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5 | 5 | | 2023 -- H 6067 |
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6 | 6 | | ======== |
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7 | 7 | | LC002216 |
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8 | 8 | | ======== |
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9 | 9 | | S TATE OF RHODE IS LAND |
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10 | 10 | | IN GENERAL ASSEMBLY |
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11 | 11 | | JANUARY SESSION, A.D. 2023 |
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12 | 12 | | ____________ |
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13 | 13 | | |
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14 | 14 | | A N A C T |
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15 | 15 | | RELATING TO PROBATE PRACTICE AND PROCEDURE -- LIMITED GUARDIANSHIP |
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16 | 16 | | AND GUARDIANSHIP OF ADULTS |
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17 | 17 | | Introduced By: Representatives Cortvriend, Spears, Dawson, Carson, Shallcross Smith, |
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18 | 18 | | and Ajello |
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19 | 19 | | Date Introduced: March 03, 2023 |
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20 | 20 | | Referred To: House Judiciary |
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21 | 21 | | |
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22 | 22 | | |
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23 | 23 | | It is enacted by the General Assembly as follows: |
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24 | 24 | | SECTION 1. Section 33-15-47 of the General Laws in Chapter 33-15 entitled "Limited 1 |
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25 | 25 | | Guardianship and Guardianship of Adults" is hereby amended to read as follows: 2 |
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26 | 26 | | 33-15-47. Forms. 3 |
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27 | 27 | | The following forms shall be used for the purposes of this chapter: 4 |
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28 | 28 | | STATE OF RHODE ISLAND PROBATE COURT OF THE 5 |
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29 | 29 | | COUNTY OF _______________ ______________________ 6 |
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30 | 30 | | No. _________________ 7 |
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31 | 31 | | ESTATE OF ____________________________ 8 |
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32 | 32 | | PERSONAL ESTATE ESTIMATED AT $________ CITY/TOWN OF 9 |
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33 | 33 | | ________________ 10 |
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34 | 34 | | 20 ____________ 11 |
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35 | 35 | | PETITION FOR LIMITED GUARDIANSHIP 12 |
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36 | 36 | | OR GUARDIANSHIP 13 |
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37 | 37 | | ______________________hereby petitions the Probate Court of the city/town of ______________ 14 |
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38 | 38 | | Petitioner 15 |
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39 | 39 | | to appoint a limited guardian/guardian for ______________ who currently resides at 16 |
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40 | 40 | | ________________________, in the city/town of __________________, and whose date of birth 17 |
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41 | 41 | | Address 18 |
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42 | 42 | | |
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43 | 43 | | |
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44 | 44 | | LC002216 - Page 2 of 14 |
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45 | 45 | | is __________________. 1 |
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46 | 46 | | Based upon an assessment conducted by ________________ on ______________, which 2 |
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47 | 47 | | Date 3 |
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48 | 48 | | functional assessment reflects the current level of functioning of ______________, it has been 4 |
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49 | 49 | | Respondent 5 |
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50 | 50 | | determined that _____________ lacks decision-making ability in one or more of the following 6 |
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51 | 51 | | Respondent 7 |
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52 | 52 | | areas as indicated: 8 |
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53 | 53 | | ____ health care 9 |
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54 | 54 | | ____ financial matters 10 |
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55 | 55 | | ____ residence 11 |
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56 | 56 | | ____ association 12 |
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57 | 57 | | ____ other 13 |
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58 | 58 | | Regarding each area indicated, please describe the specific assistance needed: 14 |
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59 | 59 | | ________________________________________________________________________ 15 |
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60 | 60 | | ________________________________________________________________________ 16 |
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61 | 61 | | ________________________________________________________________________ 17 |
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62 | 62 | | ________________________________________________________________________ 18 |
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63 | 63 | | ________________________________________________________________________ 19 |
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64 | 64 | | Indicate which of the following less restrictive alternatives to guardianship have been explored 20 |
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65 | 65 | | and deemed inappropriate as indicated: 21 |
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66 | 66 | | ____ Durable Power of Attorney for Health Care 22 |
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67 | 67 | | ____ Living Will 23 |
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68 | 68 | | ____ Power of Attorney 24 |
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69 | 69 | | ____ Durable Power of Attorney 25 |
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70 | 70 | | ____ Trusts 26 |
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71 | 71 | | ____ Joint Property Arrangements 27 |
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72 | 72 | | ____ Representative Payee 28 |
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73 | 73 | | ____ Money Management 29 |
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74 | 74 | | ____ Single Court Transactions 30 |
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75 | 75 | | ____ Government Benefit and Social Service Programs 31 |
