File Number

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	ACT CIVIL AND ADMINISTRATIVE TRIBUNAL

APPLICATION FOR APPOINTMENT OF MANAGER FOR MISSING PERSONS PROPERTY
		
	*Guardianship and Management of Property Act 1991		

I, _________________________________________________
                                 (Name)
of ________________________________________________
                                (Address)
Telephone: (Home) _______________________________  
                    (Work) _______________________________  
                   (Mobile) ______________________________

                    EMAIL ________________________________

Relationship to missing person: 

________________________________________________________

Wish to apply for an order of the ACT Civil and Administrative Tribunal for the appointment of a manager under section 8AA of the Guardianship and Management of Property Act 1991 in relation to the property and financial matters of:

______________________________________________________

Details and information relating to the person for whom the order is being sought
Mr/Ms/Mrs/Miss: _________________________________________________________
_________________________________________________________
                 (Given Names) 			  (Surname)

Address: _________________________________________________________
________________________________________ Postcode___________
Telephone: (Home) _______________________________  
                    (Work) _______________________________  
                   (Mobile) ______________________________

                   EMAIL ________________________________

Date of Birth:	_______/_______/_________

How long has the person been missing?  _____Years_____Months_________Days___

Does the missing person usually reside in the ACT?        Yes/No

What efforts have been made to locate the missing person?

_____________________________________________________________________

_____________________________________________________________________

Why is it necessary to appoint a manager to make decisions in relation to the missing person’s financial matters or property?

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

(If you require further room please continue on a separate page and attach it to this application)

Will the missing person’s interests be significantly adversely affected if a manager is not appointed?

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

(If you require further room please continue on a separate page and attach it to this application)

RELATIVES AND FRIENDS

You must include particulars of any primary carer, the person’s domestic partner, parents, brothers, sisters and each child of the person as well as other close relatives
(Attach sheet with additional names if required)

Mr/Ms/Mrs/Miss _________________________________________________________
_________________________________________________________
         (Given Names)				           (Surname)  

Address: _____________________________________________________________________

_________________________________________Postcode ____________________

Telephone: 
                (Home) ____________________________ 

                (Work)_____________________________ 

                (Mobile) ___________________________

               (EMAIL)______________________________

Relationship to the person for whom the order is sought (eg mother, domestic partner) 

_________________

Mr/Ms/Mrs/Miss _________________________________________________________
_________________________________________________________
         (Given Names)				           (Surname)  

Address: _____________________________________________________________________

_________________________________________Postcode ____________________

Telephone: 
                (Home) ____________________________ 

                (Work)_____________________________ 

                (Mobile) ___________________________

               (EMAIL)______________________________

Relationship to the person for whom the order is sought (eg mother, domestic partner) 

_________________

Mr/Ms/Mrs/Miss _________________________________________________________
_________________________________________________________
         (Given Names)				           (Surname)  

Address: _____________________________________________________________________

_________________________________________Postcode ____________________

Telephone: 
                (Home) ____________________________ 

                (Work)_____________________________ 

                (Mobile) ___________________________

                (EMAIL)______________________________

Relationship to the person for whom the order is sought (eg mother, domestic partner) 

_________________

DETAILS OF PROPOSED GUARDIAN & CONSENT TO ACT
(A person to make lifestyle or non-financial decisions)
(If more than one, attach a sheet to this form)

  Public Advocate
                OR
OTHER

Mr/Ms/Mrs/Miss _________________________________________________________
_________________________________________________________
                     (Given Names)				(Surname)  
Address: _____________________________________________________________________

_________________________________________Postcode ____________________

Telephone: 
                (Home) ____________________________ 

                (Work)_____________________________ 

                (Mobile) ___________________________

                (EMAIL)______________________________

Age ________________ 

Relationship to the person for whom the order is sought (eg mother, domestic partner) ___________________

I am prepared to act as *plenary/limited guardian of 

_____________________________________________________________________
                       (Name of person in respect of whom the order is sought)

if appointed by the ACT Civil and Administrative Tribunal.

Signature of Proposed Guardian________________________________ 
                                     
                                                       Date ____/_____/______
* Strike out whichever does not apply

DETAILS OF PROPOSED FINANCIALMANAGER &
 CONSENT TO ACT
(A person to make decision about property and financial matters)
(If more than one, attach a sheet to this form)
  Public Trustee
            OR
OTHER

Mr/Ms/Mrs/Miss _________________________________________________________
_________________________________________________________
                     (Given Names)				(Surname)  
Address: _____________________________________________________________________

_________________________________________Postcode ____________________

Telephone: 
                (Home) ____________________________ 

                (Work)_____________________________ 

                (Mobile) ___________________________

               (EMAIL)______________________________

Age ________________ 

Relationship to the person for whom the order is sought (eg mother, domestic partner) ___________________

I am prepared to act as *plenary/limited manager of 

_____________________________________________________________________
                            (Name of person in respect of whom the order is sought)

if appointed by the ACT Civil and Administrative Tribunal.

Signature of Proposed Manager________________________________ 
 
                                                      Date ____/_____/______
* Strike out whichever does not apply

ENDURING POWER OF ATTORNEY

Has the person for whom an order is sought signed an Enduring Power of Attorney?

 Yes 	 No 	 Don’t Know

If yes, indicate the name and address of the person in whose favour the Enduring Power of Attorney was given:

Please attach a copy of the Enduring Power of Attorney.  The Tribunal has power, upon application and under section 75 of the Powers of Attorney Act 2006, to affect the continued operation of an Enduring Power of Attorney where it is satisfied that it is not in the best interests of the donor of the power for the power to continue.

Are you applying for the Enduring Power of Attorney to be revoked/varied?

 Yes 	 No 	 Not applicable

Have you informed the person for whom the order is being sought that you are making this application?

 Yes 	  No

Notices giving details of the time and place of the hearing will be sent to the proposed protected person and all parties listed in this application.

Please explain what particular problems led you to make this application and why you think the person needs a guardian and/or manager:

DECLARATION BY THE APPLICANT

I have read this completed application and consider to the best of my knowledge, that all the information provided is true and correct, is not misleading and that no information relevant to the application and to the Tribunal has been omitted.

Warning: pursuant to section 338 of the Criminal Code 2002, a person commits an offence if they knowingly make a statement in a document which is false or misleading to a person who is exercising a function under a territory law for which the maximum penalty is100 penalty units, imprisonment for 1 year or both.

Signature of Applicant  ___________________________________	

Date ____/____/_____

Signature of Witness 	  ___________________________________	

Date ____/____/_____

Print Name of Witness ____________________________________________________________