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Fillable Online Courts Mi Acceptance of Appointment and Report of Form

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1. I have been appointed by the court as guardian ad litem for , and I accept this appointment. 2. I report to the court as follows: 3. I recommend: NOTE: See other side for partial duties of the guardian ad litem in conservatorship. PC 643 (9/07) ACCEPTANCE OF APPOINTMENT AND REPORT OF GUARDIAN AD LITEM In the matter of Do not write below this line - For court use only JIS CODE: AGL Approved, SCAO FILE NO. Name ACCEPTANCE OF APPOINTMENT AND REPORT OF GUARDIAN AD LITEM STATE OF MICHIGAN PROBATE COURT COUNTY CIRCUIT COURT - FAMILY DIVISION MCL 700.1403(d), MCL 700.5406, MCR 5.121 City, state, zip Telephone no. Name (type or print) Date Signature Address NOTICE OF PARTIAL DUTIES OF GUARDIAN AD LITEM IN CONSERVATORSHIP: A guardian ad litem appointed under MCL 700.5406 who meets with, examines, or evaluates an individual who is the subject of a petition in a protective proceeding shall do all of the following: • Consider whether there is an appropriate alternative to a conservatorship. • If a conservatorship is appropriate, consider the desirability of limiting the scope and duration of the conservator's authority. • Report to the court on the basis of the required considerations stated above. Please note that these are not the only duties required of a guardian ad litem.

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