The specific content of this application is dependent on the types of goods or services being requested. The following application is an example and should be modified as needed to conform to the particular facts of a case.
[Caption. See § 3 of the Introduction in this manual.]
Application to Contract for [Goods/Services]
[Name of applicant], Applicant, guardian of the estate of [name of ward], Ward, an incapacitated person, files this Application to Contract for [Goods/Services], which are needed and will benefit Ward, and in support shows:
1.Ward’s [physical/mental/medical] condition is such that Ward would benefit from the [services of [name of provider] for [specify]/purchase of [specify goods contracted for] for [specify]]. The person[s] identified in the attached [agreement/invoice] [is/are] willing to provide these [goods/services] and to enter into the contract attached as Exhibit [exhibit number/letter].
2.The [inventory/annual account] on file shows that available funds are adequate to provide for these [goods/services]. Applicant believes that the costs for these [goods/services] in the amount of $[amount] [per month] are reasonable.
Applicant asks for authority to execute the attached agreement on behalf of Ward’s estate and to expend the funds for these [goods/services] in the amount identified therein for the period from [date] to [date] and for all other relief to which Applicant is entitled.
Respectfully submitted,
[Name]
Applicant
[Name]
Attorney for Applicant
State Bar No.:
[Email address]
[Address]
[Telephone]
[Telecopier]
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Attach exhibit(s). |