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76 | 76 | | ____ Housing Options 32 |
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77 | 77 | | ____ Supported Decision-Making, see chapter 66.13 of title 42 33 |
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78 | 78 | | ____ Other 34 |
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79 | 79 | | |
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80 | 80 | | |
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81 | 81 | | LC002216 - Page 3 of 14 |
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82 | 82 | | Please describe the basis for the determination that the alternative will not meet the needs of the 1 |
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83 | 83 | | respondent for each alternative explored and deemed inappropriate: 2 |
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84 | 84 | | ________________________________________________________________________ 3 |
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85 | 85 | | ________________________________________________________________________ 4 |
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86 | 86 | | ________________________________________________________________________ 5 |
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87 | 87 | | ________________________________________________________________________ 6 |
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88 | 88 | | ________________________________________________________________________ 7 |
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89 | 89 | | ________________________________________________________________________ 8 |
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90 | 90 | | ________________________________________________________________________ 9 |
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91 | 91 | | ________________________________________________________________________ 10 |
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92 | 92 | | ________________________________________________________________________ 11 |
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93 | 93 | | ________________________________________________________________________ 12 |
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94 | 94 | | ________________________________________________________________________ 13 |
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95 | 95 | | ________________________________________________________________________ 14 |
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96 | 96 | | ________________________________________________________________________ 15 |
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97 | 97 | | ________________________________________________________________________ 16 |
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98 | 98 | | ________________________________________________________________________ 17 |
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99 | 99 | | The following individual/agency is willing to serve as guardian: 18 |
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100 | 100 | | ________________________________________________________________________ 19 |
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101 | 101 | | ________________________________________________________________________ 20 |
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102 | 102 | | ________________________________________________________________________ 21 |
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103 | 103 | | Upon information and belief the above individual/agency has: 22 |
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104 | 104 | | □ No conflict of interest that would interfere with guardianship duties. 23 |
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105 | 105 | | □ No criminal background that would interfere with guardianship duties. 24 |
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106 | 106 | | □ The capacity to manage financial resources involved. 25 |
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107 | 107 | | □ The ability to meet requirements of law and unique needs of individual. 26 |
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108 | 108 | | □ Demonstrated willingness to undergo training. 27 |
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109 | 109 | | The Respondent has the following heirs at law: 28 |
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110 | 110 | | NAME: RESIDENCE: 29 |
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111 | 111 | | ________________________________________________________________________ 30 |
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112 | 112 | | ________________________________________________________________________ 31 |
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113 | 113 | | ________________________________________________________________________ 32 |
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114 | 114 | | ________________________________________________________________________ 33 |
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115 | 115 | | ________________________________________________________________________ 34 |
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116 | 116 | | |
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117 | 117 | | |
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118 | 118 | | LC002216 - Page 4 of 14 |
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119 | 119 | | ___________________________________ 1 |
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120 | 120 | | Signature 2 |
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121 | 121 | | ___________________________________ 3 |
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122 | 122 | | Name4 |
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123 | 123 | | ___________________________________ 5 |
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124 | 124 | | Address 6 |
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125 | 125 | | __________________________________ 7 |
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126 | 126 | | Telephone 8 |
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127 | 127 | | Subscribed and sworn to before me this as to the truth of the above facts by ________ in ________ 9 |
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128 | 128 | | on the ________day of ________, 20____. 10 |
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129 | 129 | | __________________________________ 11 |
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130 | 130 | | Notary Public 12 |
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131 | 131 | | __________________________________ 13 |
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132 | 132 | | Print Name 14 |
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133 | 133 | | DECREE 15 |
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134 | 134 | | __________________ __________________ 16 |
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135 | 135 | | Dated PROBATE JUDGE 17 |
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136 | 136 | | This notice should be served at once and returned to the clerk of the court. 18 |
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137 | 137 | | NOTICE 19 |
