
Order Approving Personal Care Plan {33C}
This is a Washington form that can be used for Guardianship within Local County, Spokane, Superior Court.
Last updated: 12/1/2016
Description
SUPERIOR COURT OF WASHINGTON COUNTY OF SPOKANE In the Guardianship of: No. ______________________________ Order Approving Personal Care Plan (ORAPRT) Initial Periodic Clerk's Action Required ______________________________, Incapacitated Person Guardianship Summary Due Dates Date Guardian Appointed: Date Letters of Guardianship Expire: Due Date for Periodic Personal Care Plan (GP): Guardian/Incapacitated Person _________________________ _________________________ _________________________ Certified Professional Guardian Non-Professional Guardian ( Training Required) Full Limited Estate Full Limited Person Relationship to Incapacitated Person _________________________________ Incapacitated Person (include facility contact) Full Name Mailing Address City, State, Zip ORDER APPROVING PERSONAL CARE PLAN (ORAPRT) SPO GDN 02.0330 Page 1 of 4 (12/2015) American LegalNet, Inc. www.FormsWorkFlow.com Guardian Individual LLC Incorporated *Telephone Number Facsimile Email Other Interested Parties Interested Party Full Name Mailing Address City, State, Zip *Telephone Number Facsimile Email Relation to Incapacitated Person Based upon the petition of the Guardian of the Person and the documents filed with the petition, the court makes the following: I. FINDINGS OF FACT The Personal Care Plan includes all of the facts necessary to give the court jurisdiction over this matter. No notice is required for the hearing on the report. Based upon the foregoing Findings of Facts, the Court now, therefore makes the following: II. CONCLUSIONS OF LAW The Initial Personal Care Plan Periodic Personal Care Plan should be approved. III. ORDER The Initial Personal Care Plan Periodic Personal Care Plan is approved. Interested Party The Clerk of the Court shall reissue letters of guardianship of the person only to __________________ (name of guardian) expiring on __________________. All prior letters of guardianship have expired. ORDER APPROVING PERSONAL CARE PLAN (ORAPRT) SPO GDN 02.0330 Page 2 of 4 (12/2015) American LegalNet, Inc. www.FormsWorkFlow.com The guardian shall cooperate with the Superior Court Guardianship Monitoring Program by providing to the program's designee access to the incapacitated person for in-home visits and access to any information, available to the guardian, including medical records, relating to the incapacitated person. The Court finds several previous Non Compliance Notices and/or Orders to Show Cause have been issued. In the event the next report is not filed timely and a Non Compliance and/or Order to Show Cause is issued a sanction of $____________ will be imposed. The Guardian's fees of $_______________, attorney fees of $______________ and administrative costs (DSHS cases only) of $_____________ payable during the period covered in this report are hereby approved. Guardian Total Fees Requested: $ Amount approved for advance: $ Additional fees Requested: $ Balance due (if approved): $ Administrative Costs ` $ (Medicaid cases only; hearing & notice to be given per WAC 388.79) Notice given to DSHS: Yes, (fees are over allowed amount) $ No, (fees do not exceed allowed amount) Attorney (court approval required) Accountant $ $ The advance of Guardian's fees for the upcoming reporting period, in the amount up to $ ______________ per month, appear to be reasonable and necessary but are subject to court approval at the next hearing. Above fees are approved for payment from the guardianship estate assets (after basic needs and personal allowance) OR as a monthly deduction from the incapacitated person's participation in the DSHS cost of care per WAC 388.79. The monthly deduction from the participation in cost of care is authorized for the next reporting period and 120 days thereafter. Dated ________________________. _____________________________________ Judge/Court Commissioner ORDER APPROVING PERSONAL CARE PLAN (ORAPRT) SPO GDN 02.0330 Page 3 of 4 (12/2015) American LegalNet, Inc. www.FormsWorkFlow.com Presented by: ________________________________ Signature of Guardian/Attorney ________________________________ Address ________________________________ *Telephone/Fax Number ______________________________ ____________ Print Name of Guardian/Attorney WSBA CPG# ___________________________________________ City, State, Zip Code ___________________________________________ Email Address *If you do not want your personal phone number on this public form, you may list your telephone number on a separate form which may be available to parties and the court, as well as its staff and volunteers, but will not be made available to the public. Use Form WPF GDN 03.0100, Guardianship Confidential Information form (Telephone Numbers), for this purpose. ORDER APPROVING PERSONAL CARE PLAN (ORAPRT) SPO GDN 02.0330 Page 4 of 4 (12/2015) American LegalNet, Inc. www.FormsWorkFlow.com
Related forms
-
Accounting Summary Form 1 - General Purpose For Non-Professional Guardians (Estates In Excess Of $80,000)
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Accounting Summary Form 2 - Short Form (Estates Less Than $80,000)
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Creditors Receipt
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Declaration Of Mailing
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Declaration Of Proposed Guardian Certified
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Designation Of Standby Guardian
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Findings And Order Appointing Attorney For Alleged Incapacitated Person
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Medical Psychological Report
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Notice Of Change In Circumstances
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Notice Of Change Of Address
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Oath Of Guardian
