Fill and Sign the Incapacitated Individual Form

MCL 700.5312, MCL 700.5313, MCR 5.403(C) PC 632 (9/13) ORDER REGARDING APPOINTMENT OF TEMPORARY GUARDIAN OF INCAPACITATED INDIVIDUAL In the matter of , an alleged incapacitated individual JIS CODE: OAG Approved, SCAO FILE NO. ORDER REGARDING APPOINTMENT OF TEMPORARY GUARDIAN OF INCAPACITATED INDIVIDUAL 1. Date of hearing: Judge: THE COURT FINDS : 2. Notice of hearing was given to the incapacitated individual. 3. The individual is not in need of a guardian. 4. The individual does not have a guardian, an emergency exists, and no other person appears to have the authority to act inthe circumstances. A showing has been made that the individual is incapacitated. 5. The appointed guardian is not effectively performing his/her guardianship duties, and the welfare of the incapacitated individual requires immediate action. 6. There is no qualified, suitable individual willing to act as temporary guardian, and the appointment of a nonprofit corporati on as temporary guardian is in the best interest of the adult. A personal bond must be filed. 7. Other:IT IS ORDERED: 8. The petition for appointment of temporary guardian is granted.denied on the merits. dismissed/withdrawn. 9. , whose address and telephone number are , is appointed temporary guardian of the adult and shall qualify by filing an acceptance of appointment. Personal bond at $ must be filed. The temporary guardian is not permitted to act until letters of guardianship are issued. 10. The temporary guardian shall have the following powers and responsibilities only: 11. This temporary guardianship shall terminate on . 12. IT IS FURTHER ORDERED: Do not write below this line - For court use only Address CityState Zip Telephone no. Bar no. Attorney name (type or print) Date Judge Address CityState Zip Telephone no. Name (type or print) Date Bar no. STATE OF MICHIGAN PROBATE COURTCOUNTY OF