§ 33-15-47 - Forms.

SECTION 33-15-47

   § 33-15-47  Forms. – The following forms shall be used for the purposes of this chapter:

   STATE OF RHODE ISLAND PROBATE COURT OF THE

   COUNTY OF ]]]]]]]]]]]]]

   No.

   ESTATE OF ]]]]]]]]]]]]]]]]]]]]]]]]]]]]

   PERSONAL ESTATE ESTIMATED AT $]]]]]]]] CITY/TOWN OF

   

   19

   PETITION FOR LIMITED GUARDIANSHIP OR GUARDIANSHIP

   hereby petitions the Probate Court of the

   Petitioner

   city/town of ]]]]]]]]]]]]]] to appoint a limitedguardian/guardian for ]]]]]]]]]]]]]] who currently resides at

   Address

   ]]]]]]]]]]]]]]]]]], in the city/town of ]]]]]]]]]]]]]]]]]],and whose date of birth is ]]]]]]]]]]]]]]]]]].

   Based upon an assessment conducted by

   ]]]]]]]]]]]]]]]]]] on, which

   Date

   functional assessment reflects the current level offunctioning of ]]]]]]]]]]]]]]]]]], it has been determined that

   Respondent Respondent

   lacks decision-making ability in one or more of the followingareas as indicated:

   ]]]]   health care

   ]]]]   financial matters

   ]]]]   residence

   ]]]]   association

   ]]]]   other

   Regarding each area indicated, please describe the specificassistance needed:

   Indicate which of the following less restrictive alternativesto guardianship have been explored and deemed inappropriate as indicated:

   ]]]]   Durable Power of Attorney for HealthCare

   ]]]]   Living Will

   ]]]]   Power of Attorney

   ]]]]   Durable Power of Attorney

   ]]]]   Trusts

   ]]]]   Joint Property Arrangements

   ]]]]   Representative Payee

   ]]]]   Money Management

   ]]]]   Single Court Transactions

   ]]]]   Government Benefit and Social ServicePrograms

   ]]]]   Housing Options

   ]]]]   Other

   Please describe the basis for the determination that thealternative will not meet the needs of the respondent for each alternativeexplored and deemed inappropriate:

   The following individual/agency is willing to serve asguardian:

   Upon information and belief the above individual/agency has: