Form 4A-516 NMRA
Form 4A-516. Letters of guardianship.
STATE OF NEW MEXICO
COUNTY OF ______________
_________ JUDICIAL DISTRICT
No. _________________
In the Matter of __________________________, (a) Child(ren), (use initials only) and
Concerning
______________________________________, Petitioner(s)
____________________________, Respondent #1,
____________________________, Respondent #2.
LETTERS OF GUARDIANSHIP
On _____________________, 20___ this court entered an order appointing
_____________________________ (Petitioner(s)) as the guardian(s) of
___________________ ______________________________________ (minor
child(ren)) under Sections 40-10B-1 to -21 NMSA 1978 and Rule 1-155 NMRA.
WHEREFORE, the order appointing kinship guardian(s) suspends the rights of the
Respondent(s) and vests in the guardian(s) all rights and responsibilities of a parent,
except for the right to consent to adoption of the child(ren), including but not limited to:
1. Petitioner(s) is/are permitted to consent to medical, mental health, and dental
services and treatment for the minor child(ren) not prohibited by other law;
2. Petitioner(s) is/are permitted to seek tribal, state, and federal benefits on behalf
of the child(ren) without reference to the income of Petitioners (the benefits should be
based on the parent(s)’ income);
3. Petitioner(s) is/are permitted to enroll the child(ren) in school and extracurricular
activities, including religious activities and ceremonies;
4. Petitioner(s) shall be considered the education decision maker or surrogate
parent under Section 300.519 of the Individuals with Disabilities Education Act.
5. Petitioner(s) is/are permitted to obtain and modify vital records for the child(ren);
6. Petitioner(s) is/are permitted to _______________________________________
______________________________________________________________________
_____________________________________________________________________.
WITNESS, the Honorable _________________, District Court Judge, and the seal
of the _____________ Judicial District Court on ______________________.
CLERK OF THE DISTRICT COURT
[SEAL]
_____________________________
Deputy