1 2 Code: (Your name) _____________________________ 3 (Your address)_____________________________ 4 5 6 7 8 9 10 11 12 13 14 15 16 _____________________________ (Telephone) _____________________________ In Proper Person IN THE ______ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF _____________ In the Matter of the Guardianship of  the person,  the estate,  the person and estate. ) ) ) ) ) ______________________________, ) An Adult. ) _________________________________________) CASE NO. _____________ DEPT. NO: _____________ ORDER REGARDING TEMPORARY GUARDIANSHIP OF AN ADULT AND NOTICE OF EXTENSION HEARING IF GRANTED Upon review of the verified Petition For Guardianship of an Adult and the 17 Addendum Requesting Temporary Guardianship of said adult submitted by the 18 Petitioners_____________________________and_____________________________________ (Name of Petitioner) (Name of Co-Petitioner) 19 20 THE COURT FINDS that this Court has the jurisdiction to enter the Order and the adult is a 21 resident of the State of Nevada or has been placed in the State of Nevada by a legal or authorized 22 agent or agency acting on behalf the adult; that the Petitioner(s) have made a good faith effort to 23 contact the persons entitled to notice and/or any other person or agency having the care, custody and 24 25 26 27 28 control of the adult, or, in the alternative, has/have presented to this Court sufficient evidence that such contact would put the welfare of the adult in jeopardy. IT IS HEREBY ORDERED BY THIS COURT that the temporary guardianship of Age Name Date of Birth ______________________________________________ ______ ___________________  IS HEREBY DENIED and this matter will go forward as a guardianship and a Adult Addendum/Temporary Adult Order For Temporary Guardianship 1 of 3 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 Citation to Appear and Show Cause will be issued with a hearing date for the guardianship. 3 4 5 6 7 8 OR  IS HEREBY DENIED at this time, but a hearing to determine the need for a temporary guardianship will be held on (date of hearing) ____________________________ at the hour of _____________ ______ m., in the above Court. The Proposed Ward’s appearance  is  is not required at the above listed hearing. 9 A copy of this Order with a copy of the Petition filed in this matter shall be served on the 10 parents, children, adult siblings, grandparents, spouse, public guardian, and/or any other person or 11 agency having the care, custody and control of the proposed ward. Said service shall be either 12 13 14 personal service or by mailing a copy of the documents by certified mail with return receipt requested or regular first class mail to the last known address of each party. OR 15 16 17 18 19 20 21  IS HEREBY GRANTED and the Court hereby finds that the adult is incapable of (his/her) ____________ own care and control because the proposed ward  faces a substantial and immediate risk of physical harm  needs immediate medical attention  faces a substantial and immediate risk of financial loss. 22 The power of the temporary guardian(s) is limited to those acts necessary to respond to the 23 substantial and immediate risk of physical harm or the need for immediate medical attention or to 24 prevent any further financial loss. 25 IT IS FURTHER ORDERED that a copy of this Order with a copy of the Petition filed 26 27 28 in this matter shall be served on the parents, children, adult siblings, grandparents, spouse, public guardian and/or any other person or agency having the care, custody and control of the propose ward. Said service shall be either personal service or by mailing a copy of the documents by Adult Addendum/Temporary Adult Order For Temporary Guardianship 2 of 3 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 certified mail with return receipt requested or regular first class mail to the last known address of each party. Service must be made within 48 hours after the temporary guardianship is granted. 3 4 IT IS FURTHER ORDERED that Petitioner(s) by and is/are hereby appointed to act as the 5 Temporary Guardian(s) of the  person,  the estate,  the person and estate of the said adult after 6 posting bond in the amount of $______________, effective immediately. 7 8 9 10 11 12 IT IS FURTHER ORDERED that this Order Granting Temporary Guardianship shall be effective until the hearing to extend this guardianship is held on ____________________________ at the hour of ______________ in this Court. The Proposed Ward’s appearance  is/  is not required at the above listed extension hearing. DATED this _____ day of ____________________, _________. 13 ______________________________________ DISTRICT JUDGE 14 15 16 17 Respectfully submitted: (Your signature) _____________________________ 18 (Your name) _____________________________ 19 (Address) _____________________________ _____________________________ 20 21 22 (Telephone) _____________________________ In Proper Person 23 24 25 26 27 28 Adult Addendum/Temporary Adult Order For Temporary Guardianship 3 of 3 ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com