Form 4-999.2. Certificate of completion of adult guardian and conservator orientation program.

[For use with Rule 1-144 NMRA] STATE OF NEW MEXICO COUNTY OF ________________________ __________ JUDICIAL DISTRICT COURT In the matter ___________________________ No. ___________________________ CERTIFICATE OF COMPLETION ADULT GUARDIAN AND CONSERVATOR ORIENTATION PROGRAM Under Rule 1-144 NMRA, I hereby acknowledge that I have viewed the following required videos on the New Mexico Court’s website (www.adultguardianship.nmcourts.gov) and/or on the Judiciary’s YouTube channel (https://www.youtube.com/NewMexicoCourts). 1. Guardians are required to view all six (6) videos. VIDEO DATE VIEWED Video 1: Introduction Video 2: Guardian orientation Video 3: How to complete the guardian’s report Video 8: Guide to filing and distributing guardian and conservator’s reports Video 9: Abuse and neglect Video 10: How to file a grievance 2. Conservators are required to view all eight (8) videos. VIDEO DATE VIEWED Video 1: Introduction Video 4: Conservator orientation Video 5: Overview of the conservator’s report and bonding requirements Video 6: How to complete the conservator’s inventory Video 7: How to complete the conservator’s report Video 8: Guide to filing and distributing guardian and conservator’s reports Video 9: Abuse and neglect Video 10: How to file a grievance By filing this certificate, I certify that I understand my duty, role, and responsibilities as the guardian and/or conservator in this matter. PROPOSED GUARDIAN/CONSERVATOR: I recognize that this certificate must be filed with the court clerk at least five (5) calendar days before a hearing on the petition to appoint a guardian or conservator in this matter. EXISTING OR SUCCESSOR GUARDIAN/CONSERVATOR: I have been ordered by the Judge to watch the Adult Guardian and Conservator Orientation Program videos and I understand that I must file this certificate with the court clerk as proof that I have complied with the Judge’s orders. Dated: _____________________________ Respectfully submitted, _________________________________ Signature _________________________________ Printed name _________________________________ Street address _________________________________ City, State, and ZIP Code _________________________________ Phone number _________________________________ Email address