FOR CLERK'S USE ONLY Name of Person Filing: _________________________________________ Mailing Address: _________________________________________ City, State, Zip Code: _________________________________________ Day/Evening Telephone: _________________________________________ Attorney Bar Number (if applicable) ____________________________________ Representing Self (Without a lawyer) or Attorney for __________________________________ SUPERIOR COURT OF ARIZONA MOHAVE COUNTY Case No. GC-_______________________________ In the Matter of the Guardian/ Conservatorship of MOTION FOR APPOINTMENT OF ATTORNEY, MEDICAL PROFESSIONAL AND COURT INVESTIGATOR FOR AN ADULT An Adult __________________________________________ Petitioner, _______________________________, in connection with the Petition for Appointment of Guardian and Conservator of the Estate of________________________, an adult, alleges that: 1. 2. The person for whom protection is sought is in need of appointment of counsel. The alleged incapacity and/or disability of the person for whom protection is sought is as specified in the verified Petition filed with the Court. Petitioner requests that the Court: 1. 2. Appoint an attorney for the person for whom protection is sought, and, Appoint a Court Investigator to interview the person for whom protection is sought, and, 3. Appoint a physician, psychologist or registered nurse to examine the person for whom protection is sought. RESPECTFULLY SUBMITTED this _______ day of ______________, 20_______. ___________________________________________ Petitioner Revised: 6/13/2011 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com