Hospitalization Or Disability Summons {706}

AOC-706 Rev. 1-13 Page 1 of 1 Summons Type: HD Case No. __________________________ District Court ______________________________ Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS 202A, 202B & 387 Hospitalization/Disability summons County _____________________________ ) ) ) _______________________________________________ ) ) RESPONDENT ) _______________________________________________ ) ) ADDRESS IN THE INTEREST OF: The Commonwealth of Kentucky to the above-named Respondent: You are hereby notified that a legal action has been filed in which you are the respondent. A copy of the petition is attached. You are further notified by the appropriate block(s) checked below to: q appear on ___________________________________, 2_______, (Date) (Location) ________________ (Time) q a.m. q p.m. at _________________________________________________________________________________________________________ to be examined by professionals qualified to assess your mental or physical well-being. q appear on ___________________________________, 2_______, (Date) (Location) ________________ (Time) q a.m. q p.m. at _________________________________________________________________________________________________________ to be examined by professionals qualified to assess your mental or physical well-being. At your request a Professional retained by you shall be permitted to witness and participate in your examination. q appear on ___________________________________, 2_______, (Date) (Location) ________________ (Time) q a.m. q p.m. at _________________________________________________________________________________________________________ for a hearing in this matter. _________________________________, 2________ Date ________________________________________Clerk By: _____________________________________D.C. PROOF OF SERVICE Executed by delivering a copy of the summons and petition to the above named Respondent. __________________________________, 2________ Date ____________________________________________ Signature ____________________________________________ Title American LegalNet, Inc. www.FormsWorkFlow.com