Approved, SCAO JIS CODE: GAL STATE OF MICHIGAN PROBATE COURT COUNTY OF In the matter of ORDER APPOINTING GUARDIAN AD LITEM / ATTORNEY / LAWYER-GUARDIAN AD LITEM FILE NO. 1. It appears to the court that a guardian ad litem a lawyer-guardian ad litem should be appointed in this proceeding for the individual(s) named or described below. IT IS ORDERED: 2. Name (type or print) Address City, state, zip Telephone no. an attorney is appointed guardian ad litem lawyer-guardian ad litem attorney for the following individual(s): in respect to the following proceedings: 3. The guardian ad litem shall meet with the individual before the hearing and, to the extent that the person can comprehend, explain the nature of the proceedings. In addition, if the matter involves a petition to appoint a guardian for a legally incapacitated individual, the guardian ad litem shall give the individual form PC 626, Notice of Rights to Alleged Incapacitated Individual, as required by MCL 700.5306a(2). 4. A written report with recommendations shall be filed with the court . Specify other time frame at least 24 hours before the hearing. 5. The guardian ad litem shall be present at the time of hearing. 6. The guardian ad litem shall have access to all records, including but not limited to, medical records, psychological and psychiatric records, any protective service reports/contacts, and other materials or documents which he or she shall request regarding this matter. The guardian ad litem shall keep all information confidential, except upon further order of the court. 7. The lawyer-guardian ad litem must comply with the provisions of MCL 712A.17d or MCL 722.24. Date Judge Bar no. Do not write below this line - For court use only MCL 700.1403(d), MCL 700.5213(4), MCL 700.5219(4), MCL 700.5303(2), MCL 700.5306a(2), MCL 700.5406(1), (2), MCR 5.121, MCR 5.404(B)(2) PC 642 (9/12) ORDER APPOINTING GUARDIAN AD LITEM / ATTORNEY / LAWYER-GUARDIAN AD LITEM American LegalNet, Inc. www.FormsWorkFlow.com