Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Guardianship Information Sheet Form. This is a District Of Columbia form and can be use in Superior Court Statewide.
Tags: Guardianship Information Sheet, District Of Columbia Statewide, Superior Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
SUPERIOR COURT OF THE DISTRICT OF COLUMBIA
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
:
WASHINGTON. D. C. 20001
:
GUARDIANSHIP INFORMATION SKEET
:
The following information is provided to those individuals appointed as limited or
Defendant(s)
:
general. guardian .of. an .incapacitated .individual .(protected individual) but is not intended
.................. ....... . .. .......... ........ ..
to be all inclusive. Individuals serving as guardians shall be governed by all applicable
statutory provisions, rules of court, and by such orders as may be entered by the Court.
THE PEOPLE OFPERMANENT GENERAL GUARDIAN
1. THE STATE OF NEW YORK
TO
A permanent general guardian is one appointed by the Court and on whom the
Court has conferred, without limitation, those general powers set forth in D.C. Code Sec.
§20-2Q47(A) & (b) (1989 Replacement Volume to 1981 Ed.).
GREETINGS: 2. PERMANENT LIMITED GUARDIAN
D.C. Code Sec. §2I-2044(C) reads as follows:
The YOU, that all business and excuses being its aside, you and on appropriate
WE COMMAND Court at the time of appointment, later on laidown motion, or each of you attend before
petition or motion of the incapacitatedthe
,
the Honorable
at individual or other interested person, may limit the
Court
powers of a guardian otherwise conferred by this chapter. Any lim itations on the statutory
located at
County of
power of a guardian of an incapacitated individual shall be endorsed on the guardian'sany recessed
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at
letters. Following the same procedure, a limitation may on the part or modified and
or adjourned date, to testify and give evidence as a witness in this actionbe removed of the
appropriate letters issued.
3. QUALIFICATION
Your failure to comply with this subpoena is punishable as a contempt of court andof make you liable to
A guardian, limited or general, qualifies by executing an acceptance will
the party on whose behalf this subpoena to jurisdiction (paragraph 14penalty of $50 and all damages sustained as a
appointment and consent was issued for a maximum of Petition for a General
result of your failure to comply. execution of Form II-A-I, whichever is appropriate). To qualify the
Proceeding or by
guardian must also execute a bond in the amount set by the Court, if bond is required by
Witness, Honorable The Court may or may not require bond of a ,guardian. Justices of the
one of the
Order of Court.
Court in
County,
day of
, 20
4. POWERS
Upon qualification, a guardian is responsible for the care, custody, and control of
the ward, subject however any limitations imposed by the Court. A guardian shall
(Attorney must sign above and type name below)
become or remain personally acquainted with and maintain sufficient contact with the
ward to know of the ward's capacities, limitations, needs, opportunities and physical and
mental health.
Attorney(s) for
The guardian shall e xercise only those powers under D.C. Code 21-2047(a)(b) and (c)
(copy attached) as set forth in the Court's Order of Appointment or as may be authorized
in a subsequent order of court.
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
-2-
Calendar No.
:
JUDICIAL SUBPOENA
-against5. PETITIONS.
:
Application to the court for an order subsequent to appointment shall be by
verified petition on Form II-Q or a format substantially consistent with that format,
:
together with a notice (Form 1-3) in accordance with SCR-PD 311. The petition shall state
:
with specificity the grounds for the request. The petition shall be accompanied by a
proposed order for the court's signature.
Defendant(s)
:
......................................................
6 GUARDIANSHIP REPORT'S
(a) Filing of Reports.
A guardian, limited or
THE PEOPLE OF THE STATE OF NEW YORK general, shall submit a written report to the Court at
least semi-annually on the condition of the ward and the ward's estate that has been
subject to the guardian's possession or control. The report shall be prepared on Form IITO
M and be signed under oath. The first report shall be due six months from date of
appointment and successive reports shall be due at six month intervals thereafter.
(B) Service of Reports.
Reports shall be served upon all parties, upon any person who has filed an
WE COMMAND YOU,notice and upon such excuses being laid aside, you and each of you attend before
effective request for that all business and other persons as the Court may direct.