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138 | 138 | | STATE OF RHODE ISLAND 20 |
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139 | 139 | | BY THE PROBATE COURT OF THE __________ OF ____________ 21 |
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140 | 140 | | BY THE COUNTY OF ______________ AND STATE AFORESAID 22 |
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141 | 141 | | To ________________________ 23 |
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142 | 142 | | Estate or ______________ 24 |
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143 | 143 | | Docket No. _____________ 25 |
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144 | 144 | | GREETING: 26 |
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145 | 145 | | A petition for Limited Guardianship/Guardianship has been filed in the Probate Court of the 27 |
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146 | 146 | | city/town of _______________________. 28 |
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147 | 147 | | _______________________________ has requested that the Probate Court appoint a limited 29 |
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148 | 148 | | Petitioner 30 |
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149 | 149 | | guardian/guardian for you. 31 |
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150 | 150 | | A hearing regarding this Petition shall be held 32 |
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151 | 151 | | On: ______________ 33 |
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152 | 152 | | date 34 |
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153 | 153 | | |
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154 | 154 | | |
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155 | 155 | | LC002216 - Page 5 of 14 |
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156 | 156 | | At: _______________ 1 |
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157 | 157 | | time 2 |
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158 | 158 | | at the Probate Court for the town of ____________________________________________ . 3 |
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159 | 159 | | ______________________________________________________________________________ 4 |
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160 | 160 | | Address 5 |
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161 | 161 | | ______________________________________________________________________________ 6 |
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162 | 162 | | The Petition requests that the Probate Court consider the qualification of the following 7 |
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163 | 163 | | individual/agency to serve as your limited guardian/guardian: 8 |
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164 | 164 | | ______________________________________________________________________________9 |
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165 | 165 | | ______________________________________________________________________________ 10 |
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166 | 166 | | A guardian ad litem will be appointed by the Probate Court to visit you, explain the 11 |
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167 | 167 | | process and inform you of your rights. 12 |
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168 | 168 | | You have the right to attend the hearing to contest the petition, to request that the powers 13 |
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169 | 169 | | of the guardian be limited or to object to the appointment of particular individual/agency limited 14 |
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170 | 170 | | guardian/ guardian. If you wish to contest the petition, you have the right to be represented by an 15 |
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171 | 171 | | attorney, at state expense, if you are indigent. 16 |
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172 | 172 | | If the Petition is granted and a limited guardian/guardian is appointed, the Probate Court 17 |
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173 | 173 | | may give the limited guardian/guardian the power to make decisions about one or more of the 18 |
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174 | 174 | | following: 19 |
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175 | 175 | | Your health care; your money; where you live; and with whom you associate. 20 |
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176 | 176 | | Copies of this Notice will be mailed to: 21 |
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177 | 177 | | The administrator of any care or treatment facility where you live or receive primary 22 |
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178 | 178 | | services; your spouse, and heirs at law; any individual or entity known to petitioner to be regularly 23 |
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179 | 179 | | supplying protection services to you. 24 |
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180 | 180 | | CERTIFICATION OF SERVICE 25 |
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181 | 181 | | I certify that I hand-delivered and read this Notice to __________________ on the 26 |
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182 | 182 | | ________ day of________, 20____. 27 |
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183 | 183 | | ___________________________________ 28 |
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184 | 184 | | Signature 29 |
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185 | 185 | | ___________________________________ 30 |
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186 | 186 | | Print Name 31 |
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187 | 187 | | __________________________________ 32 |
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188 | 188 | | Address 33 |
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189 | 189 | | CERTIFICATION OF NOTICE 34 |
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190 | 190 | | |
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191 | 191 | | |
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192 | 192 | | LC002216 - Page 6 of 14 |
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193 | 193 | | I certify that, as required by Rhode Island General Laws § 33-15-17.1(e), I mailed a copy 1 |
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194 | 194 | | of this Notice to the following persons, at the addresses listed, on the ________ day of ________, 2 |
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195 | 195 | | 20____. 3 |
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196 | 196 | | __________________________________ 4 |
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197 | 197 | | Signature 5 |
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198 | 198 | | ___________________________________ 6 |
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199 | 199 | | Print Name 7 |
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200 | 200 | | __________________________________ 8 |
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201 | 201 | | Address 9 |
