Nomination for oneself of a guardian and* a conservator
Being of sound mind and not acting under duress, fraud, or undue influence, and in the event a court finds that I require a guardian and/or* conservator, I nominate the person named below to be my (Choose one or both.) [ ] guardian [ ] conservator
Name
Address
City, State, Zip
Phone
Relationship of the nominee to me
Sign here ► Date
Executed at: (City and State) Typed or printed name
*To nominate one person as guardian and a different person as conservator, complete two forms. To nominate co-guardians or co-conservators, complete two forms.
Utah Code Section 75-5-202.5 Utah Code Section 75-5-311 Utah Code Section 75-5-410
Nomination of Guardian and/or Conservator – for Approved Board of District Court Judges September 12, 2012 Page 1 of 1 oneself Revised March 3, 2016