Guardianship Petition - Preparation Worksheet - New Jersey
NEW JERSEY ADULT GUARDIANSHIP ROUTING AND FILING WORKSHEET
Not a verified complaint. File the current forms required by the county Surrogate and Superior Court, Chancery Division, Probate Part. CN 10558 is limited to a DDD-eligible person-and-estate case; it is not the universal New Jersey guardianship petition.
1. Matter Information
Alleged incapacitated person (AIP): [________________________________]
Date of birth: [__/__/____]
Current residence: [________________________________]
County of residence: [________________________________]
Plaintiff or applicant: [________________________________]
Relationship to AIP: [________________________________]
Proposed guardian(s): [________________________________]
County Surrogate contact: [________________________________]
Attorney, if any: [________________________________]
2. Select the Filing Route
Route A — Standard Adult Guardianship Under Rule 4:86
☐ AIP is an adult.
☐ The case is not being filed solely through the DDD-specific Title 30 packet route.
☐ Obtain the current standard forms from the county Surrogate, including the standard verified complaint and accompanying certifications listed by the Judiciary.
☐ Do not transfer DDD-specific examination, supporting-document, or packet rules into this standard case without authority.
Route B — DDD-Eligible Person and Estate
☐ AIP has been determined eligible for or is receiving services from the Division of Developmental Disabilities.
☐ Guardianship of both the person and estate is requested.
☐ Use the current CN 10558 DDD person-and-estate packet.
Route C — DDD-Eligible Person Only
☐ AIP has been determined eligible for or is receiving DDD services.
☐ Guardianship of the person only is requested.
☐ Use the current CN 12009 DDD person-only packet.
Route D — Different Proceeding
☐ Minor guardianship, kinship legal guardianship, veteran guardianship, protective arrangement, emergency relief, interstate issue, or another proceeding applies.
Correct route and form source: [________________________________]
3. Scope and Least-Restrictive Review
Select the authority actually requested; do not ask for person-and-estate powers by default.
☐ Guardianship of the person only.
☐ Guardianship of the estate only.
☐ Guardianship of the person and estate.
☐ General guardianship requested.
☐ Limited guardianship requested, with retained decision-making areas identified below.
Decisions the AIP can make independently: [________________________________]
Decisions for which limited assistance may be sufficient: [________________________________]
Authority requested for the guardian: [________________________________]
Less-restrictive arrangements reviewed:
| Arrangement | Exists or considered | Why adequate or inadequate | Supporting document |
|---|---|---|---|
| Power of attorney | [________________] | [________________] | [________________] |
| Advance directive or health-care proxy | [________________] | [________________] | [________________] |
| Representative payee | [________________] | [________________] | [________________] |
| Trust or restricted-account arrangement | [________________] | [________________] | [________________] |
| Supported decision-making or service plan | [________________] | [________________] | [________________] |
| Other | [________________] | [________________] | [________________] |
4. Examination and Certification Gate
Filing Through August 31, 2026
The current Judiciary standard-case guidance requires two certifications: two physicians, or one physician and one licensed practicing psychologist. Each professional must personally examine the AIP within 30 days before filing the standard application.
Filing On or After September 1, 2026
The adopted Rule 4:86-2(b)(2) amendment expands the permitted pairings to include one qualified physician plus either a qualified physician assistant under a delegation agreement or an Advance Practice Nurse under a joint protocol. A supervising or collaborating physician cannot separately supply the second certification. Use the forms then promulgated by the Administrative Director.
| Professional | Credential and relationship | Examination date | Filing-date window confirmed | Current form used |
|---|---|---|---|---|
| [________________] | [________________] | [__/__/____] | ☐ | [________________] |
| [________________] | [________________] | [__/__/____] | ☐ | [________________] |
☐ No professional is signing outside the route-specific examination period.
☐ No supervising or collaborating physician is improperly used as the separate second affiant for a post-September 1 filing.
☐ Each certification addresses functional ability, the factual basis for the opinion, and the requested scope rather than only listing a diagnosis.
5. Standard-Case Form Assembly
For Route A, confirm the current Surrogate forms and local filing directions before submission.
