-[____] | [____] | ☐ Yes ☐ No |
Oregon Law Note: Under ORS 125.305, appointment requires clear and convincing evidence that the respondent is a minor in need of a guardian, the appointment is necessary for continuing care and supervision, and the nominee is qualified, suitable, and willing to serve.
ARTICLE III — DESIGNATION OF PRIMARY GUARDIAN
Section 3.1 — Primary Guardian
I hereby nominate and designate the following individual to serve as Guardian of the Person of my minor child(ren) named above, in the event of my death, incapacity, or inability to care for said child(ren):
| Field | Information |
|---|---|
| Full Legal Name | [________________________________] |
| Relationship to Child(ren) | [________________________________] |
| Date of Birth | [__/__/____] |
| Current Residential Address | [________________________________] |
| City, State, ZIP | [________________________________] |
| Telephone Number | [________________________________] |
| Email Address | [________________________________] |
| Occupation | [________________________________] |
Type of Guardianship Designated:
☐ Guardian of the Person only
☐ Conservator of the Estate only (under ORS § 125.400 et seq.)
☐ Guardian of the Person and Conservator of the Estate
Oregon Law Note: Oregon distinguishes between a "guardian" (responsible for the person) and a "conservator" (responsible for the estate/financial affairs). Under ORS § 125.305, a guardian must be qualified and suitable. The nominee's willingness recorded here does not appoint a guardian. In a court proceeding, use the Oregon Judicial Department's separate Acceptance of Appointment form; the court issues a judgment and Letters of Guardianship if it appoints the nominee.
Section 3.2 — First Alternate Guardian
If the Primary Guardian named above is unable or unwilling to serve, has predeceased me, or fails to accept the appointment, I designate the following individual as First Alternate Guardian:
| Field | Information |
|---|---|
| Full Legal Name | [________________________________] |
| Relationship to Child(ren) | [________________________________] |
| Date of Birth | [__/__/____] |
| Current Residential Address | [________________________________] |
| City, State, ZIP | [________________________________] |
| Telephone Number | [________________________________] |
| Email Address | [________________________________] |
Section 3.3 — Second Alternate Guardian
If neither the Primary Guardian nor the First Alternate Guardian is able or willing to serve, I designate the following individual as Second Alternate Guardian:
| Field | Information |
|---|---|
| Full Legal Name | [________________________________] |
| Relationship to Child(ren) | [________________________________] |
| Current Residential Address | [________________________________] |
| City, State, ZIP | [________________________________] |
| Telephone Number | [________________________________] |
ARTICLE IV — POWERS GRANTED TO GUARDIAN
Section 4.1 — Powers of Guardian of the Person
Pursuant to ORS § 125.315, the Guardian of the Person shall have the following powers and duties:
☐ The power to take custody of the minor child(ren) and establish the child(ren)'s place of residence
☐ The duty to provide for the care, comfort, and maintenance of the minor child(ren)
☐ The duty to take reasonable care of the minor child(ren)'s personal effects
☐ The authority to give consent for medical, dental, and health-related treatment for the minor child(ren)
☐ The authority to make decisions regarding the minor child(ren)'s education, training, and vocational activities
☐ The authority to apply for government benefits on behalf of the minor child(ren)
☐ The right to reasonable compensation for services rendered as guardian, subject to the fee and court-approval rules in ORS § 125.095
Oregon requires both parties to a marriage to be at least 18 under ORS § 106.010; this designation does not authorize a guardian to consent to a minor's marriage.
