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Guardianship Of Person Receiving Person Receiving Developmental Disabilities Services (Forms-Instr) Form. This is a New Jersey form and can be use in Probate Statewide.
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INSTRUCTIONS FOR COMPLETING THE ATTACHED FORMS
INSTRUCTIONS FOR FORM A - VERIFIED COMPLAINT TO APPOINT GUARDIAN
A.
In paragraph #1 type or print the information about the person over whom you are seeking to be
appointed guardian.
B.
In paragraph #2 type or print the name of the person over whom guardianship is sought and the
disability that he or she has been diagnosed with. Type or print the name of the physician or
psychologist who completed either a physician’s or psychologist’s certification (FORM B or C) (See
step #2 for more information on this.)
C.
In paragraph # 3 type or print the name of the person over whom guardianship is sought and indicate
where he/she is receiving services from the New Jersey Division of Developmental Disabilities.
D.
In paragraph # 4 type or print the names of the next of kin of the person over whom a guardian is
sought. Insert the name and address of the appropriate county adjuster for the county of settlement
and the name and address of the DDD service provider administrator.
E.
In paragraph # 5 insert your personal information
F.
In paragraph #6 indicate whether the person over whom guardianship is sought owns any real or
personal property and his or her monthly income, if any. Type or print any employer’s name and the
salary of any employment by the alleged incapacitated person.
G.
In paragraph #7 type or print any courses of instructions or other training the alleged incapacitated
person attends.
H.
In paragraph #9 type or print the name of the person over whom guardianship is sought. Use the first
paragraph #9A if a plenary (full) guardianship is requested; use the second paragraph #9B if a
limited guardianship is requested.
I.
In the relief demanded use the first letter (A1,B1 and C1) paragraphs, if a plenary (full) guardianship
is requested. Use the second letter (A2,B2 and C2) paragraphs, if a limited guardianship is
requested.
J.
Sign and date the form where it asks you to do so.
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INSTRUCTIONS FOR FORM B -- PHYSICIAN CERTIFICATION
You must have a New Jersey licensed medical physician or psychologist complete a certification attesting
to the fact that the alleged incapacitated person is in fact incapacitated. The medical physician or
psychologist who completes this form must be the one to examine the alleged incapacitated person.
This form is for medical physicians only. If a medical physician is the one who has conducted the evaluation
of the alleged incapacitated person, then this form should be used. Inform him/her that you are seeking to
be appointed guardian over the alleged incapacitated person and that you need him/her to complete this
form.
INSTRUCTIONS FOR FORM C -- PSYCHOLOGIST CERTIFICATION
You must have a New Jersey licensed medical physician or psychologist complete a certification attesting
to the fact that the alleged incapacitated person is in fact incapacitated. The medical physician or
psychologist who completes this form must be the one to examine the alleged incapacitated person. The
examination must take place no more than 30 days before you file this guardianship action.
This form is for psychologists only. If a psychologist is the one who has conducted the evaluation of the
alleged incapacitated person, then this form should be used. Inform him/her that you are seeking to be
appointed guardian over the alleged incapacitated person and that you need him/her to complete this form.
INSTRUCTION FOR FORM D - ORDER FOR HEARING
(This form is self explanatory. Fill in only the top portion.)
Note: The Public Defender, if available, may be appointed if only guardianship of the person is sought. If
you seek guardianship of the person and the estate or the public defender is not available, then the court
will appoint a private attorney.
INSTRUCTIONS FOR FORM E - JUDGMENT APPOINTING GUARDIAN
Where indicated, type or print your name, the name of the attorney appointed for the alleged incapacitated
person, the name of the physician or psychologist and the name of the Division of Developmental Disabilities
official who has completed the certification.
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INSTRUCTIONS FOR FORM F - NOTICE OF PENDING HEARING
(Portions that are not self explanatory)
A.
Where shown, enter the docket number in this case. You will get this number when the court returns
the signed order to you. (FORM D)
B.
Where it says “TO” type or print the name of the alleged incapacitated person.
C.
Fill out the date, time, and place of the hearing. You will get this information when the court sends
back the signed order for hearing with all of this information on it.
D.
