Connecticut Affidavit that designation of a standby guardian is in full force and effect

This form is an affidavit that a contingent act has occurred and that the designation of a standby guardian is in effect. A designation of a standby guardian takes effect upon the occurrence of a specified contingency, including, but not limited to, the mental incapacity, physical debilitation or death of the principal, provided a written statement signed under penalty of false statement has been executed pursuant to section 45a-624c that such contingency has occurred.