Standby Guardian
Designation Form

Fill out this form online step by step. When complete, generate a ready-to-print document that you can sign with your witnesses.

Under C.G.S. §45a-624 through 624gTakes about 10–15 minutesPrint & sign when done

ResourcesStandby Guardian Form

Parents

Guardian & Children

Witnesses

Review & Generate

Step 1 of 4

Parent Information

Enter information for both parents making this designation

Parent A Information

First parent or guardian making this designation

Full Legal Name*

Street Address*

City, Connecticut*

Parent A — Triggering Events *

Guardianship takes effect when one of these events occurs. Check all that apply.

Detained or deported by any U.S. immigration or customs authority, or state/federal law enforcement

Died (standby guardian has a copy of death certificate)

Medically incapacitated (mentally or physically) as certified by a healthcare provider

Other event (specify):

Parent B Information

Second parent or guardian (if applicable)