Wisconsin > Statewide > Circuit Court > Guardianship
Letters Of Guardianship Of The Person (Due To Incompetency) GN-3200 - Wisconsin
| Letters Of Guardianship Of The Person (Due To Incompetency) Form. This is a Wisconsin form and can be used in Guardianship Circuit Court Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
FORM SUMMARY Name of Form: Form Number: Statutory Reference: Letters of Guardianship of the Person (Due to Incompetency) GN-3200 §§54.18, 54.25, 54.46(5), 54.52 and Chapter 54, Wisconsin Statutes GA-1, GA-2 Authorization to serve as guardian of the person. Petitioner or attorney. Original to court. Benchbook Reference: Purpose of Form: Who Completes It: Distribution of Form: Accompanying Forms: New Form/Modification: Modifications: Comments: New Form Developed to comply with 2005 Wis. Act 264, 387 and 388. There are separate forms for Letters for Guardianship of the Person (GN-3200) and Estate (GN-3210) and Temporary Guardianship of the Person (GN-3260) and Estate (GN-3265) and Guardianship of a Person of a Minor (GN-3340) and Estate of a Minor (GN-3345). PLEASE BE INFORMED: This form is based on unofficial text from Revisor of Statutes. This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. About this form: Date: 10/05/2006 Page 1 American LegalNet, Inc. www.FormsWorkflow.com For Official Use STATE OF WISCONSIN, CIRCUIT COURT, Amended COUNTY IN THE MATTER OF Letters of Guardianship of the Person (Due to Incompetency) Case No. Date of Birth To: Address: You have been appointed: co-guardian of the person. guardian This is an appointment as a successor guardian. You have been appointed stand-by guardian and your authority to act commences on: (date) . and continues through (date) You are issued Letters of Guardianship of the Person with the following powers or limitations: Co-Guardians must concur with each other when making decisions on behalf of the ward unless otherwise . as follows: ordered by the court The individual retains the right to exercise the following right(s) only with consent of the guardian of person: consent to marriage. apply for an operator's license, a hunting, fishing or other license issued under ch. 29, or a credential as defined in §440.01(2), Wisconsin Statutes. consent to sterilization. consent to organ, tissue, or bone marrow donation. See attached. The guardian of the person is authorized to exercise the following specific powers: consent to medical examination and treatment, and consent to voluntary medication, including psychotropic medication that is in the individual's best interests, if the guardian has first made a goodfaith attempt to discuss with the individual the individual's voluntary receipt of the psychotropic medication and the individual does not protest. limited full Guardian of person's authority: authorize individual's participation in an accredited or certified research project if the research project might help the individual, or others if minimal risk of harm. limited full Guardian of person's authority: authorize individual's participation in research that might not help the individual but might help others if greater than minimal risk of harm to the individual but evidence indicates individual would have elected to participate. limited full Guardian of person's authority: consent to experimental treatment in the individual's best interests. limited full Guardian of person's authority: consent to receipt by individual of social and supported living services limited full Guardian of person's authority: GN-3200, 10/06 Letters of Guardianship of the Person (Due to Incompetency) §§54.18, 54.25, 54.46(5), 54.52 and Chapter 54, Wisconsin Statutes Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material. GN-3200 Letters of Guardianship of the Person (Due to Incompetency) Page 2 of 2 Case No. consent to release of confidential records other than court, treatment, and patient health care records and redisclosure as appropriate. limited full Guardian of person's authority: power to make decisions related to mobility and travel. full Guardian of person's authority: limited power to choose providers of medical, social, and supported living services. limited full Guardian of person's authority: power to make decisions regarding educational and vocational placement and support services or employment. limited full Guardian of person's authority: power to make decisions regarding initiating a petition for termination of marriage. limited full Guardian of person's authority: power to receive all notices on behalf of individual. full Guardian of person's authority: limited power to act in all proceedings as an advocate of the individual, except the power to enter into a contract that binds the individual or the individual's property or to represent the individual in any legal proceedings pertaining to the property, unless the guardian of the person is also the guardian of the estate. limited full Guardian of person's authority: power to apply for protective placement or for commitment. limited full Guardian of person's authority: power to have custody of the individual, if an adult, and the power to have care, custody, and control of the individual, if a minor. limited full Guardian of person's authority: other specific power(s): The guardianship of the person terminates when the individual dies, when otherwise terminated by the court or when otherwise provided by law. These Letters of Guardianship of the Person supercede any previously issued Letters of Guardianship of the Person. BY THE COURT: Seal Circuit Court Judge/Court Commissioner Name Printed or Typed Date Name of Attorney Address Telephone Number Bar Number GN-3200, 10/06 Letters of Guardianship of the Person (Due to Incompetency) §§54.18, 54.25, 54.46(5), 54.52 and Chapter 54, Wisconsin Statutes Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material.
|
|||||||
