Five guarantees application form

Number of townships (towns, streets) in cities and counties (cities, districts)

Last name, gender, date of birth, ID number

Category of personnel, residential address of family population

primary

domestic

Is the applicant's name, surname, gender, age and ID number legal?

The health status and annual income of the maintenance obligor

Ability to work, main source of income

apply for

remove

cause

Signature of the applicant (or agent):

date month year

Preliminary opinions of neighborhood (village) committees

(Seal)

Manager's signature: year month day.

Town (township, street) audit

idea

(Seal)

Auditor's signature: year month day.

County (city, district) civil affairs department for examination and approval opinions

(Seal)

Signature of Approver: Year Month Day

note:

1. If the applicant is unable to fill out this form, the village committee can fill it out on his behalf and affix the applicant's handprint.

2. Personnel categories refer to the elderly, the disabled and minors.

3. The legal maintenance obligor refers to the person who has the obligation to support, support and support in accordance with the provisions of the Marriage Law, and the relevant contents mainly include:

Husband and wife have the obligation to support each other;

Parents have the obligation to raise and educate their children;

③ Children have the obligation to support and assist their parents;

Children born out of wedlock enjoy the same rights as children born in wedlock, and no one may harm or discriminate against them. The biological father or mother who does not directly raise the children born out of wedlock shall bear the living expenses and education expenses of the children until the children can live independently;

The rights and obligations between adoptive parents and adopted children shall be governed by the relevant provisions of this law on the relationship between parents and children;

⑥ The rights and obligations between adopted children and biological parents are eliminated due to the establishment of adoption relationship;

7. The rights and obligations between stepfathers and stepmothers and their stepchildren who are raised and educated shall be governed by the relevant provisions of this Law on the relationship between parents and children;

(8) grandparents who have the financial ability have the obligation to support their minor grandchildren whose parents are dead or unable to support them. Grandchildren and grandchildren who can afford it have the obligation to support their grandparents whose children are dead or unable to support them;

Pet-name ruby brothers and sisters who have financial ability have the obligation to support minor brothers and sisters whose parents are dead or unable to support them. Brothers and sisters who have the financial ability to be raised by brothers and sisters have the obligation to support brothers and sisters who lack the ability to work and the source of life;

Attending the children's obligation to support their parents shall not be terminated by the change of their parents' marital relationship.

4. The applicant must be an elderly person, a disabled person and a minor with no maintenance obligations, no ability to work and no source of income, and all conditions are indispensable.

Note: This form is made in triplicate, one for the village committee, one for the township and one for the county civil affairs department after approval.