Fill and Sign the Wi Modification Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF             Amended Order on Petition for Review and Modification or Termination of Guardianship       Date of Birth Case No.       This matter is before the court on a Petition for Review and Modification or Termination of Guardianship and a hearing has been held. The court has considered the testimony, other relevant evidence presented, and the guardian ad litem’s report and recommendation. THE COURT FINDS: 1. NOTICE AND JURISDICTION A. Notice has has not been properly served. B. This court has does not have jurisdiction of the subject matter and of the person of the individual. 2. PETITION FOR REVIEW INCOMPETENCY A. The petition requests a review of incompetency. B. The ward: continues to be incompetent and guardianship continues to be necessary. is no longer incompetent. 3. PETITION TO DISCHARGE GUARDIAN AND APPOINT SUCCESSOR GUARDIAN: A. The petition requests discharge of: (name)       as: guardian of person guardian of estate and a successor guardian appointed. B. This request: should not be granted for the following reason:       should be granted. 1. A reasonable effort was made to question the ward and the ward indicated: no preference for the successor guardian. that the ward prefers:       to serve as guardian of person.       to serve as guardian of estate. 2. Based upon the Statement of Acts and Consent to Serve submitted by the proposed guardian and recommendation of the guardian ad litem, the following person or organization is competent and suitable to be appointed as successor guardian: Type of Guardian Name and Address Phone Guardian of the Person             Guardian of the Estate             Temporary Guardian of the Person             Temporary Guardian of the Estate             Standby Guardian of the Person             Standby Guardian of the Estate             GN-3660, 01/07 Order on Petition for Review and Modification or Termination of Guardianship §54.64, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 5 Order on Petition for Review and Modification or Termination of Guardianship Page 2 of 5 Case No. 4. PETITION TO LIMIT AUTHORITY OF GUARDIAN AND RESTORE SPECIFIC RIGHTS A. The petition requests that the authority of the guardian be limited and that specific rights be restored to the ward. B. This request: should not be granted. The ward has not regained capacity to exercise the specific rights requested to be restored. should be granted. The ward has regained capacity to exercise specific rights. The rights and powers as previously determined are modified to be as follows: RIGHTS AND POWERS A. Rights removed from the ward: consent to marriage. execute a will. serve on a jury. apply for an operator’s license, a hunting, fishing or other license issued under ch. 29, or a credential as defined in §440.01(2), Wisconsin Statutes:       consent to sterilization. consent to organ, tissue, or bone marrow donation. register to vote or vote in an election. B . Rights that the ward may exercise only with the consent of the guardian of person: consent to marriage. apply for an operator’s license, a hunting, fishing or other license issued under ch 29, or a credential as defined in §440.01(2), Wisconsin Statutes:       consent to sterilization. consent to organ, tissue, or bone marrow donation. C. Powers and extent of assignment to the guardian of person: consent to medical examination and treatment, and consent to voluntary medication, including psychotropic medication that is in the ward’s best interests, if the guardian has first made a good-faith attempt to discuss with the ward the ward’s voluntary receipt of the psychotropic medication and the ward does not protest. Guardian of person’s authority: full       limited       authorize ward’s participation in an accredited or certified research project if the research project might help the ward; or others if minimal risk of harm. Guardian of person’s authority: full       limited       authorize ward’s participation in research that might not help the ward but might help others if greater than minimal risk of harm to the ward but evidence indicates ward would have elected to participate. Guardian of person’s authority: full       limited       consent to experimental treatment in the ward’s best interests. Guardian of person’s authority: full       limited       consent to receipt by ward of social and supported living services. Guardian of person’s authority: full       limited       consent to release of confidential records other than court, treatment, and patient health care records and redisclosure as appropriate. Guardian of person’s authority: full       limited       GN-3660, 01/07 Order on Petition for Review and Modification or Termination of Guardianship §54.64, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 5 Order on Petition for Review and Modification or Termination of Guardianship Page 3 of 5 Case No. make decisions related to mobility and travel. Guardian of person’s authority: full       limited       choose providers of medical, social, and supported living services. Guardian of person’s authority: full       limited       make decisions regarding educational and vocational placement and support services or employment. Guardian of person’s authority: full       limited       make decisions regarding initiating a petition for termination of marriage. Guardian of person’s authority: full       limited       receive all notices on behalf of ward. Guardian of person’s authority: full       limited       act in all proceedings as an advocate of