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Approving Guardians Report Accounting And Budget
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Authorizing Sale Of Real Property Subject To Court Confirmation
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Confirming Sale Of Real Property
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Directing Sale Of Real Property
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order For Continuing Hearing
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order For Sale Of Personal Property
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order For Withdrawal From Blocked Account
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order On Petition For Extending Time
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order On Petition For Instructions
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition And Declaration For Withdrawal From Blocked Financial Account
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition For Instructions
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition For Order Authorizing Sale Of Real Property
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition For Order Continuing Hearing
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition For Order Directing Sale Of Real Property
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition For Order Extending Time
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition For Sale Of Personal Property
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Receipt For Payment Of Attorney Fees
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Return On Sale Of Real Property
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Appointing Guardian Ad Litem And Notice Of Hearing
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Appointing Successor Guardian Of Person And Or Estate
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Approving Personal Care Plan
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Notice Of Guardians Intent To Resign And Petition To Appoint Successor Guardian
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Accounting Summary Form 3 - For Professional Guardians (Estates Over $80,000)
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Declaration Of Service
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Appointing Independent Trust Counsel
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Trustee Accounting And Proposed Budget
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Designation Of And Consent By In-State (Resident) Agent
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Notice Of Hearing And Declaration Of Mailing
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Notice Of Guardianship Petition
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition For Guardianship Of Person And-Or Estate
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Guardian Ad Litem Report
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition To Waive Or Extend Time For Guardian Training
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order To Waive Or Extend Time For Guardian Training
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Notice Concerning Fiduciary Relationship
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Annual Statement Of Cash Receipts
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Notice Of Sale Of Real Estate
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Changing Venue
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition For WA To Accept A Guardianship Or Conservatorship From A Transferring State
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Notice Of Hearing On Petition For Transfer Of Guardianship-Conservatorship
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Provisional Order Granting-Denying Transfer To WA
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Final Order Accepting Transfer To Washington
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Motion For Final Order Accepting Transfer To Washington
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Establishing Trust
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Statement Of Need And Projected Disbursements
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Setting Hearing On Petition To Settle Final Trust Account
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Mandatory Guardian Training Waiver
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Petition To Transfer Guardianship From WA To Receiving State
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Provisional Order Grant-Denying Petition To Transfer
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Final Order Confirming Transfer Terminating Washington Guardianship
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Complaint Against Guardian
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Motion Declaration To Modify A Guardians Authority
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Motion Declaration To Terminate Guardianship
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order On A Guardianship Complaint Or Motion
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order On Guardianship Complaint Or Motion
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order To Show Cause On Guardianship Complaint Or Motion
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Approving Budget Disbursements And Initial Personal Care Plan
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Declaration Of Proposed Guardian Non Certified
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Guardians Report Accounting And Proposed Budget
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Order Setting Hearing On Petition To Settle Final Account
Washington/Local County/Spokane/Superior Court/Guardianship/ -
Request For Special Notice Of Proceedings
Washington/Local County/Spokane/Superior Court/Guardianship/
Form Preview
Contact Us
Success: Your message was sent.
Thank you!