Fill and Sign the Guardian of Incapacitated Individual Form

In the matter of First, middle, and last name Court ORI Date of birth Race Sex Current address of incapacitated individual 1. Date of hearing: Judge: Bar no. THE COURT FINDS: 2. Notice of hearing was given to or waived by all interested persons. 3. The individual is not in need of a guardian. 4. Upon the presentation of clear and convincing evidence, the individual n\ amed above, by reason of mental illness mental deficiency chronic use of drugs chronic intoxication physical illness or disability other: is impaired to the extent of lacking sufficient understanding or capacity to make or communicate informed decisi\ ons and is an incapacitated individual. 5. Upon the presentation of clear and convincing evidence, appointment of a guardian is necessary as a means of providing continuing care and supervision of the individual. 6. The individual is partially totally without the capacity to care for himself/herself. 7. There is no competent, suitable person willing to act as guardian, and the appointment of a professional guardian is in the best interests of the adult. A bond must be filed. 8. Financial protection is required for the individual. IT IS ORDERED: 9. The petition for appointment of guardian is granted. denied on the merits. dismissed/withdrawn. 10. Name (type or print) , whose address and telephone number are: Address \ City \ State Zip Telephone no. is appointed limited full guardian of the adult and shall qualify by filing an acceptance of appoi\ ntment. Bond at $ must be filed. The guardian is not permitted to act until letters of guardianship are issued. After qualification, the guardian shall comply with all relevant requirements under the law. 11. Upon acceptance of appointment, the guardian shall petition for the appointment of a conservator or for another protective order under MCL 700.5401 et seq . 12. The limited guardian shall have only the following powers: 13. If a guardian is appointed, the Michigan Department of State Police shal\ l immediately enter the legally incapacitated individual’s identifying information in this court order on the law enforcement inf\ ormation network. 14. The attorney guardian ad litem for the individual is discharged. 15. IT IS FURTHER ORDERED: Date Judge Attorney name (type or print) \ Bar no. Address \ City \ State Zip Telephone no. Do not write below this line - For court use only PC 631 (12/17) ORDER REGARDING APPOINTMENT OF GUARDIAN OF INCAPACITATED INDIVIDUAL MCL 700.1105, MCL 700.5106, MCL 700.5107, MCL 700.5306, MCL 700.5313, MCL 700.5319(1) Approved, SCAO JIS CODE: OAG STATE OF MICHIGAN PROBATE COURT COUNTY OF ORDER REGARDING APPOINTMENT OF GUARDIAN OF INCAPACITATED INDIVIDUAL FILE NO.