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APPLICATION FOR SURROGATE APPOINTMENT Instructions: Download form, complete all areas, save, and submit to ARE Surrogate Parent Coordinator by email to surrogate parents aged.gov or by fax to (602)
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Application for surrogate appointment is a legal document filed with the court to request the appointment of a surrogate decision-maker to make healthcare and financial decisions on behalf of an individual who is unable to make these decisions on their own.
The person required to file the application for surrogate appointment is usually a family member or a close friend of the individual who is incapacitated and needs a surrogate decision-maker.
To fill out the application for surrogate appointment, you need to provide personal information about the incapacitated individual, such as their name, address, and contact information. You also need to state the reasons why the individual is unable to make decisions on their own and provide any relevant medical documentation. Additionally, you need to provide information about yourself, including your relationship to the individual and your qualifications to act as a surrogate decision-maker.
The purpose of the application for surrogate appointment is to legally establish a surrogate decision-maker who can make healthcare and financial decisions on behalf of an individual who is unable to do so themselves. This ensures that the incapacitated individual's best interests are protected and that important decisions are made in accordance with their wishes or best interests.
The information that must be reported on the application for surrogate appointment includes the name, address, and contact information of the incapacitated individual, as well as their medical condition or reasons for incapacity. The application must also include relevant medical documentation supporting the need for a surrogate decision-maker. Additionally, the application must provide information about the person applying for surrogate appointment, including their relationship to the individual and their qualifications to act as a surrogate decision-maker.
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