Section 4.2 — Powers of Conservator (if designated)
☐ The authority to manage the minor child(ren)'s financial assets, investments, and property
☐ The authority to collect, hold, and retain assets of the minor child(ren)'s estate
☐ The duty to file an inventory of the minor's estate with the court
☐ The duty to file periodic accountings with the court as required by ORS § 125.475
☐ The duty to obtain court approval for major transactions as required by law
ARTICLE V — SPECIFIC INSTRUCTIONS FOR CARE OF MINOR CHILD(REN)
Section 5.1 — Education
☐ The child(ren) shall continue attending their current school(s) to the extent practicable
☐ The child(ren) shall attend the following school(s): [________________________________]
☐ The child(ren) shall attend a ☐ public ☐ private ☐ religious ☐ charter school
☐ The child(ren) shall be homeschooled in accordance with ORS § 339.035
☐ Special education services or IEP accommodations: [________________________________]
☐ Oregon 529 College Savings Plan information: [________________________________]
☐ Other educational instructions: [________________________________]
Section 5.2 — Religious and Cultural Upbringing
☐ The child(ren) shall be raised in the following faith tradition: [________________________________]
☐ The child(ren) shall attend religious services at: [________________________________]
☐ The child(ren) shall participate in the following cultural traditions: [________________________________]
☐ The child(ren) shall maintain connections with the following tribal community (if applicable): [________________________________]
☐ No specific religious or cultural instructions
Section 5.3 — Medical Care
☐ The child(ren) shall continue care with their current healthcare providers: [________________________________]
☐ The child(ren) have the following known allergies: [________________________________]
☐ The child(ren) currently take the following medications: [________________________________]
☐ The child(ren) have the following medical conditions requiring ongoing care: [________________________________]
☐ Health insurance information (including Oregon Health Plan if applicable): [________________________________]
☐ Immunization preferences: [________________________________]
☐ Mental health care instructions: [________________________________]
☐ Other medical instructions: [________________________________]
Section 5.4 — Financial Provisions
☐ Existing life insurance policy information for the guardian to locate: Policy No. [________________________________]. Any payment for the minor’s care depends on the policy terms and applicable law; this writing does not change a beneficiary designation.
☐ Trust funds have been established for the child(ren). Trust Name: [________________________________]
☐ The following assets are designated for child support: [________________________________]
☐ Monthly budget guidance for child care: $[________________________________]
Section 5.5 — Contact with Family Members
☐ The child(ren) shall maintain regular contact with the following family members: [________________________________]
☐ The child(ren) shall NOT have contact with the following individuals: [________________________________]
☐ Visitation schedule with non-custodial parent (if applicable): [________________________________]
Section 5.6 — Extracurricular Activities and Lifestyle
☐ The child(ren) shall continue the following activities: [________________________________]
☐ Dietary restrictions or preferences: [________________________________]
☐ Pet care instructions: [________________________________]
☐ Other specific instructions: [________________________________]
ARTICLE VI — CONDITIONS AND LIMITATIONS
Section 6.1 — Conditions on Guardianship
☐ This Designation applies to all minor child(ren) listed in Article II
☐ This Designation applies only to the following child(ren): [________________________________]
☐ The Guardian shall not relocate the child(ren) outside the State of Oregon without court approval
☐ The Guardian shall not relocate the child(ren) outside of [________________________________] County without court approval
☐ Other conditions: [________________________________]
Section 6.2 — Guardianship Type Preference
☐ I prefer guardianship under ORS Chapter 125 (Protective Proceedings — general guardianship)
☐ I prefer guardianship under ORS Chapter 419B (Juvenile Code — if the minor is in a dependency proceeding)
Oregon Law Note: Durable guardianship under ORS § 419B.366 is the most common type of guardianship established through juvenile court. Permanent guardianship under ORS § 419B.365 requires the same grounds as termination of parental rights and is less common.
Section 6.3 — Persons Disqualified from Serving as Guardian
I expressly request that the following individual(s) NOT be appointed as guardian of my minor child(ren):
| Name | Relationship | Reason for Disqualification |
|---|---|---|
| [________________________________] | [________________] | [________________________________] |
| [________________________________] | [________________] | [________________________________] |
ARTICLE VII — EFFECTIVE DATE AND DURATION
Section 7.1 — Circumstances for Presenting This Preference
I ask that my nominee present this preference if any of the following circumstances arises (check all that apply). This document alone gives the nominee no authority to act as guardian; a guardian must be appointed by court order under ORS § 125.305.