,
the Honorable
at the
Court
located at
County of 7. SUGGESTION OF DEATH_
Upon
in room
, on the the death of the ward, the20
day
, guardian shall forthwith in the suggestion of death recessed
, at
o'clock file a
noon, and at any
(notice testify and
or adjourned date, to of death). give evidence as a witness in this action on the part of the
GREETINGS:
8. FINAL REPORT OF GUARDIAN
Upon death of the ward, termination of the guardianship or resignation of the
Your failure to comply with thiswithin sixty (60) days thereafter file a final report of guardianyou liable to
guardian, the guardian shall subpoena is punishable as a contempt of court and will make
the party on with respect tothis subpoena the guardian's control or possession. of $50 and all damages sustained as a
whose behalf assets under was issued for a maximum penalty An affidavit in lieu of
result of your failure to comply.
final report of guardian shall be filed within the prescribed period if no assets were
administered by the guardian.
Witness, Honorable
, one of the Justices of the
9. RECEIPTS.
Court in
County,
day of
, 20
Promptly after full distribution and settlement a guardian shall file receipts or
canceled checks evidencing final distribution of any assets held.
(Attorney must sign above and type name below)
10. The following additional information is also of importance to guardians, limited or
general:
Attorney(s) is
(a) The applica ble statute with respect to guardianship forTitle 21 - Chapter 20.
(b) The applicable Court Rules governing guardianships are located in the 300
Series of the Probate Rules.
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s)
Calendar No.
:
JUDICIAL SUBPOENA
-against:
(c) No fees are to be paid out of estate funds unless specifically authorized by
order of court after compliance with SCR-PD 308.
:
(d) No guardian shall commingle any estate assets with non-estate assets.
:
(E) Guardians are admonished that any authority granted by the court to
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . .administer.funds. of. the. ward, . . . . . . . . . upon death. Upon death of the ward,
. . . . . . . . . . . . . . . . . . . . terminates .
no further expenditures shall be made.
(f) Court Clerks are prohibited from giving any legal advice. If legal questions
THE PEOPLE OF THE arise the OF NEW should consult an attorney. Neither the Register of Wills
STATE guardian YORK
nor any member of her staff is permitted to recommend lawyers. Should
TO
assistance in securing the services of a lawyer be required, one may wish to
consult the Lawyer Referral Information Service of the D.C. Bar (202) 3314365.
GREETINGS:
Sec. §21-2047. GENERAL POWERS OF DUTIES OF GUARDIAN
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
Except as may be limited by court order pursuant to Sec. 21-2044, a guardian of
,
the Honorable
at the
Court
an incapacitated individual is responsible for care, custody and control of the ward, but is
located at
County of
not personally liable to third persons by reason of that responsibility for acts of the ward.
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
(a) In particular and without qualifying the forgoing, a guardian shall:
(1) Become or remain personally acquainted with the ward and maintain
Your failure to complysufficient contact with punishable as a contempt ward's capacities,make you liable to
with this subpoena is the ward to know of the of court and will
limitations, needs, opportunities and penalty of $50 and all damages sustained as a
the party on whose behalf this subpoena was issued for a maximum physical and mental health.
result of your failure to comply.
(2) Take reasonable care of the ward's personal effects and commence
Witness, Honorable protective proceedings, if necessary to protect other the Justices thethe
, one of property of of
ward.
Court in
County,
day of
, 20
(3) Apply any available money of the ward to the ward's current needs for
support, care, rehabilitation and treatment.
(Attorney must sign above and type name below)
(4) Conserve any excess money of the ward for the ward's future needs ,
but if a conservator has been appointed for the estate of the ward, the
guardian, at least quarterly, shall pay to the for
Attorney(s) conservator money of the
ward to be conserved for the ward's future needs.
(5) Report in writing the condition of the ward and of the ward's estate
that has been subject to the guardian's possession or control, as
ordered by the court on petitionOffice and P.O.interested in the ward's
of any person Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
:
Plaintiff(s) -4-
Calendar No.
:
JUDICIAL SUBPOENA
-against:
welfare or as required by court rule, but at least semi-annually.
:
(B) A guardian May:
:
(1) Receive money payable for the support of the ward under the teens of
any statutory Defendant(s)
benefits or insurance system or any private contract,
:
. . . . . . . . . . . . . . . . . . . . . . . . . . devise,. trust,.conserva torship. or .custodianship.
..... .... ............ .. .