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202 | 202 | | Subscribed and sworn to before me this ________ day of ________, 20____. 10 |
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203 | 203 | | ___________________________________ 11 |
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204 | 204 | | Notary Public 12 |
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205 | 205 | | WITNESS 13 |
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206 | 206 | | Judge of the Probate Court of the ________ of ________ this ________ day of ________, 14 |
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207 | 207 | | 20____. 15 |
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208 | 208 | | ___________________________________ 16 |
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209 | 209 | | Clerk 17 |
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210 | 210 | | DECISION-MAKING ASSESSMENT TOOL 18 |
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211 | 211 | | Name of Individual being assessed: Current Address: 19 |
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212 | 212 | | ______________________________ ______________________________ 20 |
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213 | 213 | | ______________________________ 21 |
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214 | 214 | | Date of Birth: Permanent Address (if different): 22 |
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215 | 215 | | ________________________ _________________________ 23 |
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216 | 216 | | _________________________ 24 |
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217 | 217 | | Instructions for Completion 25 |
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218 | 218 | | This document will be used by a Probate Court to determine whether to appoint a 26 |
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219 | 219 | | guardian to assist this individual in some or all areas of decision-making. 27 |
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220 | 220 | | This document has two parts. Please first complete the part which is right after these 28 |
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221 | 221 | | instructions, titled Assessment. Then complete the second section, titled Summary. 29 |
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222 | 222 | | To a physician completing this document: The individual's treating physician must 30 |
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223 | 223 | | complete this document. If there is any information of which the treating physician completing 31 |
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224 | 224 | | this document does not have direct knowledge, he or she is encouraged to make such inquiries of 32 |
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225 | 225 | | such other persons as are necessary to complete the entire form. Those persons might include 33 |
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226 | 226 | | other medical personnel such as nurses, or other persons such as family members or social service 34 |
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227 | 227 | | |
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228 | 228 | | |
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229 | 229 | | LC002216 - Page 7 of 14 |
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230 | 230 | | professionals who are acquainted with the individual. If the physician has received information 1 |
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231 | 231 | | from others in completing the form, the names of those individuals must be listed on the 2 |
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232 | 232 | | Summary. 3 |
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233 | 233 | | To a non-physician completing this document: Professionals or other persons acquainted 4 |
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234 | 234 | | with the individual being assessed may also complete this document. If there is information of 5 |
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235 | 235 | | which a non-physician completing this document does not have knowledge, such non-physician 6 |
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236 | 236 | | may either leave portions of the document blank, or also make inquiries or do such investigation 7 |
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237 | 237 | | as is necessary to complete the entire document. Again, the names of any individual from whom 8 |
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238 | 238 | | information is derived should be listed on the Summary. 9 |
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239 | 239 | | The document must be signed and dated by the person completing it. It does not need to be 10 |
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240 | 240 | | notarized. 11 |
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241 | 241 | | A. BIOLOGICAL ASSESSMENT 12 |
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242 | 242 | | THE FOLLOWING IS BASED UPON A PHYSICAL EXAMINATION CONDUCTED BY ME 13 |
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243 | 243 | | ON 14 |
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244 | 244 | | __________________________ 15 |
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245 | 245 | | (DATE) 16 |
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246 | 246 | | 1. DIAGNOSIS and PROGNOSIS: 17 |
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247 | 247 | | ________________________________________________________________________ 18 |
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248 | 248 | | ________________________________________________________________________ 19 |
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249 | 249 | | ________________________________________________________________________ 20 |
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250 | 250 | | ________________________________________________________________________ 21 |
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251 | 251 | | ________________________________________________________________________ 22 |
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252 | 252 | | 2. MEDICATION (PLEASE LIST): 23 |
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253 | 253 | | ________________________________________________________________________ 24 |
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254 | 254 | | ________________________________________________________________________ 25 |
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255 | 255 | | ________________________________________________________________________ 26 |
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256 | 256 | | ________________________________________________________________________ 27 |
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257 | 257 | | ________________________________________________________________________ 28 |
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258 | 258 | | How do the above medications, if any, affect the individual's decision-making ability? Please 29 |
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259 | 259 | | explain: 30 |
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260 | 260 | | ________________________________________________________________________ 31 |
