Affidavit Of Petitioner Regarding Medical Certification
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Affidavit Of Petitioner Regarding Medical Certification Form. This is a Nevada form and can be use in District Court Statewide.
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Tags: Affidavit Of Petitioner Regarding Medical Certification, Y, Nevada Statewide, District Court
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Code:
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(Your name) __________________________
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(Address)
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__________________________
__________________________
(Telephone) __________________________
In Proper Person
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IN THE _____ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
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IN AND FOR THE COUNTY OF _____________________
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In the Matter of the Guardianship
of the
Person only
Estate only
Person and Estate
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of:
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_______________________________,
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_______________________________,
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_______________________________,
A(n) Minor.
Adult.
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CASE NO. ____________
DEPT. NO.
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AFFIDAVIT OF PETITIONER REGARDING MEDICAL CERTIFICATION
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STATE OF NEVADA
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COUNTY OF _________________
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(Petitioner’s name) ____________________________, being first duly sworn according
to law, deposes and says:
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1.
That I am the petitioner in this case.
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2.
That I have tried to obtain a physician’s certificate regarding the proposed ward’s
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health. I have done this by (explain what steps you have taken to get the certificate)
_________________________________________________________________________________
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For all guardianships
Affidavit of Petitioner Regarding Medical Certification
1 of 2
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
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_________________________________________________________________________________
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_________________________________________________________________________________
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_________________________________________________________________________________
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That I have not been able to get the certificate from the doctor.
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DATED THIS _____ day of _______________, _________
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____________________________________
(Signature)
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SIGNED and SWORN to before me by (Petitioner’s name) ___________________________
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on the _____ day of ____________________, _____.
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_________________________________
NOTARY PUBLIC
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OR
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_________________________________
DEPUTY CLERK
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For all guardianships
Affidavit of Petitioner Regarding Medical Certification
2 of 2
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
