Appoved, SCAO
JIS CODE: OAG
STATE OF MICHIGAN ORDER REGARDING APPOINTMENT OF PROBATE COURT GUARDIAN OF INCAPACITATED INDIVIDUAL COUNTY
CIRCUIT COURT - FAMILY DIVISION
FILE NO.
In the matter of
Court ORI Date of birth Race Sex Current address of incapacitated individual
1. Date of hearing: THE COURT FINDS:
Judge:
Bar no.
2. Notice of hearing was given to or waived by all interested persons. 3. The individual is not in need of a guardian. 4. Upon the presentation of clear and convincing evidence, the individual named above, by reason of mental illness mental deficiency chronic use of drugs chronic intoxication physical illness or disability other: is impaired to the extent of lacking sufficient understanding or capacity to make or communicate informed decisions, and is an incapacitated individual. 5. Upon the presentation of clear and convincing evidence, appointment of a guardian is necessary as a means of providing continuing care and supervision of the individual. 6. The individual is partially totally without the capacity to care for himself/herself. 7. There is no competent, suitable person willing to act as guardian, and the appointment of a professional guardian is in the best interests of the adult. A bond must be filed. IT IS ORDERED: 8. The petition for appointment of guardian is 9.
Name (type or print) Address
granted.
denied on the merits. dismissed/withdrawn. , whose address and telephone number are:
City State Zip Telephone no.
is appointed limited full guardian of the adult and shall qualify by filing an acceptance of appointment. Bond at $ must be filed. After qualification, the guardian shall comply with all relevant requirements under the law. 10. The limited guardian shall have only the following powers:
11.
If a guardian is appointed, the Michigan Department of State Police shall immediately enter the legally incapacitated individual's identifying information in this court order on the law enforcement information network. 12. IT IS FURTHER ORDERED:
Date Attorney name (type or print) Address Bar no. City
Judge
State
Zip
Telephone no.
Do not write below this line - For court use only
MCL 700.1105, MCL 700.5106, MCL 700.5107, MCL 700.5306, MCL 700.5313 PC 631 (9/06)
ORDER REGARDING APPOINTMENT OF GUARDIAN OF INCAPACITATED INDIVIDUAL