☐ Adult Guardianship Case Information Statement.
☐ Verified Complaint.
☐ Two current professional certifications.
☐ Certification of Assets, even if guardianship of the estate is not requested.
☐ Certification of Criminal and Civil Judgment History for each proposed guardian.
☐ Proposed Order Fixing Guardianship Hearing Date and appointing counsel for the AIP.
☐ Appropriate proposed Judgment: person only, estate only if available and appropriate, or person and estate.
☐ Current next-of-kin and party-in-interest list.
☐ Prior guardianship, custody, commitment, protective-order, or related proceeding disclosed.
☐ Filing fee or fee-waiver materials confirmed with the county Surrogate.
6. AIP Rights and Hearing Preparation
☐ AIP remains an alleged incapacitated person unless and until the court enters a judgment.
☐ The court's Order Fixing Hearing Date controls service recipients, methods, and deadlines.
☐ AIP will be personally served with the required papers and separate rights notice as directed by the court.
☐ AIP has the right to oppose the action, appear personally or through counsel, and demand a jury trial.
☐ Court-appointed or retained counsel can interview the AIP, investigate circumstances and property, locate planning documents, and advocate for the AIP's wishes.
☐ Any request for a pendente lite temporary guardian is separately supported and limited to the powers and duration ordered by the court.
AIP's stated wishes, objections, and requested accommodations: [________________________________]
Interpreter or disability accommodation needed: [________________________________]
7. AIP Person and Estate Record
7.1 Person and Care
| Topic | Current facts | Risk or unmet need | Existing support | Requested guardian role |
|---|---|---|---|---|
| Residence | [________________] | [________________] | [________________] | [________________] |
| Medical care | [________________] | [________________] | [________________] | [________________] |
| Mental-health care | [________________] | [________________] | [________________] | [________________] |
| Daily living | [________________] | [________________] | [________________] | [________________] |
| Safety and exploitation | [________________] | [________________] | [________________] | [________________] |
| Social, educational, or vocational plan | [________________] | [________________] | [________________] | [________________] |
7.2 Assets, Income, and Obligations
| Asset or income | Owner or payee | Approximate value or monthly amount | Control arrangement | Estate guardianship needed? |
|---|---|---|---|---|
| Earnings or pension | [________________] | $[________] | [________________] | ☐ |
| Social Security or public benefit | [________________] | $[________] | [________________] | ☐ |
| Bank or investment account | [________________] | $[________] | [________________] | ☐ |
| Real property | [________________] | $[________] | [________________] | ☐ |
| Trust interest | [________________] | $[________] | [________________] | ☐ |
| Debt or recurring obligation | [________________] | $[________] | [________________] | ☐ |
☐ Guardianship of the estate is not requested merely because the AIP receives Social Security benefits; representative-payee status and other existing arrangements were reviewed.
8. Proposed Guardian Review
| Proposed guardian | Relationship | Requested role | Criminal or civil judgment disclosure | Conflict or transaction with AIP |
|---|---|---|---|---|
| [________________] | [________________] | [________________] | [________________] | [________________] |
☐ Proposed guardian understands that appointment occurs only by judgment and authority begins only after qualification and issuance of Letters.
☐ Background-screening requirements and any exception are confirmed with the Surrogate and current forms.
☐ Any conflict, debt, joint account, expected inheritance, property occupancy, caregiver payment, or other personal interest is fully disclosed.
9. Bond, Qualification, and Letters
☐ No fixed bond amount is promised in the complaint.
☐ Bond will be posted only if and as ordered by the judge.
☐ Proposed guardian is prepared to qualify with the county Surrogate within 30 days after judgment.
☐ Acceptance of Guardianship, training acknowledgments, screening completion, and any ordered bond are ready for qualification.
☐ Guardian will not act before Letters of Guardianship issue.
10. Post-Judgment Reporting Control
The written judgment—not a generic covenant in this worksheet—controls which reports are required and when they are due.
☐ Judgment reviewed for person-report requirements.
☐ Judgment reviewed for estate inventory and accounting requirements.