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261 | 261 | | ________________________________________________________________________ 32 |
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262 | 262 | | ________________________________________________________________________ 33 |
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263 | 263 | | ________________________________________________________________________ 34 |
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264 | 264 | | |
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265 | 265 | | |
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266 | 266 | | LC002216 - Page 8 of 14 |
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267 | 267 | | ________________________________________________________________________ 1 |
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268 | 268 | | 3. CURRENT NUTRITIONAL STATUS: 2 |
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269 | 269 | | ________________________________________________________________________ 3 |
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270 | 270 | | ________________________________________________________________________ 4 |
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271 | 271 | | ________________________________________________________________________ 5 |
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272 | 272 | | ________________________________________________________________________ 6 |
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273 | 273 | | ________________________________________________________________________ 7 |
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274 | 274 | | B. PSYCHOLOGICAL ASSESSMENT 8 |
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275 | 275 | | 1. MEMORY (CIRCLE ONE) 9 |
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276 | 276 | | (A) Intact; (B) Mild Impairment; (C) Moderate Impairment; (D) Severe Impairment 10 |
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277 | 277 | | 2. ATTENTION (CIRCLE ONE) 11 |
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278 | 278 | | (A) Intact; (B) Mild Impairment; (C) Shifting/Wandering; (D) Delirium; (E) Unresponsive 12 |
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279 | 279 | | 3. JUDGMENT (CIRCLE ONE) 13 |
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280 | 280 | | (A) Intact; (B) Able to Make Most Decisions; (C) Impaired; (D) Gross Impairment 14 |
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281 | 281 | | 4. LANGUAGE (CIRCLE ALL THAT APPLY) 15 |
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282 | 282 | | (A) Intact (B) Sensory Deficits (Hearing/Speech/Sight) 16 |
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283 | 283 | | (C) Impairment In Comprehension/Speech: Mild/Moderate/Severe 17 |
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284 | 284 | | (D) Completely Unresponsive 18 |
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285 | 285 | | 5. EMOTION (CIRCLE ALL THAT APPLY) 19 |
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286 | 286 | | (A) ANXIETY/DEPRESSION: (1) None (2) History of Anxiety/Depression 20 |
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287 | 287 | | (3) Moderate Symptoms of Anxiety/Depression 21 |
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288 | 288 | | (4) Severe symptoms with sleep/appetite/energy disturbance 22 |
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289 | 289 | | (5) Suicide/Homicidal 23 |
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290 | 290 | | (B) OTHER: (1) Suspiciousness/Belligerence/Explosiveness 24 |
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291 | 291 | | (2) Delusions/Hallucinations (3) Unresponsive 25 |
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292 | 292 | | If you circled any of the above, other than (A) or (1) for any of the above categories, please 26 |
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293 | 293 | | explain whether the situation is treatable or reversible, and if so, how: 27 |
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294 | 294 | | C. SOCIAL ASSESSMENT 28 |
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295 | 295 | | 1. MOBILITY (CIRCLE ALL THAT APPLY) 29 |
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296 | 296 | | (A) Intact/Exercises (B) Drives Car Or Uses Public Transportation (C) Independent 30 |
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297 | 297 | | Ambulation in Home Only; (D) Walker/Cane; (E) Requires Assistance 31 |
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298 | 298 | | If you circled (C), (D), or (E), is situation treatable or reversible? If so, how? 32 |
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299 | 299 | | __________________________________________________________________ 33 |
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300 | 300 | | __________________________________________________________________ 34 |
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301 | 301 | | |
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302 | 302 | | |
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303 | 303 | | LC002216 - Page 9 of 14 |
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304 | 304 | | __________________________________________________________________ 1 |
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305 | 305 | | __________________________________________________________________ 2 |
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306 | 306 | | __________________________________________________________________ 3 |
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307 | 307 | | 2. SELF CARE (CIRCLE ALL THAT APPLY) 4 |
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308 | 308 | | (A) No Assistance Needed; 5 |
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309 | 309 | | (B) Requires Assistance with (1) Meals (2) Bathing (3) Dressing (4) Toileting/Feeding 6 |
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310 | 310 | | If you circled any of (B), is individual aware that assistance is required? ___________________ 7 |
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311 | 311 | | Is individual willing to accept assistance? _____________________________________________ 8 |
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312 | 312 | | Is individual able to arrange for assistance? ____________________________________________ 9 |
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313 | 313 | | 3. CARE PLAN MAINTENANCE (CIRCLE ALL THAT APPLY) 10 |
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314 | 314 | | (A) No Active Problem; (B) Initiates Problem Identification; (C) Actively Cooperative; 11 |
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315 | 315 | | (D) Passively Cooperative; (E) Passively Uncooperative; (F) Actively Uncooperative 12 |
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316 | 316 | | 4. SOCIAL NETWORK RELATIONSHIPS 13 |
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317 | 317 | | (CIRCLE ONE IN (A) AND IN ONE IN (B)) 14 |
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318 | 318 | | SUPPORT: 15 |
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319 | 319 | | (1) Very Good Supportive Network; (2) Some Support From Family And Friends; (3) No 16 |
