Petition Regarding A Missing Disappeared Or Detained

SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION INT IDD In re: ________________________________ An Adult PETITION REGARDING A MISSING, DISAPPEARED, OR DETAINED PERSON [ [ [ ] Appointment of Conservator ] Appointment of Special Conservator ] Entry of a Protective Order 1. Petitioner a. Name: ___________________________________________________________________ b. Address: ___________________________________________________________________ ___________________________________________________________________ c. Relationship to subject: ___________________________________________________________________ d. Telephone number: ___________________________________________________________________ 2. Subject a. Name: ___________________________________________________________________ b. Age: ___________________________________________________________________ c. Address of domicile: ___________________________________________________________________ ___________________________________________________________________ Last known address (i.e., address at which the subject lived before disappearance or detention) ___________________________________________________________________ ___________________________________________________________________ 3. Guardian (if any): a. Name: ___________________________________________________________________ b. Address: ___________________________________________________________________ d. March 2012 ­ 935.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com c. Telephone: ___________________________________________________________________ 4. The Court has jurisdiction because a. D.C. Code, sec. 21-2402.03 [] The District of Columbia is the subject's home state as defined in D.C. Code, sec. 21-2402.01(a)(2). [] The District of Columbia is a significant connection state as defined in D.C. Code, sec. 21-2402.01(a)(3) and one of the following applies: 1. [ ] The subject does not have a home state. 2. [ ] The home state court has declined to exercise jurisdiction because the District of Columbia is the more appropriate forum. 3. [ ] No petition or order is pending before the home state or a significant connection state. [ ] The District of Columbia is not the home state or a significant connection state, but the home state and all significant connection states decline to exercise jurisdiction and jurisdiction in the District of Columbia is more appropriate and consistent with Title 11 and the Constitution. [] Special jurisdiction exists in accordance with D.C. Code, sec. 21-2402.04 for the following: [] Issuance of a protective order as to real or tangible personal property located in the District of Columbia [] Appointment of a guardian or conservator for whom a provisional order to transfer a proceeding from another state has been issued. b. Other basis for jurisdiction: _____________________________________________ _________________________________________________________________________ _________________________________________________________________________ 5. Describe generally the subject's property with an estimate of the value of that property, including any compensation, insurance, pension, or allowance to which the subject is entitled: ___________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ If the appointment of a conservator is sought, state the name and address of the person whose appointment is sought and the basis of any claim to priority for appointment, as set forth in D.C. Code, sec. 21-2057: _______________________ ___________________________________________________________________ ___________________________________________________________________ 7. Persons to whom notice of the proceeding must be given, including name, address, and telephone number: a. Subject ­ by publication. See attached order. b. Spouse. (If none, adult children. If none, parents. If none, at least one of the nearest adult relatives of the subject.): Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ Phone: __________________________________________________ March 2012 ­ 935.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com 6. __________________________________________________ __________________________________________________ __________________________________________________ Phone: __________________________________________________ c. Counsel to the subject: Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ Phone: __________________________________________________ d. Attorney in fact nominated in durable power of attorney as guardian and/or conservator and any previously appointed guardian and/or conservator and the custodian of the subject: Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ Phone: __________________________________________________ e. All persons entitled to notice if this petition had been filed in the subject's home state: Name: __________________________________________________ Address: __________________________________________________ __________________________________________________ Phone: __________________________________________________ 8. If appointment of a guardian ad litem is requested, state the reasons for the request: ___________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ The subject of the proceeding: [ ] has disappeared [ ] is being detained by a foreign power [ ] is being detained by someone other than a foreign power and [ [ ] ] the subject has property that will be wasted or dissipated unless property management is provided, and/or money is needed for those entitled to the subject's support, and protection is necessary or desirable to obtain and provide money. The names and addresses of those persons are