Guardianship Legal Forms

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					                              STATE OF WEST VIRGINIA
                     DEPARTMENT OF HEALTH AND HUMAN RESOURCES

        RECOMMENDATION AND CONSENT FOR THE TRANSFER OF GUARDIANSHIP

State of West Virginia
County of ______________,            SS:

        Whereas, the custody, care, control and guardianship of the minor child known as
________________________________ born on ________________________, was granted to the
West Virginia Department of Health and Human Resources by an order of the Circuit Court of
____________________ County, West Virginia, entered on the _______________th day of
___________________. The West Virginia Department of Health and Human Resources is hereby
authorized to consent to the transfer of guardianship of said minor child to
__________________________________________.

       In executing this consent, it is the intention of the West Virginia Department of Health and
Human Resources to relinquish and forfeit all claims to said child. When a decree is entered, said
child will become the legal ward of the Petitioners and the Department will thereafter have no rights or
duties with reference to                                       .

        Therefore in consideration for the welfare and the best interests of said minor child, the West
Virginia Department of Health and Human Resources does hereby recommend and consent to the
appointment by decree of __________________________________ as the legal guardians of
________________________________________________.

        In witness whereof the said West Virginia Department of Health and Human Resources,
Bureau for Children and Families, has caused its name to be hereto signed by _____________
________________________, Regional Director, by its authority given, this the _______________
day of ____________________, ________.

                                     WV Department of Health and Human Resources
                                     Bureau for Children and Families


                                     _____________________________________
                                     Regional Director

State of West Virginia
County of ________________________:

        I, _____________________________, a notary public in and for said state and county, do
hereby certify that ____________________________________ whose name is signed to the writing
above, has this day acknowledged the same before me. Given under my hand this ______________
day of _______________________, _______.

My commission expires _______________________________.

                                                            ___________________________
                                                            Notary Public

SG Consent (New 4/02)

				
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