Kentucky > Statewide > Civil
Abortion Petition 260 - Kentucky
| Abortion Petition Form. This is a Kentucky form and can be used in Civil Statewide . |
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AOC-260 Doc. Code: PAB Case No. Rev. 4-01 Page 1 of 2 Court Commonwealth of Kentucky Court of Justice County KRS 311.732 ABORTION PETITION IN RE: SELF-CONSENT FOR AN ABORTION BY A MINOR NOTICE TO PETITIONER: The Clerk will assist you in preparing and filing this Petition if necessary. Anonymity of the Petitioner is required by KRS 311.732. Comes the Petitioner, ________, a minor under the age of 18, (check one) (initials) by herself; by counsel; or by her next friend _____________________________________________________________, (Name) and in support of this Petition for an order of self-consent for an abortion by a minor states that the minor is pregnant and(check all that apply): The minor is mature and well-informed enough to make the abortion decision on her own; Performance of the abortion is in the minors best interest. WHEREFORE , Petitioner prays for the Court to set a hearing within 72 hours of the filing of this Petition, inclusiveof weekends and holidays; appoint a guardian ad litem; and appoint counsel; OR proceed without payment of fees because the minor has insufficient funds to pursue this procedure. Initials of Petitioner ____________ (address where ______________________________________________________________ Petitioner can be reached) ______________________________________________________________ ______________________________________________________________ (telephone number for Petitioner) ____________________ (2nd address where ______________________________________________________________ Petitioner can be reached ) ______________________________________________________________ ______________________________________________________________ (2nd telephone number for Petitioner) ___________________ Signature of Petitioners Next Friend: ____________________________________________________________ Signature of Petitioners Counsel: ____________________________________________________________ Date Petition Filed: __________________, 2______ Page 1 of 2 <<<<<<<<<********>>>>>>>>>>>>> 2AOC-260 Rev. 4-01 Page 2 of 2 Pursuant to special rules of the Kentucky Supreme Court, this Petition and all information relating thereto shall be confidential; shall not be a public record; and shall not be released to the public. To be completed by clerk: NOTICE TO PETITIONER: A hearing on this matter has been set for _________________, 2_____, at _______ a.m. / p.m. which is within 72 hours (inclusive of weekends and holidays) from the filing of the Petition. You must attend . It will occur at: ______________________________________________________________________________________________ ______________________________________________________________________________________________ ______________________________________________________ has been appointed as your guardian ad litem. ______________________________________________________ has been appointed as your counsel (if requested).Should this Court fail to render a decision within 72 hours (inclusive of weekends and holidays) from the filing of this Petition, you may take an immediate appeal to the Kentucky Court of Appeals. Should this Court fail to render a decision immediately following the hearing, you are responsible for contacting the clerk of the trial court fornotification of the Judges decision. The 72-hour time period may be extended by you. Distribution: Petitioner Guardian ad litem Counsel Page 2 of 2
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