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Order Approving Personal Care Plan 33C - Washington
| Order Approving Personal Care Plan Form. This is a Washington form and can be used in Guardianship Superior Court Spokane Local County . |
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Superior Court of Washington County of ____________________________________ In the Guardianship of: No. ______________________________ Order Approving Personal Care Plan (ORAPRT) Initial Periodic Clerk's Action Required Guardianship Summary Due Dates Date Guardian Appointed: Date Letters of Guardianship Expire: Due Date for Periodic Personal Care Plan (GP): Guardian/Incapacitated Person Certified Professional Guardian Non-Professional Guardian ( Training Required) Full Limited Estate Full Limited Person Relationship to Incapacitated Person _________________________________ Incapacitated Person (include facility contact) Full Name Mailing Address City, State, Zip *Telephone ORDER APPROVING PERSONAL CARE PLAN (ORAPRT) SPO GDN 02.0330 Page 1 of 3 (03/2012) American LegalNet, Inc. www.FormsWorkFlow.com ______________________________, Incapacitated Person _________________________ _________________________ _________________________ Guardian Number Facsimile Email Other Interested Parties Interested Party Full Name Mailing Address City, State, Zip *Telephone Number Facsimile Email Relation to Incapacitated Person Based upon the petition of the Guardian of the Person and the documents filed with the petition, the court makes the following: I. FINDINGS OF FACT The Personal Care Plan includes all of the facts necessary to give the court jurisdiction over this matter. No notice is required for the hearing on the report. Based upon the foregoing Findings of Facts, the Court now, therefore makes the following: II. CONCLUSIONS OF LAW The Initial Personal Care Plan Periodic Personal Care Plan should be approved. III. ORDER The Initial Personal Care Plan Periodic Personal Care Plan is approved. Interested Party The Clerk of the Court shall reissue letters of guardianship expiring on __________________. All prior letters of guardianship have expired. The guardian shall cooperate with the Superior Court Guardianship Monitoring Program by providing to the program's designee access to the incapacitated person for in-home visits and ORDER APPROVING PERSONAL CARE PLAN (ORAPRT) SPO GDN 02.0330 Page 2 of 3 (03/2012) American LegalNet, Inc. www.FormsWorkFlow.com access to any information, available to the guardian, including medical records, relating to the incapacitated person. The Court finds several previous Non Compliance Notices and/or Orders to Show Cause have been issued. In the event the next report is not filed timely and a Non Compliance and/or Order to Show Cause is issued a sanction of $____________ will be imposed. Dated ________________________. _____________________________________ Judge/Court Commissioner Presented by: ________________________________ Signature of Guardian/Attorney ______________________________ ____________ Print Name of Guardian/Attorney WSBA CPG# Address City, State, Zip Code *Telephone/Fax Number Email Address *If you do not want your personal phone number on this public form, you may list your telephone number on a separate form which may be available to parties and the court, as well as its staff and volunteers, but will not be made available to the public. Use Form WPF GDN 03.0100, Guardianship Confidential Information form (Telephone Numbers), for this purpose. ORDER APPROVING PERSONAL CARE PLAN (ORAPRT) SPO GDN 02.0330 Page 3 of 3 (03/2012) American LegalNet, Inc. www.FormsWorkFlow.com
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