Fill and Sign the Checklist Settlement Approval W Minors Oregon Form

CHECKLIST SETTLEMENT APPROVAL--WITH CONSERVATOR (MINORS) Case No. Name Statute Petition for appointment of conservator and approval of settlement 125.055 Information regarding respondent: 125.055(2)(a) name age/birthdate address resident of County Venue. No other court in the State of Oregon has acquired 125.015 Jurisdiction in this matter and no protective proceeding has been 125.020 Established in another State Information regarding petitioner: 125.055(2)(b), (c) name age address interest of petitioner (relationship to minor) Information regarding proposed conservator: 125.055(2)(c) name age address relationship to respondent Statement whether nominated conservator is a public or private 125.055(2)(j) agency(or employee of that agency) that provides services to the child Statement whether nominated conservator has been convicted of 125.055(2)(d) crime, filed for bankruptcy, or had license revoked or canceled (explain if any of these occurred) Statement whether nominated conservator intends to place the child 125.055(2)(h) in a residential facility Names and addresses of the following persons: treating physician 125.055(2)(f) others providing care 125.055(2)(f) fiduciary appointed by the court 125.055(2)(e) trustee 125.055(2)(e) General description of the child’s estate; sources and amount of Checklist – Settlement Approval With Conservators - Minors1 income 125.055(2)(i) Statement whether Indian Child Welfare Act applies 125.025(2) Factual information supporting request for conservatorship 125.055(2)(g) (Respondent is a minor, briefly describe injury and proposed settlement) Statement about how the settlement proceeds would be distributed, including payment of fees and costs, purchase of annuity, distribution to a restricted account, and so on. Consent of parent(s) (or personally served notice instead) 125.060, 125.065 Notice to interested parties 125.060 Parents must be personally served or sign consents (no service by petitioner.) 125.065 20 day notice required if UCCJA applies. 125.065(3) Consents: Mom ______ Dad __________ Personally serve child 14 or older. No service by petitioner, no consent. 125.060(6), 125.065 Medical information UTCR 9.050 Order appointing conservator and approving settlement Acceptance of appointment by conservator (not needed if petitioner is conservator) 125.215 Affidavit and Acknowledgment of Restriction (for restricted funds) UTCR 9.080 Motion and order to close (for net proceeds of $10,000 or less) Checklist – Settlement Approval With Conservators - Minors2