Dom. Rel. Forms. 4A-501

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As amended through November 1, 2024

Rule 4A-501 - [Effective 12/31/2024] Petition to appoint kinship guardians

STATE OF NEW MEXICO

COUNTY OF _______________

________________ JUDICIAL DISTRICT

_______________________________, Petitioner(s)

No. __________

IN THE MATTER OF THE KINSHIP GUARDIANSHIP OF

____________________________ , (a) Child(ren) (use initials only), and concerning ____________________________, Respondent #1, ____________________________, Respondent #2.

Enter the initials of each child. Each child should be listed in the petition under Section A.

PETITION TO APPOINT KINSHIP GUARDIAN(S)

Forms 4A-501 to 513 NMRA are required to be used by persons representing themselves in kinship guardianship proceedings. Parties represented by an attorney may use other forms that serve the same purpose.

Petitioner(s), ________________________, request(s) the court to grant an Order Appointing Kinship Guardian(s) of the minor child(ren), ____________________________.

A petitioner must be an adult with whom the child has a significant bond. See NMSA 1978, Section 40-10B-5 (2022) for persons who may file as a petitioner under the Kinship Guardianship Act.

The court has jurisdiction of the parties and the subject matter of the cause of action.

A.INFORMATION ABOUT PETITIONER(S)^{fn-FR-4a-501_3}

1. Petitioner #1 Name and address:

_______________________________________________________________________________

2. Petitioner #2 Name and address:

_______________________________________________________________________________

3. Petitioner(s) are currently providing adequate care, maintenance, and supervision for _______________________________________________________ (names of minor child(ren)).

B.INFORMATION ABOUT THE CHILD(REN)

1. Child's Name ___________________________________________

a. Address ___________________________________________

b. Place and year of birth

City ____________________________________

State ___________________________________

Month and year of birth _____________________________

c. Are Petitioner(s) related to the child? _____ Yes _____ No

d. If yes, what is the relationship?

_________________________________________________________________________

If no, describe Petitioner(s)'s connection with the child.

_________________________________________________________________________

e. Is the child fourteen (14) years of age or older? _____ Yes _____ No If yes, has the child stated that they want the named Petitioner(s) as the guardian(s)? _____ Yes_____ No

f. Is the child an enrolled member of an Indian tribe or eligible for membership? _____ Yes _____ No If yes, what tribe is the child enrolled with or eligible to be enrolled with?

____________________________________________________________

Have you notified the tribe of this Petition? _____ Yes _____ No If yes, list the specific actions you have taken to notify the tribe and the results of those contacts, including the names, addresses, titles, and telephone numbers of the persons contacted. Attach copies of all correspondence with the Indian tribe.

_________________________________________________________________________

2. Child's Name ___________________________________________

a. Address __________________________________________

b. Place and year of birth

City ____________________________________

State ___________________________________

Month and year of birth _____________________________

c. Are Petitioner(s) related to the child? _____ Yes _____ No

d. If yes, what is the relationship?

_________________________________________________________________________

If no, describe Petitioner(s)'s connection with the child.

_________________________________________________________________________

e. Is the child fourteen (14) years of age or older? _____ Yes _____ No

If yes, has the child stated that they want the named Petitioner(s) as the guardian(s)? _____ Yes^{fn-FR-4a-501_5}_____ No

f. Is the child an enrolled member of an Indian tribe or eligible for membership? _____ Yes _____ No

If yes, what tribe is the child enrolled with or eligible to be enrolled with?

_________________________________________________________________________

Have you notified the tribe of this Petition? _____ Yes _____ No

If yes, list the specific actions you have taken to notify the tribe and the results of those contacts, including the names, addresses, titles, and telephone numbers of the persons contacted. Attach copies of all correspondence with the Indian tribe.

_________________________________________________________________________

C.INFORMATION ABOUT CHILD'S PARENTS (RESPONDENTS)

1. Respondent #1

a. _________________________ (name of Respondent-parent if known) is the parent of

___________________________.

b. This Respondent-parent is _____ alive ____ deceased (if deceased, provide proof of death)

c. If alive, list address (include physical street address, city, state, and zip code):

_________________________________________________________________________

_________________________________________________________________________.

Is Respondent #1 an enrolled member of an Indian tribe or eligible for membership in an Indian tribe? _____ Yes _____ No If yes, what tribe is Respondent #1 enrolled with or eligible to be enrolled with?

