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Application For Appointment Of Emergency Guardian 17.03 - Ohio
| Application For Appointment Of Emergency Guardian Form. This is a Ohio form and can be used in Emergency Guardianship Probate Montgomery County (Court Of Common Pleas) . |
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PROBATE COURT OF MONTGOMERY COUNTY, OHIO ALICE O. McCOLLUM, JUDGE GUARDIANSHIP OF ______________________________________, INCOMPETENT CASE NO. ________________________________ APPLICATION FOR APPOINTMENT OF EMERGENCY GUARDIAN [R.C. 2111.02 (B)(3)] Applicant moves this Court for Appointment of an Emergency Guardian for ________________ ______________________________________________, an alleged incompetent. Applicant states: that an emergency exists because the alleged incompetent suffers from the following medical problem(s) (Specify) ___________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ that immediate action is required to prevent significant injury or harm to the alleged incompetent by reason of _______________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ that the alleged incompetent is unable to make informed decisions regarding medical care or treatment. Therefore, applicant prays for an order of the Court appointing __________________________ _______ as emergency guardian of the person (and estate) of the alleged incompetent. _________________________________ Attorney for applicant _______________________________________ Address _______________________________________ City State Zip _______________________________________ Phone number (include area code) _______________________________________ Supreme Court Registration Number _______________________________ Applicant _____________________________________ Address _____________________________________ City State Zip _____________________________________ Phone number (include area code) M.C. 17.03 - APPLICATION FOR APPOINTMENT OF EMERGENCY GUARDIAN 1/2006 American LegalNet, Inc. www.USCourtForms.com
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