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.) 

 
Date 

Sign here ► 

 
 

 
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. 

tah 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 
oneself 
 

Approved Board of District Court Judges September 12, 2012 
Revised March 3, 2016 

Page 1 of 1 

[  ]  guardian 

[  ]  conservator 

ame 

ddress 

hone 

mail 

ity, State, Zip 

elationship of the nominee to me 

  N

  A

  C

  P

  E

  R

 

  *

        U



Nomination for oneself of a guardian and a conservator

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

---

About This Form:

• Sourced from legacy.utcourts.gov (2023-03)
• Page(s): 1
• Fields(s): 13
• Average fields per page: 13
• Reading Level: Grade 8
• LIST Grouping(s): ES-02-00-00-00, ES-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

---

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

---

Create an Interactive Version of this Form:

The Weaver creates a draft guided interview from a template form, like the one provided here. You can use the link below to open this form in the Weaver. To learn more, read "Weaving" your form into a draft interview.