Type or print the name of the proposed guardian in the last paragraph.
INSTRUCTIONS FOR FORM G - PROOF OF SERVICE
(Portions that are not self explanatory.)
A.
In paragraph #1 type or print the name of the person who handled service of the pleadings.
B.
In paragraph #2 type or print the date you personally mailed or delivered copies of FORMS A, [B or
C] & D to the alleged incapacitated person.
C.
In paragraph # 4 type or print the date you mailed a copy of FORMS A, [B or C] & D to the next of kin
of the alleged incapacitated person and other interested parties.
D.
Sign and date the form where it asks you to do so.
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FORM A -- VERIFIED COMPLAINT TO APPOINT GUARDIAN
Plaintiff(s) Type your name(s)
Address:
Telephone Number:
SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION
COUNTY
PROBATE PART
Docket No.
In The Matter of
CIVIL ACTION
VERIFIED COMPLAINT TO APPOINT
GUARDIAN FOR PERSON RECEIVING
DIVISION OF DEVELOPMENTAL
DISABILITIES SERVICES
TYPE INCAPACITATED PERSON’S NAME
an Alleged Incapacitated Person
I/ We, the Plaintiff(s),
and
, residing at
, City /Township /Borough
of
, County of
and State of
New Jersey, by way of verified complaint says:
1.
The name, age, present resident address, length of time at residence,
permanent residence (domicile) and marital status of the alleged incapacitated person are:
A.
Name:
B.
Age:
C:
Present residence:
since
D.
.
Permanent residence:
since
.
E.
Marital status:
(Check one) __Married __Never Married__Divorced
F.
Children:
(Check one) __No Children __Children as listed in
Paragraph 4
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has been diagnosed as suffering from
2.
as shown by the attached affidavit or certification
of
(Medical Physician or Psychologist). Because
of this condition,
lacks sufficient capacity to
govern himself/herself and manage his/her affairs.
3.
has been receiving services from the
New Jersey Division of Developmental Disabilities at
since
. He/She
continues to need such services, as shown by the attached affidavit or certification of
, Division of Developmental Disabilities official.
4.
The names, residence addresses, and relationships of the spouse, next-of-kin
most closely related to the alleged incapacitated person (parents, siblingset cetera) and other
persons interested in the status of the alleged incapacitated person (custodian, county
adjuster, DDD program administrator) are as follows:
Name
Address
Relationship
12
Age
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5.
The name, address, age, telephone number and relationship to the alleged
incapacitated person of the proposed guardian(s) are as follows:
Name:
Address:
Age:
Telephone number
Relationship
6.
The character and approximate value of the real and personal property and income
of the alleged incapacitated person are as follows:
A.
Personal property:
(i) bank accounts
(ii) stocks, bonds and mutual funds
$
(iii) other personal property (specify)
$ _________________
Total personal property value
B.
$
$
Real property (describe)
$
$
C.
Periodic compensation and income from:
i.
real property
$
/ month
ii
personal property
$
/ month
iii
pensions
$
/ month
iv
public assistance benefits
$
/ month
v
social security benefits
$
/ month
vi
trust distributions:
$
/ month
vii
other income sources (specify)
$
/ month
viii
wages (employer:)
$ _________________/ month
Total monthly income
$
13
/ month
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7.
(If applicable)
, the alleged incapacitated
person, attends classes at
8.
.
The alleged incapacitated person does not have an attorney. It is requested that the
court appoint an attorney to serve as legal counsel for the alleged incapacitated person.
9A.
Because of
’s condition, he/she is
without the necessary cognitive capacity to understand personal, financial, health and medical
matters that affect his/her well-being and, therefore, he/she lacks the capacity to
govern himself /herself in all of his/her financial and personal affairs.
OR
9B.
Because of
’s condition, he/she is without the
necessary cognitive capacity to understand some of the personal, financial, health and medical
matters that affect his/her well-being and, therefore, he/she lacks the capacity to
govern himself/herself in the following financial and personal affair areas:
.
In all other respects, he/she is fully able at this time to govern himself/herself and
govern and manage his/her affairs.
