Fill and Sign the Wisconsin Guardianship Minor Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF       Report of Guardian ad Litem (Guardianship of Minor)       Date of Birth Case No.       I am the court appointed Guardian ad Litem for the above named minor and report to the court that I have completed the following duties (except as noted in the “Additional Comments” section at the end of this report) and make the following report and recommendations: GENERAL DUTIES 1. INTERVIEWED MINOR AND ADVISED RIGHTS. On ( date )       at ( place )       , I interviewed the minor and explained to the minor the contents of the petition, the applicable hearing procedure, the right to counsel, and the right to request or continue a limited guardianship. I advised the minor, both orally and in writing of that person’s right to be present at the hearing, to a jury trial, to an appeal, and to counsel at county expense, if the person is indigent. 2. INTERVIEWED PROPOSED GUARDIAN. I interviewed the proposed guardian, proposed stand-by guardian, if any, and any other person seeking appointment as guardian. 3. REVIEWED ADVANCE PLANNING. I have reviewed any advance planning for financial and health care decision making in which the minor had engaged. 4. INTERVIEWED AGENT. I have interviewed any agent appointed by the minor under any document specified above. 5. RECEIVED NOTICE OF HEARING AND COPIES OF REPORTS. I have received proper notice of the hearing and copies of any physician’s and/or psychologist’s reports. If protective placement is being requested, I have received a copy of the comprehensive evaluation and, if applicable, the plan for home or community-based care. 6. PROVIDED NOTIFICATIONS. I have notified the petitioner or petitioner’s counsel (if any) of the information contained below. I have also notified the appointed guardian (if any) of the duty to be present at and right to participate in the hearing, to present and cross-examine witnesses, to receive a copy of any comprehensive evaluation, and to secure and present a report on an independent evaluation. REPORT AND RECOMMENDATIONS 7. OBJECTIONS. The minor: does not does object to the proposed or present placement. does not does object to the recommendation of the guardian ad litem. is not is ambiguous on these matters. 8. ADVERSARY COUNSEL. Adversary counsel is not is requested by the minor. Adversary counsel is not is recommended. GN-3325 10/06 Report of Guardian ad Litem (Guardianship of Minor) §§54.10(1), 54.40, 54.42 and 55.10(4)(b), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 4 GN-3325 Report of Guardian ad Litem (Guardianship of Minor) Page 2 of 4 Case No. 9. JURY TRIAL. A jury trial is not demanded. is demanded. 10. MINOR’S ATTENDANCE. The minor is not required to attend the hearing: the minor does not wish to attend the hearing. the minor does wish to attend the hearing. the minor is unable to attend the hearing in court because of residency in a nursing facility or other facility, physical inaccessibility, or a lack of transportation; and the minor, advocate counsel, other interested person, or I request that the court hold the hearing in a place where the minor can attend. Specify location requested:       11. ADDITIONAL EVALUATIONS. Additional medical, psychological or other evaluation is not is requested. Specify evaluation requested and reason:       . 12. ADVANCED PLANNING. My report to the court is that the minor’s advance planning is is not adequate to preclude the need for guardianship.       13. BEST INTERESTS OF MINOR. Based on my investigation, I recommend that the court find that the minor is substantially: capable of caring for himself/herself. incapable of caring for himself/herself. capable of managing his/her property. incapable of managing his/her property. 14 . RIGHTS AND POWERS. In the best interest of the minor, I recommend the appointment of a permanent guardian of the minor with the following powers: A. Guardian of the person and the extent of powers: consent to medical examination and treatment, and consent to voluntary medication, including psychotropic medication that is in the minor’s best interests, if the guardian has first made a good- faith attempt to discuss with the minor the minor’s voluntary receipt of the psychotropic medication and the minor does not protest. Guardian of person’s authority: full limited       authorize minor’s participation in an accredited or certified research project if the research project might help the minor, or others if minimal risk of harm. Guardian of person’s authority: full limited       authorize minor’s participation in research that might not help the minor but might help others if greater than minimal risk of harm to the minor but evidence indicates minor would have elected to participate. Guardian of person’s authority: full limited       consent to experimental treatment in the minor’s best interests. Guardian of person’s authority: full limited       consent to receipt by minor of social and supported living services. Guardian of person’s authority: full limited       GN-3325, 10/06 Report of Guardian ad Litem (Guardianship of Minor) §§54.10(1), 54.40, 54.42 and 55.10(4)(b), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 4 GN-3325 Report of Guardian ad Litem (Guardianship of Minor) Page 3 of 4 Case No. 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       power to make decisions related to mobility and travel. Guardian of person’s authority: full limited       power to choose providers of medical, social, and supported living services. Guardian of person’s authority: full limited       power to make decisions regarding educational and vocational placement and support services or employment. Guardian of person’s authority: full limited       power to make decisions regarding initiating a petition for termination of marriage. Guardian of person’s authority: full limited       power to receive all notices on behalf of minor . Guardian of person’s authority: full limited       power to act in all proceedings as an advocate of the minor, except the power to enter into a contract that binds the minor or the minor’s property or to represent the minor 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       power to apply for protective placement or for commitment. Guardian of person’s authority: full limited       power to have care, custody, and control of the minor. Guardian of person’s authority: full limited       other specific power(s): See attached. B. Guardian of the estate and the extent of powers: 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       Additional powers requiring court approval under §54.20(2), other than to make gifts, as follows:       Dispense with bond and order deposit of minor’s funds of $100,000 or less in an insured account of a bank, credit union, savings bank or savings and loan association in the name of the guardian and the ward, and payable only upon further order of the court. Dispense with an appointment of a guardian of the estate and transfer the minor’s funds of $50,000 or less under one of the alternatives for small estates under §54.12(1), WI Statutes, as follows:       GN-3325, 10/06 Report of Guardian ad Litem (Guardianship of Minor) §§54.10(1), 54.40, 54.42 and 55.10(4)(b), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 4 GN-3325 Report of Guardian ad Litem (Guardianship of Minor) Page 4 of 4 Case No. 15. GUARDIANSHIP, PROTECTIVE PLACEMENT, PROTECTIVE SERVICES. It is my opinion that the court: should should not appoint a guardian of the person. should should not appoint a guardian of the estate with bond of $       . without bond. should should not approve protective placement. should should not approve protective services. should find that the least restrictive placement consistent with the minor's needs and, if the minor is developmentally disabled, the most integrated setting appropriate to the needs of the minor, is a: group home. foster home. community based residential facility. nursing home. intermediate care facility. other:       in an unlocked unit. in a locked unit because:       16. SUITABILITY AND FITNESS OF PROPOSED GUARDIAN My recommendation to the court regarding the fitness, suitability and the statement of acts of the proposed guardian(s), stand-by guardian, any other person seeking to be appointed as guardian is: NAME SUITABILITY & FITNESS COMMENTS ON STATEMENT OF ACTS TYPE OF GUARDIAN       Yes No       person estate co-guardian standby       Yes No       person estate co-guardian standby       Yes No       person estate co-guardian standby 17 . Additional comments:       See attached. Distribution: Original – Court Copies – Petitioner Petitioner’s Attorney Signature of Guardian ad Litem       Name Printed or Typed       Date       Bar Number GN-3325, 10/06 Report of Guardian ad Litem (Guardianship of Minor) §§54.10(1), 54.40, 54.42 and 55.10(4)(b), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 4 of 4