VF 4000. Conservatorship Verdict Form

VF-4000. Conservatorship--Verdict Form Instruction No 1 Request by Plaintiff Given as Proposed Refused Withdrawn Request by Defendant Given as Modified Requested by Given on Court's Motion Judge Instruction No 1 Select one of the following two options: ____ 12 jurors find that [name of respondent] is presently gravely disabled due to [a mental disorder/impairment by chronic alcoholism]. ____ 9 or more jurors find that [name of respondent] is not presently gravely disabled due to [a mental disorder/impairment by chronic alcoholism]. [If you have concluded that [name of respondent] is gravely disabled due to [a mental disorder/impairment by chronic alcoholism] then answer the following: Do all 12 jurors find that [name of respondent] is disqualified from voting because [he/she] cannot communicate, with or without reasonable accommodations, a desire to participate in the voting process? ____ Yes Signed: Presiding Juror ____ No] Dated: After [this verdict form has/all verdict forms have] been signed, notify the [clerk/bailiff/court attendant] that you are ready to present your verdict in the courtroom. ________________________________________________________________________________ New June 2005; Revised December 2010, May 2017