Forms

We recommend using Adobe Acrobat Reader to complete and submit our forms.  You may download Adobe Acrobat Reader HERE.

Required Forms

These forms are required to be completed and submitted to the Elder Justice Center in order to obtain services.  Please click on the download button for each required form.  Once completed, you may email your copies to support@guamejc.org.  If you have any questions you may contact our office at (671) 300-7809 or submit an inquiry on the Contact Us page.

INTAKE FORM:  This form must be completed and submitted in order to obtain services with the Elder Justice Center. Please complete as best as you can a submit your completed form to support@guamejc.org

General Forms

LAST WILL & TESTAMENT QUESTIONNAIRE:  This questionnaire must be completed for those wishing to create a Last Will and Testament. Please complete as best as you can a submit your completed form to support@guamejc.org

POWER OF ATTORNEY QUESTIONNAIRE:  This questionnaire must be completed for those wishing to grant Power of Attorney to another person. Please complete as best as you can a submit your completed form to support@guamejc.org

POWER OF ATTORNEY HEALTHCARE QUESTIONNAIRE:  This questionnaire must be completed for those wishing to grant POA for healthcare to another person. Please complete as best as you can a submit your form to support@guamejc.org

IPR FORM: Senior Citizens Aging Services FY-2022
Intake, Profile and Referral (IPR) Form (Revised 10.13.2021)