Only the court has the authority to appoint a guardian; spouses and other family members are generally given priority if an adult becomes incapacitated; the person desiring to be appointed must petition the court for the appointment.
Here is the court order that the judge will sign:
These "letters" give the guardian the legal authority to act on behalf of the incapacitated person. That person can then collect any money owing to the ward, pay bills on their behalf out of their assets, etc.
Additional information here
Most people will hire an attorney to assist with the paperwork although it is not required.
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Information provided is for educational purposes only. Consultation with a personal attorney is always recommended so your particular facts may be considered. Thank you and take care.