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320 | 320 | | Or Limited Support From Family/Friends; (4) Needs Community Support; (5) 17 |
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321 | 321 | | Isolated/Homebound 18 |
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322 | 322 | | (B) SOCIAL SKILLS: 19 |
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323 | 323 | | (1) Very Good Social Skills; (2) Good Social Skills; (3) Interacts With Prompting; (4) 20 |
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324 | 324 | | Isolated 21 |
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325 | 325 | | D. SUMMARY 22 |
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326 | 326 | | I hereby certify that I have reviewed sections A, B, & C attached hereto and based on such 23 |
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327 | 327 | | assessments that the individual's decision-making ability is as follows: 24 |
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328 | 328 | | (1) PLEASE DESCRIBE AS FULLY AS YOU CAN THE INDIVIDUAL'S DECISION -25 |
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329 | 329 | | MAKING ABILITY IN EACH OF THE FOLLOWING AREAS: 26 |
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330 | 330 | | A. FINANCIAL MATTERS 27 |
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331 | 331 | | ________________________________________________________________________ 28 |
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332 | 332 | | ________________________________________________________________________ 29 |
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333 | 333 | | ________________________________________________________________________ 30 |
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334 | 334 | | ________________________________________________________________________ 31 |
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335 | 335 | | ________________________________________________________________________ 32 |
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336 | 336 | | B. HEALTH CARE MATTERS 33 |
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337 | 337 | | ________________________________________________________________________ 34 |
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338 | 338 | | |
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339 | 339 | | |
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340 | 340 | | LC002216 - Page 10 of 14 |
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341 | 341 | | ________________________________________________________________________ 1 |
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342 | 342 | | ________________________________________________________________________ 2 |
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343 | 343 | | ________________________________________________________________________ 3 |
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344 | 344 | | ________________________________________________________________________ 4 |
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345 | 345 | | C. RELATIONSHIPS 5 |
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346 | 346 | | ________________________________________________________________________ 6 |
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347 | 347 | | ________________________________________________________________________ 7 |
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348 | 348 | | ________________________________________________________________________ 8 |
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349 | 349 | | ________________________________________________________________________ 9 |
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350 | 350 | | ________________________________________________________________________ 10 |
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351 | 351 | | D. RESIDENTIAL MATTERS 11 |
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352 | 352 | | ________________________________________________________________________ 12 |
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353 | 353 | | ________________________________________________________________________ 13 |
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354 | 354 | | ________________________________________________________________________ 14 |
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355 | 355 | | ________________________________________________________________________ 15 |
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356 | 356 | | ________________________________________________________________________ 16 |
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357 | 357 | | (2) PLEASE INDICATE YOUR OPINION REGARDING WHETHER THE INDIVIDUAL 17 |
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358 | 358 | | NEEDS A SUBSTITUTE DECISION-MAKER IN ANY OF THE FOLLOWING AREAS: 18 |
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359 | 359 | | (Circle one for each category. If you circle "limited" for any category, please explain.) 19 |
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360 | 360 | | (1) FINANCIAL MATTERS Yes No Limited 20 |
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361 | 361 | | ________________________________________________________________________ 21 |
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362 | 362 | | ________________________________________________________________________ 22 |
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363 | 363 | | ________________________________________________________________________ 23 |
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364 | 364 | | ________________________________________________________________________ 24 |
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365 | 365 | | ________________________________________________________________________ 25 |
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366 | 366 | | (2) HEALTH CARE MATTERS Yes No Limited 26 |
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367 | 367 | | ________________________________________________________________________ 27 |
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368 | 368 | | ________________________________________________________________________ 28 |
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369 | 369 | | ________________________________________________________________________ 29 |
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370 | 370 | | ________________________________________________________________________ 30 |
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371 | 371 | | ________________________________________________________________________ 31 |
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372 | 372 | | (3) RELATIONSHIPS Yes No Limited 32 |
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373 | 373 | | ________________________________________________________________________ 33 |
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374 | 374 | | ________________________________________________________________________ 34 |
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375 | 375 | | |
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376 | 376 | | |
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377 | 377 | | LC002216 - Page 11 of 14 |