(2) Take custody of the person of the ward and establish the ward's place
THE PEOPLE OF THE STATEof abode within or without the District, if consistent with the terms of
OF NEW YORK
any order by a court of competent jurisdiction relating to detention or
commitment of the ward.
TO
(3) Institute proceedings, including administrative proceedings, or take
other appropriate action to compel the performance by any person of
a duty to support the ward or to pay sums for the welfare of the ward,
GREETINGS:
if no conservator for the est ate of the ward has been appointed.
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
(4) Consent to medial examination and medical or other professional care,
,
the Honorable
at the
Court
treatment, or advice for the ward, without liability, by reason of the
located at
County of
consent for injury to20 ward resulting from thethe
in room
, on the
day of
, the , at
o'clock in negligence or and at any recessed
noon, acts of
third evidence unless the guardianactionto act inpart of faith.
persons, as a witness in this fails on the good the
or adjourned date, to testify and give
(5) Obtain medical records for the purpose of applying for a government
entitlement or private benefits and have the status of a legal
Your failure to complyrepresentation underisthe District of Columbia Mental Healthwill make you liable to
with this subpoena punishable as a contempt of court and
the party on whose behalf this subpoena was issued1978, effective March 3, of $50 and all damages sustained as a
Information Act of for a maximum penalty 1979 (D.C. Law 2-136:
result of your failure to comply. D.C. Sec. 6-2001 et seq.) and 6. If reasonable under all of the
circumstances, delegate to the ward certain responsibilities for
Witness, Honorable decisions affecting the ward's well-being. , one of the Justices of the
Court in
County,
day of
, 20
(C) A guardian shall not have the power:
(1) To consent to an abortion, sterilization, psycho-surgery, or removal of
(Attorney must sign above and type name below)
a bodily organ except to preserve the life or prevent the immediate
serious impairment of the physical health of the incapacitated
individual, unless the power to consent is expressly set forth in the
Attorney(s) for
order of appointment or after subsequent hearing and order of the
court.
(2) To consent to convulsive therapy, experimental treatment or research,
Office and P.O. Address
or behavior modification programs involving aversive stimuli, unless
the power to consent is expressly set forth in the order of appointment
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
-5Plaintiff(s)
-against-
Index No.
:
Calendar No.
:
JUDICIAL SUBPOENA
:
:
or after subsequent hearing and order of the court.
(3) To consent to the withholding: of non-emergency life-saving medical
procedures unless it appears that the incapacitated person would have
Defendant(s)
:
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . consented .to.the.withholding. of these procedures and the power to
........ . .. .........
consent is expressly set forth in the order of appointment or after
subsequent hearing and order of the court.
THE PEOPLE OF THE STATE (4) To consent to the involuntary or voluntary civil commitment of an
OF NEW YORK
incapacitate individual who is alleged to be mentally ill and
dangerous under any provision or proceeding occurring under
Chapter 5 of Title 21, except that as guardian may function as a
petitioner for the commitment consistent with requirements of
Chapter 5 of Title 21 or the mentally Retarded Citizens Constitutional
GREETINGS:
Right and Dignity Act of 1978, effective November 8, 1978 (D.C.
Law 2-137; D.C. Code Sec. 6-1901 et seq.).
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
,
the Honorable
at the
Court
(5) To consent to the waiver of any substantive or procedural right of the
located at
County of
incapacitated individual in any proceeding arising from an insanity
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
acquittal.
or adjourned date, to testify and give evidence as a witness in this action on the part of the
TO
(6) To prohibit the marriage or divorce, or consent to the termination of
parental rights, unless the power is expressly set forth in the order of
Your failure to comply withappointment or is punishable as a hearing and order of the court. you liable to
this subpoena after subs equent contempt of court and will make
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result of your failure to comply.guardian is entitled to reasonable compensation for services as guardian
(D) A
and to reimbursement for room, board, and clothing personally provided to the ward, but
only as approved by order of the court pursuant to Sec 21-2060(a). the Justices of the
Witness, Honorable
, one of (Feb. 28, 1987, D.C.
Law County,See. 2(A), 34 DCR 632: May 10, 1989, D.C. Law 7-231, Sec. 27, 36 DCR
E-204,
Court in
day of
, 20
492).
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
American LegalNet, Inc.
www.USCourtForms.com
