Outpatient Commitment Order Of Assignment Or Denial Of Counsel {SP-904A}

File No. STATE OF NORTH CAROLINA In The General Court Of Justice County District Court Division IN THE MATTER OF: Name And Address Of Respondent OUTPATIENT COMMITMENT ORDER OF ASSIGNMENT OR DENIAL OF COUNSEL G.S. 122C-267(d) FINDINGS From the petition heard in this matter, it appears to the Court that the respondent named above is party to a proceeding listed in G.S. 122C-267. And from the affirmation of the applicant, his/her guardian or family member, and from inquiry made by the Court, which is documented in the record, it is determined that the respondent is not represented by counsel and: is not financially able to provide the necessary expenses of legal counsel. is financially able to provide the necessary expenses of legal counsel. Further, the Court determines that: legal or factual issues to be raised in this matter are of such complexity that the assistance of counsel is necessary for adequate presentation of the merits. respondent is unable to speak for himself/herself and needs counsel appointed to represent him/her. respondent is not required to be represented by counsel under G.S. 122C-267(d). ORDER It is ORDERED that: the respondent is entitled to the services of court appointed counsel, and that he/she shall be represented by the attorney named below. the public defender in this judicial district. the hearing in this matter is continued until the date, time and location set out below. (Hearing must be held within 5 days of this Order.) the respondent is not entitled to the services of court appointed counsel and this petition is denied. Date Of Hearing Time Location Of Hearing AM PM Name And Address Of Attorney (if applicable) Date Signature Telephone No. Judge Assistant CSC Clerk Of Superior Court AOC-SP-904M, Rev. 7/95 1997 Administrative Office of the Courts