SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ INT _________ _________ IDD _________ In re: ________________________________ An Adult PETITION POST APPOINTMENT TO TRANSFER GUARDIANSHIP AND/OR CONSERVATORSHIP TO ANOTHER JURISDICTION 1. _____________________________________________________ (Name of petitioner) _____________________________________________________ (Interest of petitioner, i.e., guardian, conservator, or other party) Petitioner requests permission pursuant to transfer this [ ] guardianship and/or [ ] conservatorship to _____________________________________ pursuant to D.C. Code, sec. 21-2403.01. Petitioner is requesting permission to transfer because _______________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ (Attach additional sheets if necessary.) 2. 2. April 2014 � 957.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com ____________________________________ Signature of attorney ____________________________________ Typed name of attorney ____________________________________ Address (Actual address/not Post Office Box) ____________________________________ ____________________________________ ____________________________________ Telephone number ____________________________________ Email address ____________________________________ Unified Bar number ___________________________________ Signature ___________________________________ Typed Name ___________________________________ Address (Actual address/not Post Office Box) ___________________________________ ___________________________________ ___________________________________ Telephone number ___________________________________ Email address ___________________________________ Bar number (if flier is an attorney) VERIFICATION I, ____________________________, being first duly sworn, on oath, depose and say that I have read the foregoing pleading by me subscribed and that the facts therein stated are true to the best of my knowledge, information, and belief. _________________________________ Signature of petitioner Subscribed and sworn to before me this ____ day of _________________, 20______. _________________________________ Notary Public/Clerk April 2014 � 957.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I certify that on the ____ day of ____________________, 20____, a copy of this filing was either eServed in accordance with the provisions of Administrative Order 13-15 or served by first class mail, postage prepaid, on the following persons (list names and complete mailing addresses): _________________________________ Signature April 2014 � 957.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ INT _________ _________ IDD _________ In re: ________________________________ An Adult NOTICE OF RIGHT TO RESPOND AND/OR REQUEST AN ORAL HEARING (This notice must be served on all parties, and a copy must be filed with the petition post appointment.) Notice is hereby given that _____________________________ has filed a Petition Post Appointment for ________________________________________________________. A copy is attached. You are entitled to file a response or opposition to the petition and to request a hearing if you so choose. If you object to the petition or want to respond to the petition or want to request an oral hearing, you must file the objection, response, or request for an oral hearing within ten days after the petition was personally served on you or, if the petition was mailed to you, within thirteen days of the date that the petition was mailed. The Court rules that apply are Superior Court, Probate Division Rule 322(a) and (c). _________________________ Date _____________________________________________ Signature of filer _______________________________________ Typed name of filer _______________________________________ Address (actual address/not Post Office Box) _______________________________________ _______________________________________ _______________________________________ Telephone number Email address _______________________________________ _______________________________________ Unified Bar number (if filer is an attorney) April 2014 � 957.10.v2 American LegalNet, Inc. www.FormsWorkFlow.com SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ _________ INT IDD _________ _________ In re: ________________________________ An Adult ORDER APPOINTING COUNSEL Upon consideration of the petition filed herein on the ______ day of ________________, 20______, it is by the Court this ____ day of ______________________, 20______, ORDERED that _____________________________ is appointed counsel for _________________________________, the subject of the above proceeding. The counsel shall have access to any current medical, psychological, or sociological evaluation records of the subject. Counsel shall perform the duties set forth in D.C. Code, sec. 21-2033(b) and Superior Court, Probate Division Rule 305 and represent the subject at the hearing to be held on__________________, 20______, at __________ o'clock a.m./p.m. in Courtroom _____ of the Superior Court of the District of Columbia, 515 5th Street, NW, Washington, DC, before Judge ______________________________. ORDERED that counsel shall forthwith file a Notice of Appearance pursuant to Superior Court, Probate Division Rules 321(d) and 305(a)(2). __________________________________