☐ My death
☐ A judicial determination that I am incapacitated under Oregon law
☐ A determination by a licensed physician that I am no longer able to care for my child(ren)
☐ My physical absence or unavailability for a period exceeding [____] days
☐ Other triggering event: [________________________________]
Section 7.2 — Duration of This Preference
This expression of preference remains in effect for each child until that child reaches age 18 or I revoke the designation in writing. A court appointment and later changes to a guardianship are governed by court orders, not by this section.
ARTICLE VIII — REVOCATION OF PRIOR DESIGNATIONS
I revoke my earlier stand-alone written statements of parental preference for the minor child(ren) named here, to the extent I may lawfully do so through this writing. This statement does not amend a will or alter an existing court appointment. I ask the court to consider my current preference under ORS 125.200.
ARTICLE IX — NOMINEE WILLINGNESS TO SERVE
Primary Nominee's Willingness to Serve:
I, [________________________________], have read this Designation of Guardian. If a court appoints me guardian of the minor child(ren) named above, I am willing to accept and fulfill the duties of that appointment. I will complete and file the court's Acceptance of Appointment form in the guardianship proceeding. Signing here does not itself appoint me or give me guardian authority.
Signature: ________________________________ Date: [__/__/____]
Printed Name: [________________________________]
First Alternate Nominee's Willingness to Serve:
I, [________________________________], have read this Designation of Guardian. If a court appoints me after the primary nominee is unable or unwilling to serve, I am willing to accept and fulfill the duties of that appointment. I will complete the court's Acceptance of Appointment form in that proceeding.
Signature: ________________________________ Date: [__/__/____]
Printed Name: [________________________________]
ARTICLE X — DECLARANT SIGNATURE
I declare under penalty of perjury under the laws of the State of Oregon that the foregoing is true and correct, that I am of sound mind, and that I execute this Designation voluntarily and without duress or undue influence.
Signature of Declarant: ________________________________ Date: [__/__/____]
Printed Name: [________________________________]
ARTICLE XI — WITNESS ATTESTATION
We, the undersigned witnesses, each being at least eighteen (18) years of age and of sound mind, declare that the Declarant signed this instrument in our presence, or acknowledged to us that the Declarant signed this instrument, and that the Declarant appeared to be of sound mind and not acting under duress.
Witness No. 1:
| Field | Information |
|---|---|
| Signature | ________________________________ |
| Printed Name | [________________________________] |
| Address | [________________________________] |
| City, State, ZIP | [________________________________] |
| Date | [__/__/____] |
Witness No. 2:
| Field | Information |
|---|---|
| Signature | ________________________________ |
| Printed Name | [________________________________] |
| Address | [________________________________] |
| City, State, ZIP | [________________________________] |
| Date | [__/__/____] |
ARTICLE XII — NOTARY ACKNOWLEDGMENT
STATE OF OREGON
COUNTY OF [________________________________]
On this [____] day of [________________], 20[____], before me, the undersigned Notary Public, personally appeared [________________________________], known to me (or proved to me on the basis of satisfactory evidence) to be the person whose name is subscribed to the within instrument, and acknowledged to me that they executed the same in their authorized capacity and that by their signature on the instrument, the person, or the entity upon behalf of which the person acted, executed the instrument.
WITNESS my hand and official seal.
Notary Public Signature: ________________________________
Printed Name of Notary: [________________________________]
My Commission Expires: [__/__/____]
[NOTARY SEAL]
ARTICLE XIII — FILING AND RECORDING INSTRUCTIONS
Important Oregon Practice Notes:
-
Court Filing: Guardianship petitions in Oregon are filed in the Circuit Court of the county where the minor resides. ORS 125.055 governs the petition's contents, including the nominee's name, age, address, relationship to the minor, and facts supporting the requested appointment. ORS 125.205 addresses who is disqualified from serving as fiduciary.
-
Acceptance of Appointment: The current Oregon Judicial Department minor guardianship packet directs a nominated person other than the petitioner to file its Acceptance of Appointment form before the court signs a judgment. That form records willingness to accept if appointed. The court's judgment and Letters of Guardianship establish the appointee's authority.
