Application For Approval Of Mental Health Evaluation | Pdf Fpdf Doc Docx | North Carolina
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Application For Approval Of Mental Health Evaluation | Pdf Fpdf Doc Docx | North Carolina

Application For Approval Of Mental Health Evaluation

This is a North Carolina form that can be used for USBC Eastern within Federal.

Alternate TextLast updated: 8/2/2006

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UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF NORTH CAROLINA DIVIS ION IN RE: CASE NO. DEBTOR APPLICA TION FOR APPROVAL OF ME NTAL HEALT H EVAL UATION Comes now the debtor, and requests the Court to approve a pro bono or low cost mental health evaluation, and states as follows: 1. The debtors mental health is a genuine issue of material fact to these bankruptcy proceedings in that . . . . (state relevance, examples: the debtor claims that debtors mental health is relevant to the debtors failure to attend meeting of creditors or hearings; the debtor claims that debtors mental health is relevant to allegations related to challenges to the debtors general discharge (Section 727) or arguments for an exception to discharge based upon fraud allegations (Section 523(a)(2)); the debtor seeks to discharge student loans based upon mental illness under Section 523(a)(8) or 42 U.S.C. 294g; the debtor seeks to avoid a default judgment based upon excusable neglect; or the debtor seeks to exempt personal injury award related to mental health); 2. Based upon information and belief, the debtors mental health should be examined by a mental health professional to determine whether the debtor may have . . . (examples: manic depression, bipolar disorder, schizophrenia, paranoid personality disorder), or another recognized mental illness; 3. Based upon the bankruptcy schedules and the debtors available income and assets as follows, (set out monthly income and any liquid assets), the debtor is currently unable to pay for a mental health evaluation that is necessary and relevant to bankruptcy issues presented; 4. After making diligent efforts to obtain mental health services to assist the debtor, the debtor has been unable to obtain relevant services based upon available health insurance, public health programs, or other third party services. 5. A copy of this application has been transmitted to the Bankruptcy Administrator and (identify any other interested party). Wherefore, based upon the foregoing, the debtor respectfully requests that the Court approve a pro bono or low cost mental health evaluation in this case. American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2 UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF NORTH CAROLINA RALEIGH D IVISION IN RE: CASE NO. DEBTOR ORDER Based upon the Application for Approval of Mental Health Evaluation by the debtor and the representations contained therein, the Court approves the debtors request for a pro bono or low cost mental health evaluation for purposes of this action. SO ORDERED . DATED: _________________________ Bankruptcy Judge 2 American LegalNet, Inc. www.USCourtForms.com

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