the ward, except the power to enter into a contract that binds the ward or the ward’s property or to represent the ward in any legal proceedings pertaining to the property, unless the guardian of the person is also the guardian of the estate. Guardian of person’s authority: full       limited       apply for protective placement or for commitment. Guardian of person’s authority: full       limited       have custody of the ward, if an adult, and the power to have care, custody, and control of the ward, if a minor. Guardian of person’s authority: full       limited       other specific powers:       Guardian of person’s authority: full       limited       D. Transfer of powers to guardian of estate: 1. duties under § 54.19; 2. standard powers under § 54.20(1), and 3. powers that do not require court approval under § 54.20(3). Guardian of estate’s authority: full       limited       5. PETITION TO TERMINATE GUARDIANSHIP OF PERSON A. The petitioner requests termination of guardianship of person. B. This request should not be granted for the following reason       should be granted. There is a basis for terminating guardianship of the person, as follows: 1. Based upon the petition that requests the court to adjudicate the ward formerly found to be incompetent to be no longer incompetent. 2. The ward found to be incompetent, has married a person who is not subject to a guardianship. 3. The ward has changed residence from this state to another state and a guardian has been appointed in the new state of residence. 4. The formerly minor ward, attained age 18, unless the guardianship was ordered on the grounds of incompetency. 5. The minor ward whose guardianship was not ordered on the grounds of incompetency, has married. 6. The ward died. GN-3660, 01/07 Order on Petition for Review and Modification or Termination of Guardianship §54.64, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 5 Order on Petition for Review and Modification or Termination of Guardianship Page 4 of 5 Case No. 6. PETITION TO TERMINATE GUARDIANSHIP OF ESTATE A. The petition requests termination of guardianship of estate. B. This request: should not be granted for the following reason:       should be granted. There is a basis for terminating guardianship of the estate as follows: 1. Based upon petition that requests the court to adjudicate the ward formerly found to be incompetent to be no longer incompetent. 2. The ward has changed residence from this state to another state and a guardian has been appointed in the new state of residence. 3. The formerly minor ward attained age 18. 4. The minor ward whose guardianship was not ordered on the grounds of incompetency has married. 5. The ward died and the estate was not terminated by summary settlement of small estate. 7. PETITION TO DISPENSE WITH DEPLETED GUARDIANSHIP OF ESTATE A. The petition requests dispensing with guardianship of estate under $50,000 and disposing of the income and assets of the ward as follows:       . B. This request: should not be granted for the following reason:       should be granted. The income and assets of ward do not exceed $50,000 and are reduced to a point where it is to the advantage of the ward to dispense with guardianship of estate in the following manner:       IT IS ORDERED: 1. The petition is denied. 2. The guardianship shall continue. A. The petition to discharge guardian and appoint successor guardian is granted. The requested successor guardian of estate is appointed: with a: surety bond signature bond in the amount of $       . and is not required to file a bond provided that the successor guardian shall deposit of ward’s funds of $100,000 or less in an insured account in the name of the guardian and the ward, and payable only upon further order of the court. Proof of deposit shall be filed with the court within       days. and is not required to file a bond and bond is waived. Upon approval of a final account and receipt for distribution, the guardian of the estate may be discharged. B. The petition to limit authority of guardian and restore specific rights is granted. The modified rights and powers of the ward and guardian are as indicated in the findings above. 3. The guardianship shall be terminated. The guardian of person is discharged. The guardian of estate shall make appropriate financial arrangements for the burial or other disposition of the remains of the ward. The guardian of estate shall deliver the property of the nonresident ward to the guardian appointed in the state of the nonresident ward upon compliance with § 54.64(6), Wisconsin Statutes. GN-3660, 01/07 Order on Petition for Review and Modification or Termination of Guardianship §54.64, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 4 of 5 Order on Petition for Review and Modification or Termination of Guardianship Page 5 of 5 Case No. 4. The petition to dispense with depleted guardianship of estate is granted and the requested disposition of the income and assets of the ward is approved. Upon approval of a final account and receipt for final distribution, the guardian of the estate may be discharged. 5. Compensation of the guardian ad litem is approved in the amount of $       and is ordered to be paid: from the ward’s income or assets. by petitioner. Other:       Name of Attorney       BY THE COURT: Circuit Court Judge/Court Commissioner       Name Printed or Typed       DateAddress       Telephone Number       Bar Number       GN-3660, 01/07 Order on Petition for Review and Modification or Termination of Guardianship §54.64, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 5 of 5