Application For Appointment Of Emergency Guardian {17.03}

COURT OUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ........ .. : Index No. Calendar No. PROBATE COURT OF: HAMILTON COUNTY, OHIO RALPH WINKLER, JUDGE : Plaintiff(s) JUDICIAL SUBPOENA GUARDIANSHIP OF CASE NO. -against- : : : , INCOMPETENT APPLICATION FOR Defendant(s) : ..................................................... APPOINTMENT OF EMERGENCY GUARDIAN [R.C. 2111.02 (B)(3)] HE PEOPLE OF THE STATE OF NEW YORK for Appointment of an Emergency Guardian for Applicant moves this Court O , an alleged incompetent. Applicant states: that an emergency exists because the alleged incompetent suffers from the following medical problem(s) (Specify) , REETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , e Honorable at the Court that immediate at located action is required to prevent significant injury or harm to the alleged ounty of incompetent by reason of room , on the day of , 20 , at o'clock in the noon, and at any recessed , r adjourned date, to testify and give evidence as a witness in this action on the part of the that the alleged incompetent is unable to make informed decisions regarding medical Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to care or treatment. e party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a sult of your failure to comply. Therefore applicant prays for an order of the Court appointing Witness, Honorable ourt in County, as emergency guardian of the person (and estate) of the alleged incompetent. , one of the Justices of the day of , 20 Attorney for applicant Address City State (Attorney must sign above and type name below) Applicant Attorney(s)Address for Zip City State Zip Office and P.O. Address Phone number (include area code) Supreme Court Registration Number Phone number (include area code) Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. H.C. FORM 17.03 - APPLICATION FOR APPOINTMENT OF EMERGENCY GUARDIAN www.USCourtForms.com 02/10/03