251 2018 Nevada Supreme Court Page 1 of 3 226 Notice of Emergency and/or Hospitalization COURT CODE: Your Name: Address: City, State, Zip: Telephone: Email Address: Self-Represented DISTRICT COURT COUNTY, NEVADA NOTICE OF EMERGENCY AND/OR HOSPITALIZATION 1.Emergency. The adult named above suffered the following emergency: (2.Date. The emergency above happened on or around (date). 3.Action Taken. The Guardian(s) did the following to handle the emergency: (In the Matter of the Guardianship of the: Personof: CASE NO.: DEPT: ( ) A Protected Person. American LegalNet, Inc. 251 2018 Nevada Supreme Court Page 2 of 3 226 Notice of Emergency and/or Hospitalization 4. Post-Emergency Plan. ( check one) The adult has already returned to his / her regular residence. The adult should return to his / her regular residence on (date) . The adult cannot return to his / her regular residence and will be placed somewhere else. (explain why the adult can222t go home, and where you think the adult will go instead) *A Change of Address form must be filed to update the address with the Court.* The adult222s health is declining, and he/she may pass away within the next 30 days per medical professional opinion. The adult passed away on (date) . *A formal Petition to Terminate Guardianship must be filed along with a Final Accounting (if applicable).* 5. Current Location. As of this time, the adult can be found at: (write the details of where the adult is right now) Name of Facility (if applicable) Address City, State, Zip Code Telephone number I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. DATED (month) (day) , 20 . (Your Signature) (Printed Name) American LegalNet, Inc. www.FormsWorkFlow.com 251 2018 Nevada Supreme Court Page 3 of 3 226 Notice of Emergency and/or Hospitalization CERTIFICATE OF SERVICE BY MAIL I certify that I deposited copies of this Notice in the U.S. mail in (city) , Nevada, addressed to the persons listed below on (date) . Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: Name: Address: ELECTRONIC I served the following persons pursuant to the court222s electronic service rules on (date) : Name: Email Address: Name: Email Address: Name: Email Address: Name: Email Address: Name: Email Address: Name: Email Address: Name: Email Address: Name: Email Address: I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. (Your Signature) (Printed Name) American LegalNet, Inc. www.FormsWorkFlow.com