Application For Transportation Of Mentally Disordered Ward To Mental Health Facility
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Application For Transportation Of Mentally Disordered Ward To Mental Health Facility Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
Tags: Application For Transportation Of Mentally Disordered Ward To Mental Health Facility, 377-A, Missouri Local Circuit Courts, 7th Circuit (Clay County)
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
, an incapacitated person.
APPLICATION FOR TRANSPORTATION OF MENTALLY DISORDERED WARD
TO MENTAL HEALTH FACILITY
THE PEOPLE OF THE STATE OF NEW YORK
guardian of the above-named incapacitated person, state to the Court that said Ward is
mentally disordered and should be admitted to a mental health facility as indicated by the
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
, on the
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
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
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.
WHEREFORE, the Guardian herein requests that the Court order that the said
of Clay County, Missouri, and be transported to
, be one of the Justices ofby the Sheriff
, taken into custody the
(Attorney must sign above for the Ward’s
appropriate mental health facility where I will make applicationand type name below)
THE STATEMENTS AND REPRESENTATIONS IN THIS DOCUMENT ARE MADE
UNDER OATH AND ARE TRUE AND CORRECT TO THE BEST OF MY
KNOWLEDGE AND BELIEF. I UNDERSTAND THEY ARE MADE SUBJECT TO
THE PENALTIES OF MAKING A FALSE AFFIDAVIT Address
Office and P.O. OR DECLARATION.
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