☐ If ordered, Guardian Inventory calendared for the judgment's deadline; Judiciary guidance states it is typically due within 90 days.
☐ Required Report of Guardian cover page and current well-being or accounting forms obtained.
☐ Address, telephone, death, health-status, and other event-reporting terms copied from the actual judgment into the guardian's calendar.
☐ Detailed receipts, invoices, statements, and decision records will be maintained.
11. Removed Commercial Terms
Do not add any of the following to the verified complaint or proposed judgment without specific authority and case-specific justification:
☐ private default or cure period;
☐ estate indemnification of the guardian;
☐ liability cap tied to the bond;
☐ mandatory private fiduciary-insurance policy;
☐ arbitration or exclusive-forum clause;
☐ categorical jury waiver;
☐ severability, integration, successors-and-assigns, or electronic-original boilerplate; or
☐ automatic annual reporting terms that differ from the proposed judgment and final court order.
12. Preparation Certification — Not the Verified Complaint
The signer confirms only that this routing worksheet was reviewed. Sign and verify the official complaint and certifications in the manner required by the current forms.
Prepared by: [________________________________]
Role: ☐ Applicant ☐ Attorney ☐ Other: [________________]
Date: [__/__/____]
Sources and References
- New Jersey Judiciary — Guardianship Self-Help — current standard-case form list, DDD route selection, qualification, bond, and reporting guidance.
- CN 10558 — DDD-Eligible Guardianship of Person and Estate.
- CN 12009 — DDD-Eligible Guardianship of Person Only.
- Supreme Court of New Jersey, July 23, 2026 Omnibus Rule Amendment Order — Rule 4:86 amendments effective September 1, 2026.
About this template
- Last updated
- August 17, 2026
- Citations checked
- August 17, 2026
- Jurisdiction
- New Jersey
- Category
- Family Law
Legal authority
- N.J. Ct. R. 4:86
- N.J. Ct. R. 4:86-2(b)(2) (amendment effective 2026-09-01)
- N.J. Ct. R. 4:86-4(a)(5) (amendment effective 2026-09-01)
Family law covers the paperwork that shapes divorce, custody, child support, adoption, guardianship, and other family matters. These filings are emotional and high-stakes, and they also have to meet strict procedural rules for service, financial disclosure, and parenting plans. Clean, accurate paperwork keeps the focus on getting a workable outcome for the family instead of getting derailed by technical problems that delay hearings or force amended filings.
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
A reviewer verified this template's legal citations against the official source on August 17, 2026.
N.J. Ct. R. 4:86 (checked August 17, 2026): "For standard guardianship cases, you will need: Certification of Physician or Psychologist (2). A doctor must certify as to the AIP's condition. A second doctor or psychologist also needs to certify as to their condition. They must conduct personal examinations of the AIP within 30 days of filing the application for guardianship."
N.J. Ct. R. 4:86-2(b)(2) (amendment effective 2026-09-01) (checked August 17, 2026): "Affidavits or certifications of: two physicians having qualifications set forth in N.J.S.A. 30:4-27.2t; or one such physician and one licensed practicing psychologist as defined in N.J.S.A. 45:14B-2; or one such physician and one licensed physician assistant having qualifications set forth in N.J.S.A. 45:9-27.10 et seq. and under a delegation agreement with a supervising physician as defined in N.J.S.A. 45:9-27.17 and -27.18; or one such physician and one registered nurse licensed as an Advance Practice Nurse having qualifications set forth in N.J.A.C. 13:37-7.1 et seq. and under a joint protocol with a collaborating physician as defined in N.J.A.C. 13:35-6.6."
N.J. Ct. R. 4:86-4(a)(5) (amendment effective 2026-09-01) (checked August 17, 2026): "A separate notice shall be personally served on the alleged incapacitated person stating that if they desire to oppose the action they may appear either in person or by attorney, and may demand a trial by jury."
New Jersey Judiciary CN 10558 route limitation (checked August 17, 2026): "You may use this packet if you are seeking appointment of a guardian of the person and estate for an individual with a developmental disability who has been determined eligible for services from the Division of Developmental Disabilities."
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