Hospitalization Or Disability Summons Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Hospitalization Or Disability Summons Form. This is a Kentucky form and can be use in Hospitalization-Disability Statewide.
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Tags: Hospitalization Or Disability Summons, 706, Kentucky Statewide, Hospitalization-Disability
AOC-706 Rev. 1-13 Page 1 of 1 Summons Type: HD Case No. __________________________ District Court ______________________________ Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS 202A, 202B & 387 Hospitalization/Disability summons County _____________________________ ) ) ) _______________________________________________ ) ) RESPONDENT ) _______________________________________________ ) ) ADDRESS IN THE INTEREST OF: The Commonwealth of Kentucky to the above-named Respondent: You are hereby notified that a legal action has been filed in which you are the respondent. A copy of the petition is attached. You are further notified by the appropriate block(s) checked below to: q appear on ___________________________________, 2_______, (Date) (Location) ________________ (Time) q a.m. q p.m. at _________________________________________________________________________________________________________ to be examined by professionals qualified to assess your mental or physical well-being. q appear on ___________________________________, 2_______, (Date) (Location) ________________ (Time) q a.m. q p.m. at _________________________________________________________________________________________________________ to be examined by professionals qualified to assess your mental or physical well-being. At your request a Professional retained by you shall be permitted to witness and participate in your examination. q appear on ___________________________________, 2_______, (Date) (Location) ________________ (Time) q a.m. q p.m. at _________________________________________________________________________________________________________ for a hearing in this matter. _________________________________, 2________ Date ________________________________________Clerk By: _____________________________________D.C. PROOF OF SERVICE Executed by delivering a copy of the summons and petition to the above named Respondent. __________________________________, 2________ Date ____________________________________________ Signature ____________________________________________ Title American LegalNet, Inc. www.FormsWorkFlow.com