WHEREFORE, the plaintiff(s) demand(s) judgment pursuant to N.J.S.A. 30:4-165.7:
A1.
declaring
to be suffering from a chronic
functional impairment and as a result is incapable and unable to govern himself/herself and
manage his/her affairs;
OR
A2.
declaring
to be suffering from a chronic
functional impairment and as a result is incapable and unable to govern himself/herself and
manage his/her affairs with respect to :
;
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B1.
Appointing the plaintiff(s) the guardian of his/her PERSON and issuing
Letters of Guardianship upon qualifying according to law;
OR
B2.
Appointing the plaintiff(s) the limited guardian of his /her PERSON and issuing
Letters of Limited Guardianship upon qualifying according to law;
C1.
Appointing the plaintiff(s) the guardian of his/ her ESTATE and issuing Letters
of Guardianship upon qualifying according to law.
OR
C2.
Appointing the plaintiff(s) the limited guardian of his/her ESTATE and issuing
Letters of Limited Guardianship upon qualifying according to law.
Date:
___________________________________
SIGNATURE OF PLAINTIFF
TYPE NAME
Date:
___________________________________
SIGNATURE OF PLAINTIFF
TYPE NAME
VERIFICATION
I/We,
and
, hereby certify and say:
1.
I/ We are the plaintiff(s).
2.
The contents of the complaint are true to my (our) personal knowledge and belief.
I (We) hereby certify that the statements made by me are true. I am aware that if any
are wilfully false, I am (We are) subject to punishment.
Date:
Date:
______________________________________________________
Signature of Plaintiff
________________________________________________
Signature of Plaintiff
Type Name
Type Name
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FORM B -- PHYSICIAN’S CERTIFICATION
Plaintiff(s)
Address:
TYPE YOUR NAME(s)
Telephone Number:
SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION
COUNTY
PROBATE PART
Docket No.
IN THE MATTER OF
CIVIL ACTION
CERTIFICATION OF MEDICAL
PHYSICIAN
TYPE INCAPACITATED PERSON’S NAME
AN ALLEGED INCAPACITATED
PERSON
TYPE PHYSICIAN’S NAME
I,
being of full age, do hereby certify and say as follows:
, M.D., with offices at
,
1.
I am a permanent resident of the State of New Jersey and a physician licensed
to practice medicine in the State of New Jersey.
2.
I am not a relative, either through blood or marriage, to
or of the proprietor, director
or chief executive of any private institution for the care and treatment of the mentally ill at which
he/she is living or at which it is proposed to place him/her, nor am I professionally employed
by the management thereof as a resident physician, nor do I have any financial interest therein.
3.
him/her on
I have reviewed the clinical data and history regarding
and personally examined
, 20
.
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4.
My opinion as to
’s capacity to govern
himself/herself and manage his/her affairs is based upon the following:
5.
Based upon my personal examination and the aforementioned clinical data and
history, it is my conclusion that
suffers from a significant
chronic functional impairment and lacks the cognitive capacity to make decisions for
himself/herself or to communicate, in any way, decisions to others. His/Her
significant chronic functional impairment includes, but is not limited to, a lack of
comprehension of concepts related to personal care, health care or medical treatment and
is, therefore, incapable of governing himself/herself or managing his/her
personal or financial affairs.
6.1
It is also my opinion that
sufficient capacity to make limited decisions in the areas of :
does have
The reasons for my opinion that he/she has the ability to make the aforementioned
limited decisions are:
7.
Based upon my personal examination and aforementioned clinic data and
history, it is my conclusion that he/she is (check one) ___capable ___incapable of
attending the hearing in this matter. If incapable, state reasons:
I certify that the foregoing statements made by me are true. I am aware that if
any of the foregoing statements made by me are willfully false, I am subject to punishment.
Date:
_______________________________ M.D.
type name
Note. Complete this paragraph if it is your opinion that the alleged
incapacitated person has sufficient capacity in certain areas that he or she should retain
decision making rights. This paragraph will set out the basis for the same for the court’s
consideration. Otherwise cross this paragraph out before signing.
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FORM C -- PSYCHOLOGIST’S CERTIFICATION
Plaintiff(s)
Address:
TYPE YOUR NAME(s)
Telephone Number:
SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION
COUNTY
PROBATE PART
Docket No.