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378 | 378 | | ________________________________________________________________________ 1 |
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379 | 379 | | ________________________________________________________________________ 2 |
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380 | 380 | | ________________________________________________________________________ 3 |
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381 | 381 | | (4) RESIDENTIAL MATTERS Yes No Limited 4 |
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382 | 382 | | ________________________________________________________________________ 5 |
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383 | 383 | | ________________________________________________________________________ 6 |
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384 | 384 | | ________________________________________________________________________ 7 |
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385 | 385 | | ________________________________________________________________________ 8 |
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386 | 386 | | ________________________________________________________________________ 9 |
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387 | 387 | | (5) OTHER: If there are any other areas in which you think the individual lacks decision-making 10 |
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388 | 388 | | ability or has limited decision-making ability, please explain. 11 |
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389 | 389 | | ________________________________________________________________________ 12 |
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390 | 390 | | ________________________________________________________________________ 13 |
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391 | 391 | | ________________________________________________________________________ 14 |
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392 | 392 | | ________________________________________________________________________ 15 |
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393 | 393 | | ________________________________________________________________________ 16 |
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394 | 394 | | __________________________________ 17 |
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395 | 395 | | Signature 18 |
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396 | 396 | | _______________________________ 19 |
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397 | 397 | | Name (Print or Type) 20 |
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398 | 398 | | ______________________________ 21 |
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399 | 399 | | Title22 |
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400 | 400 | | ______________________________ 23 |
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401 | 401 | | Date24 |
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402 | 402 | | ______________________________ 25 |
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403 | 403 | | Names and titles of others who assisted in Preparation of This Assessment. 26 |
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404 | 404 | | ________________________________________________________________________ 27 |
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405 | 405 | | ________________________________________________________________________ 28 |
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406 | 406 | | ________________________________________________________________________ 29 |
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407 | 407 | | ________________________________________________________________________ 30 |
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408 | 408 | | ________________________________________________________________________ 31 |
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409 | 409 | | STATE OF RHODE ISLAND PROBATE COURT OF THE 32 |
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410 | 410 | | COUNTY OF ___________________ 33 |
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411 | 411 | | Estate of ________________________ Docket No. ________________ 34 |
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412 | 412 | | |
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413 | 413 | | |
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414 | 414 | | LC002216 - Page 12 of 14 |
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415 | 415 | | ANNUAL STATUS REPORT 1 |
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416 | 416 | | (1) The residence of the ward is ________________________________________________ 2 |
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417 | 417 | | (2) The medical condition of the ward is: 3 |
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418 | 418 | | ________________________________________________________________________ 4 |
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419 | 419 | | ________________________________________________________________________ 5 |
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420 | 420 | | ________________________________________________________________________ 6 |
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421 | 421 | | (3) I perceive the following changes in the decision making capacity of the ward: 7 |
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422 | 422 | | ________________________________________________________________________ 8 |
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423 | 423 | | ________________________________________________________________________ 9 |
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424 | 424 | | ________________________________________________________________________ 10 |
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425 | 425 | | (4) The following is a summary of the actions I have taken and decisions I have made on behalf of 11 |
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426 | 426 | | the ward during the last year: 12 |
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427 | 427 | | ________________________________________________________________________ 13 |
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428 | 428 | | ________________________________________________________________________ 14 |
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429 | 429 | | ________________________________________________________________________ 15 |
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430 | 430 | | (If more space is needed, please attach a supplement). 16 |
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431 | 431 | | __________________________ 17 |
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432 | 432 | | Guardian 18 |
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433 | 433 | | __________________________ 19 |
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434 | 434 | | Date 20 |
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435 | 435 | | STATE OF RHODE ISLAND PROBATE COURT OF 21 |
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436 | 436 | | COUNTY OF _____________ THE _______________ 22 |
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437 | 437 | | (Estate Name) 23 |
