Fill and Sign the All Probate Forms Montgomery County Alabama

IN RE: COMMITMENT OF * IN THE PROBATE COURT OF * * ______________________________* ____________ COUNTY, ALABAMA * PETITION FOR COMMITMENT TO:______________________________________________________ JUDGE OF PROBATE OF ___________________ COUNTY, ALABAMA Now comes ________________________________ , your Petitioner herein, and would respectfully represent and show unto the Court as follows: 1. That Petitioner is a resident citizen of _________________, _________________ County, Alabama. His/Her address is ____________________________, _________________, ___________ County, Alabama. His/Her home telephone number is _ ____________________. 2. The Petitioner is the __________________ of _____________________________, the respondent herein. The respondent’s date of birth is _____________________. His/Her social security number is ______________________. He/She is ma rried/unmarried/widow. His/Her address is ___________________________, _______________, _________________ County, Alabama. His/Her Medicaid No. is _____________________and his/her Medicare No. is ________________________. 3. That respondent is mentally ill and that because of respondent’s mental illness, respondent poses a real and present threat of substantial harm to himself/herself and to others. Respondent has within three months committed the following overt acts: _________________________________ _________________________________ __________________________________________________________________ __________________________________________________________________ 4. The respondent cannot meaningfully participate in a proceeding to determine whether or not commitment is necessary. 5. That the respondent is indigent and is not represented by an attorney. 6. That there is treatment available for the respondent’ s mental illness at the Alabama Department of Mental Health, in the form of In -Patient Treatment at one of its designated facilities; that this is the least restrictive alternative necessary and available for the proper treatment of this respondent. 7. That the following persons should be summoned to testify at the final hearing on this cause: __________________ __________________________ __________________________ __________________ __________________________ __________________________ __________________ __________ County Mental Health Center __________________________ __________________________ WHEREFORE, your Petitioner would respectfully pray that the Probate Court of _______________ County, Alabama set a date for a hearin g of this petition; appoint a lawyer to represent _________________________________; summon the above witnesses to testify at said hearing; determine that the respondent is mentally ill; and enter an order of commitment to the custody of the Alabama Depart ment of Mental Health. I verify under oath that the information contained in the foregoing Petition is true and correct to the best of my knowledge, information, and belief. ____________________________________ Petitioner STATE OF ALABAMA COUNTY OF __________________ Sworn to and subscribed before me on the ______ day of __________________ _________. (Notarial Seal) ____________________________________ Notary Public My Commission Expires:__________ _____