Form 4A-514 NMRA
Form 4A-514. Department consent to appointment of kinship guardian and waiver of service of process.
STATE OF NEW MEXICO
COUNTY OF _______________
________________ JUDICIAL DISTRICT
_______________________________, Petitioner(s)
No. __________
IN THE MATTER OF THE KINSHIP GUARDIANSHIP OF
____________________________,1 (a) Child(ren) (use initials only), and concerning
____________________________, Respondent #1,
____________________________, Respondent #2.
DEPARTMENT CONSENT TO APPOINTMENT OF KINSHIP GUARDIAN
AND WAIVER OF SERVICE OF PROCESS
1. The Children, Youth and Families Department has legal custody of the following
child(ren):
(include full names and dates of birth):
________________________________________________________________
2. The Children, Youth and Families Department is the legal custodian and has
received a copy of the Petition to Appoint Kinship Guardian(s) filed by (name(s) of
Petitioner(s)): _________________________________________________________;
3. The Children, Youth and Families Department hereby knowingly and voluntarily
consents to the following: (select all that apply)2
[ ] The appointment of Petitioner(s) as TEMPORARY kinship guardian(s) for no
more than one hundred eighty (180) days.
[ ] The appointment of Petitioner(s) as PERMANENT kinship guardian(s).3
4. The Children, Youth and Families Department understands that the purpose of
the guardianship is to establish a legal relationship between
________________________ (child(ren)) and ____________________ (Petitioner(s)).
5. The Children, Youth and Families Department states that it is in the child(ren)’s
best interests that Petitioner(s) be named as the child(ren)’s kinship guardian(s).
6. The Children, Youth and Families Department understands that while the
guardianship is in effect, Petitioner(s) will have the right to make all decisions about
visitation and the health, education, and welfare of the child(ren) unless otherwise
ordered by the court.
7. The Children, Youth and Families Department waives the right to be served with
the Petition, and understands it will be made a party to this case and concurs.
8. The Children, Youth and Families Department understands that the Department
or the parents may withdraw a consent before the court enters an order granting the
guardianship. The Children, Youth and Families Department understands that to
withdraw its consent, it must notify the court in writing.
9. The Children, Youth and Families Department understands that if it desires at a
later date to revoke the guardianship, a petition to revoke the guardianship must be
filed.
________________________________
Signature of counsel for CYFD
________________________________
Address
________________________________
Telephone number
________________________________
Email address