Guardianship Partial Withdrawal Step 1 of 5 20% Minor's InformationMinor's Name(Required) First Middle Last Suffix Date of Birth of Minor(Required) Month Day Year Age(Required)Disabilities or impairmentsSocial Security Benefits received for minor:(Required)Enter 0 if not appliable Please enter a number from 0 to 999999. Guardian InformationYour Name(Required) First Last Relation to minor(Required)AuntBrotherCousinFatherGrandfatherGrandmotherMotherSisterUncleOtherMarital Status(Required) Single Married Separated Divorced Widowed Your Email Address(Required) Your Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Wages(Required)Place and Address of Employment(Required)Other Income (Welfare, e.g.)(Required)Support Payments(Required)Enter $ Amount per Number of children at home(Required)Please enter a number less than or equal to 10.Reason why money should be withdrawn for normal care, maintenance and education, rather than from parents’ funds:(Required)Are there Domestic Relations Proceedings or Judgment of Divorce?(Required) Yes No Other Natural Parent InformationName(Required) First Last Relation to minor(Required)AuntBrotherCousinFatherGrandfatherGrandmotherMotherSisterUncleOtherMarital Status Single Married Separated Divorced Widowed Email Address Your PhoneAddress Street Address Address Line 2 City State / Province / Region ZIP / Postal Code WagesPlace and Address of EmploymentOther Income (Welfare, e.g.)Support PaymentsEnter $ Amount per Number of children at homePlease enter a number less than or equal to 10.Is This Parent Deceased or Absconded?(Required)YesNo EXPENSES OF NATURAL PARENT(S)Rent/Mortgage(Required)Telephone(Required)Insurance(Required)Heat & Light(Required)Food(Required)Health/Hygiene(Required)Clothing(Required)Medical/Dental(Required)Travel(Required)Other (Itemize)(Required) Upload your Photo ID, Letter for Withdrawal and provide proof of documents(i.e proof of income, receipts/bills)(Required) Drop files here or Select files Accepted file types: pdf, doc, docx, jpg, jpeg, Max. file size: 8 MB. Consent(Required)I am the appointed guardian and I do hereby request the withdrawal and have provided required documentation. I hereby acknowledge that this request has to be approved by the Court prior to the release of funds.