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438 | 438 | | Probate Court No. ______ 24 |
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439 | 439 | | REPORT OF THE GUARDIAN AD LITEM 25 |
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440 | 440 | | Now comes (Name of Guardian Ad Litem) for (Name of Proposed Ward) and reports that 26 |
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441 | 441 | | on (Date), I personally visited the proposed ward at (Address). I explained to (Name of Proposed 27 |
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442 | 442 | | Ward) the following: 28 |
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443 | 443 | | * The nature, purpose, and legal effect of the appointment of a guardian; 29 |
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444 | 444 | | * The hearing procedure, including, but not limited to, the right to contest the petition, to 30 |
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445 | 445 | | request limits on the guardian's powers, to object to a particular person being appointed guardian, 31 |
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446 | 446 | | to be present at the hearing, and to be represented by legal counsel; 32 |
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447 | 447 | | * The name of the person known to be seeking appointment as guardian: 33 |
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448 | 448 | | Based on such visit and the respondent's reaction thereto, I make the following 34 |
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449 | 449 | | |
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450 | 450 | | |
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451 | 451 | | LC002216 - Page 13 of 14 |
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452 | 452 | | determination regarding the respondent's desire to be present at the hearing, to contest the 1 |
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453 | 453 | | petition, to have limits placed on the guardian's powers and respondent's objection, if any, to a 2 |
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454 | 454 | | particular person being appointed as guardian. 3 |
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455 | 455 | | __________________________________________________________________ 4 |
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456 | 456 | | __________________________________________________________________ 5 |
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457 | 457 | | __________________________________________________________________ 6 |
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458 | 458 | | __________________________________________________________________ 7 |
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459 | 459 | | Based on my review of the petition, the decision making assessment tool, my interview 8 |
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460 | 460 | | with the prospective guardian, my visit with the respondent, and interviews and discussions with 9 |
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461 | 461 | | other parties, I made the following additional determinations: 10 |
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462 | 462 | | Regarding whether the respondent is in need of a guardian of the type prayed for in the 11 |
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463 | 463 | | petition: 12 |
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464 | 464 | | __________________________________________________________________ 13 |
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465 | 465 | | __________________________________________________________________ 14 |
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466 | 466 | | __________________________________________________________________ 15 |
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467 | 467 | | __________________________________________________________________ 16 |
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468 | 468 | | Regarding whether the guardian ad litem has, in the course of fulfilling his or her duties, 17 |
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469 | 469 | | discovered information concerning the suitability of the individual or entity to serve as such 18 |
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470 | 470 | | guardian: 19 |
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471 | 471 | | __________________________________________________________________ 20 |
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472 | 472 | | __________________________________________________________________ 21 |
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473 | 473 | | __________________________________________________________________ 22 |
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474 | 474 | | __________________________________________________________________ 23 |
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475 | 475 | | Respectfully submitted, 24 |
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476 | 476 | | Date: ________________________ _______________________ 25 |
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477 | 477 | | (Name of Guardian Ad Litem) 26 |
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478 | 478 | | SECTION 2. This act shall take effect upon passage. 27 |
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479 | 479 | | ======== |
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480 | 480 | | LC002216 |
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481 | 481 | | ======== |
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482 | 482 | | |
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483 | 483 | | |
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484 | 484 | | LC002216 - Page 14 of 14 |
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485 | 485 | | EXPLANATION |
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486 | 486 | | BY THE LEGISLATIVE COUNCIL |
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487 | 487 | | OF |
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488 | 488 | | A N A C T |
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489 | 489 | | RELATING TO PROBATE PRACTICE AND PROCEDU RE -- LIMITED GUARDIANSHIP |
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490 | 490 | | AND GUARDIANSHIP OF ADULTS |
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491 | 491 | | *** |
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492 | 492 | | This act would provide that supported decision-making pursuant to chapter 66.13 of title 1 |
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493 | 493 | | 42 be added to the Limited Guardianship and Guardianship of Adults forms section as one of the 2 |
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494 | 494 | | less restrictive alternatives to guardianship that have been explored. 3 |
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495 | 495 | | This act would take effect upon passage. 4 |
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496 | 496 | | ======== |
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497 | 497 | | LC002216 |
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498 | 498 | | ======== |
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