-
Two-Track System: Oregon has two guardianship tracks for minors:
- ORS Chapter 125 — General protective proceedings (used when there is no pending dependency case)
- ORS Chapter 419B — Juvenile code guardianship (used in dependency proceedings)
-
Guardianship Forms: Oregon Judicial Department provides standard guardianship packets available through Circuit Court websites. See the Multnomah County Minor Guardianship Packet for reference forms.
-
Court Visitor: Under ORS § 125.150, the court may appoint a court visitor to investigate and report on the circumstances of a proposed guardianship.
-
Distribution of Copies: Provide copies to:
- The designated Primary Guardian and Alternate Guardian(s)
- Your estate planning attorney
- Any person having care of the minor child(ren)
For a court appointment, a petitioner must file a protective-proceeding petition under ORS § 125.010. Give this designation to counsel for use in that proceeding; a copy sent to the clerk by itself does not appoint the nominee.
-
Indian Child Welfare Act (ICWA): If the minor child is a member of or eligible for membership in a federally recognized tribe, ICWA (25 U.S.C. § 1901 et seq.) and the Oregon Indian Child Welfare Act (ORS § 419B.600 et seq.) may impose additional requirements.
-
Review and Update: This Designation should be reviewed and updated periodically, and especially after significant life changes.
SOURCES AND REFERENCES
- Oregon Revised Statutes Chapter 125 — Protective Proceedings: https://www.oregonlegislature.gov/bills_laws/ors/ors125.html
- Oregon Revised Statutes Chapter 419B — Juvenile Code: https://www.oregonlegislature.gov/bills_laws/ors/ors419B.html
- Oregon Judicial Department — Guardianship Forms: https://www.courts.oregon.gov/forms/Documents/MUL_Probate_GuardianshipOfAMinorPacket.pdf
- Oregon Protective Proceedings Bench Book (2025): https://www.courts.oregon.gov/programs/family/guardianship-conservatorship/Documents/Protective.Proceedings.BenchBook.pdf
This template is provided by ezel.ai for informational purposes only. It does not constitute legal advice and should not be used as a substitute for consultation with a licensed Oregon attorney. Laws are subject to change, and the applicability of this template to your specific circumstances should be verified by qualified legal counsel.
About this template
- Last updated
- November 2, 2026
- Jurisdiction
- Oregon
- Category
- Estate Planning & Wills
Legal authority
- ORS § 106.010 (minimum marriage age)
- ORS § 125.010 (protective proceeding commenced by petition)
- ORS § 125.095 (fiduciary compensation and court approval)
- ORS § 125.055 (Petition Contents in Protective Proceedings)
- ORS § 125.200 (Preferences in Appointing Fiduciary)
- ORS § 125.205 (Persons Not Qualified to Act as Fiduciary)
- ORS § 125.215 (Acceptance of Appointment as Fiduciary)
- ORS § 125.300 (Guardians — In General)
- ORS § 125.305 (Order of Appointment; Required Findings)
- ORS § 125.315 (General Powers and Duties of Guardian)
- ORS § 419B.365 (Permanent Guardianship — Petition — Procedure)
- ORS § 419B.376 (Duties and Authority of Guardian)
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.
Not legal advice
This template is provided for informational purposes. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Checked against the law it cites
The statutes this template relies on are listed under Legal authority.
Oregon Judicial Department Minor Guardian Acceptance of Appointment (Jun. 2026) (checked November 1, 2026): "If appointed, I will accept appointment and will fulfill the legal duties and obligations of my appointment."
ORS 106.010 (checked October 29, 2026): "by males at least 18 years of age and females at least 18 years of age"
ORS 125.010(2) (checked October 29, 2026): "A protective proceeding is commenced by the filing of a petition in a court with jurisdiction over protective proceedings."
ORS 125.095(2) (checked October 29, 2026): "Prior court approval is required before the payment of fees from the funds of a person subject to a protective proceeding"
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