Kentucky > Statewide > Hospitalization-Disability
Hospitalization Or Disability Summons 706 - Kentucky
| Hospitalization Or Disability Summons Form. This is a Kentucky form and can be used in Hospitalization-Disability Statewide . |
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AOC-706 Summons Type: HD Case No. Rev. 4-01 Page 1 of 1 Court District Commonwealth of Kentucky County Court of Justice H OSPITALIZATION/DISABILITY KRS 202A, 202B and 387 SUMMONS IN THE INTEREST OF: Name: Address: The Commonwealth of Kentucky to the above-named Respondent : You are hereby notified a legal action has been filed in which you are the respondent. A copy of the petition isattached. You are further notified by the appropriate block(s) checked below to: [ ] appear on ________________, 2________, ________ [ ] a.m. [ ] p.m., at (location) ____________________________________________________________________________________ to be examined by professionals qualified to assess your mental or physical well-being; [ ] appear on ________________, 2________, ________ [ ] a.m. [ ] p.m., at (location) ____________________________________________________________________________________ to be examined by professionals qualified to assess your mental or physical well-being. At your request a Professional retained by you shall be permitted to witness and participate in your examination. [ ] appear on ________________, 2________, ________ [ ] a.m. [ ] p.m., at (location) ____________________________________________________________________________________ for a hearing in this matter. Date: _____________________, 2_____ _______________________________________Clerk By: ____________________________________ D.C. PROOF OF SERVICE Executed by delivering a copy of the summons and petition to the above-named Respondent. Date: __________________, 2______ ______________________________________ Signature _____________________________________ Title Page 1 of 1
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