_________________________________________________________________________.

d. On information and belief, (complete only one choice below)

i. Respondent-parent ___________________________ (name) consents to the appointment of Petitioner(s) as Kinship Guardian(s).

ii. This legal parent is unable or unwilling to provide adequate care, maintenance, and supervision for the minor child(ren) named in this petition (explain why you think this parent is unable or unwilling to provide care:

____________________________________________________________________

2. Respondent #2

a. _________________________ (name of Respondent-parent if known) is the parent of

___________________________.

b. This Respondent-parent is _____ alive ____ deceased (if deceased, provide proof of death)

c. If alive, list address (include physical street address, city, state, and zip code):

_________________________________________________________________________

Is Respondent #2 an enrolled member of an Indian tribe or eligible for membership in an Indian tribe? _____ Yes _____ No If yes, what tribe is Respondent #2 enrolled with or eligible to be enrolled with?

_________________________________________________________________________

d. On information and belief, (complete only one choice below)

i. Respondent-parent ___________________________ (name) consents to the appointment of Petitioner(s) as Kinship Guardian(s).^{fn-FR-4a-501_7}

____________________________________________________________________

D.FACTS REGARDING REQUEST FOR GUARDIANSHIP

1. Consent to Guardianship

a. Does Respondent #1 consent to the guardianship? ____ Yes ____ No If no, has the child(ren) lived with Petitioner(s) without Respondent #1 in the home for ninety (90) days immediately prior to filing this petition? _____ Yes _____ No

b. Does Respondent #2 consent to the guardianship? ____ Yes ____ No If no, has the child(ren) lived with Petitioner(s) without Respondent #2 in the home for 90 days immediately prior to filing this petition? _____ Yes _____ No

2. Describe how the child came to reside with you and why you want guardianship.

__________________________________________________________________________

3. If a Respondent-parent is willing and able to parent the child(ren), are there extraordinary circumstances that justify granting the guardianship?

_____ Yes (please explain) _____ No

__________________________________________________________________________

E.OTHER INFORMATION

1. Are there any other court cases involving these children? _____ Yes ____ No Unsure

If yes, please provide:

Case Number _____________________________________________________

Type of case __________________________________________________

2. Is there CYFD involvement?

_____ Yes _____ No

a. If yes, what is the contact information for the CYFD case worker?

Name:_____________________________________

Position (if known):__________________________________________

Phone Number and/or email address:_____________________________

b. If yes, does CYFD have legal custody of any of the child(ren) named in this petition? Yes______ No____. If yes, CYFD must be served with a copy of this petition.^{fn-FR-4a-501_10}

c. If yes, does CYFD consent to this guardianship?

____ Yes _____ No _____ Don't know (please explain):

_________________________________________________________________________

3. Has CYFD filed a court case against the parents concerning this 18 child? _____ Yes _____ No

4. Do any other person(s) have or claim to have court ordered custody of the child(ren)? _____

Yes _____ No If yes, the name(s), phone number(s), and address(es) are:

__________________________________________________________________________

5. Do any other person(s) have court ordered visitation with the child(ren)?^{fn-FR-4a-501_9}_____ Yes _____ No If yes, the name(s), phone number(s), and address(es) are:

__________________________________________________________________________

6. Petitioner(s) are requesting child support from Respondents._____ Yes _____ No

7. Petitioners accept the duties and responsibilities of guardianship, including providing for the care, maintenance, and supervision of the child(ren).

8. No guardian of the child(ren) is currently appointed under a provision of the Uniform Probate Code, Section 45-1-101 NMSA 1978.

9. It is in the best interests of the child(ren) that Petitioner(s) be appointed as kinship guardian(s).

WHEREFORE, Petitioner(s) respectfully request(s) an Order Appointing Kinship Guardian(s) of the minor child(ren).

VERIFICATION

Petitioner #1:

I, ________________, Petitioner, affirm under penalty of perjury under the laws of the State of New Mexico that I am the Petitioner in the above-entitled cause; that I have read the Petition to Appoint Kinship Guardian(s); and that the contents of the petition are true and correct to the best of my information and belief.

_____________________ ___________________________________

Date Signature of Petitioner #1

Petitioner #2:

_____________________ ___________________________________

Date Signature of Petitioner #2

________________________

Dom. Rel. Forms. 4A-501

Provisionally approved, effective 8/15/2003 until8/31/2004; approved, effective 1/20/2005; 4-981 recompiled and amended as 4A-501 by Supreme Court Order No. 16-8300-020, effective for all pleadings and papers filed on or after12/31/2016; as amended by Supreme Court Order No. 22-8300-020, effective for all pleadings and papers filed on or after 12/31/2022; as amended by Supreme Court Order No. S-1-RCR-2023-00052, effective for all cases pending or filed on or after 12/31/2024.

ANNOTATIONS The 2016 amendment, approved by Supreme Court Order No. 16-8300-020, effective December 31, 2016, rewrote the form and Use Note. Recompilations. - Pursuant to Supreme Court Order No. 16-8300-020, former 4-981 NMRA was recompiled and amended as 4A-501 NMRA, effective for all pleadings and papers filed on or after December 31, 2016.