In the Matter of
CIVIL ACTION
CERTIFICATION OF PSYCHOLOGIST
TYPE INCAPACITATED PERSON’S NAME
An Alleged Incapacitated Person
TYPE PSYCHOLOGIST’S NAME
I,
, with offices at
do hereby certify and say as follows:
, being of full age,
1.
I am a permanent resident of the State of New Jersey and a psychologist
licensed pursuant to N.J.S.A. 45:14B-1 et seq. to practice in the State of New Jersey.
2.
I am not a relative, either through blood or marriage, to
or of the proprietor, director
or chief executive of any private institution for the care and treatment of the mentally ill at which
is living or at which it is proposed to place
him/her, nor am I professionally employed by the management thereof as a resident
physician, nor do I have any financial interest therein.
3.
I have reviewed the clinical data and history regarding
and personally examined
him/her on the
, 20
.
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4.
My opinion as to
’s capacity to govern
himself/herself and manage his/her affairs is based upon the following:
5.
Based upon my personal examination and the aforementioned clinic data and
history, it is my conclusion that
suffers from a significant
chronic functional impairment and lacks the cognitive capacity to make decisions for
himself/herself or to communicate, in any way, decisions to others.
His/Her significant chronic functional impairment includes, but is not limited to,
a lack of comprehension of concepts related to personal care, health care or medical
treatment and is, therefore, incapable to governing himself/herself or managing
his/her personal or financial affairs.
6.1
It is also my opinion that
sufficient capacity to make limited decisions in the areas of :
does have
The reasons for my opinion that he/she has the ability to make the aforementioned
limited decisions are:
7.
Based upon my personal examination and aforementioned facts and history,
it is my conclusion that he/she is (check one)
capable
incapable
of attending the hearing in this matter. If incapable, state reasons:
I certify that the foregoing statements made by me are true. I am aware that if any of
the foregoing statements made by me are willfully false, I am subject to punishment.
Date:
_______________________________
TYPE PSYCHOLOGIST’S NAME
Note. Complete this paragraph if it is your opinion that the alleged
incapacitated person has sufficient capacity in certain areas that he or she should retain
decision making rights. This paragraph will set out the basis for the same for the court’s
consideration. Otherwise cross this paragraph out before signing.
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FORM D -- ORDER FOR HEARING
Plaintiff(s)
Address:
TYPE YOUR NAME(S)
Telephone Number:
SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION
COUNTY
PROBATE PART
Docket No.
In the Matter of
CIVIL ACTION
PRINT INCAPACITATED PERSON’S NAME
ORDER FIXING HEARING DATE AND
APPOINTING ATTORNEY FOR
ALLEGED INCAPACITATED PERSON
RECEIVING DIVISION OF
DEVELOPMENTAL DISABILITIES
SERVICES
an Alleged Incapacitated Person
This matter having been opened to the court on complaint of the plaintiff(s) for an order
seeking the appointment of a guardian for
under R.4:86-10
and for such other relief as the court may deem just, and the court having read and considered
the verified complaint, the supporting affidavits or certifications and all other papers and
pleadings presented with this application, and for good cause shown:
(Do not write below this line - for court use only - except for the appropriate spaces where the name of the person over
whom guardianship is sought should be inserted.)
IT IS on this
1.
day of
, 20___, ORDERED that:
This matter be set down for hearing before this court at the
County Court House,
on the
, New Jersey, before the Hon.
day of
, 20 , at
o’clock in the
a.m.
p.m.
or as soon thereafter as plaintiff(s) may be heard, to determine the issue of the legal
incapacity of
and for the determination of the appointment of a
guardian; and
2.
served on
A copy of the complaint and supporting affidavits along with this order, shall be
, the alleged incapacitated person, by personal
service at least 20 days prior to the date scheduled for the hearing.
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3.
A separate notice advising the alleged incapacitated person of his
her right to a jury trial and to personally, or through legal counsel, appear and oppose the
application shall be personally served on the alleged incapacitated person at least 20 days
prior to the date scheduled for the hearing.
4.
A copy of the complaint and supporting documents, along with this order, shall
be served on all the next of kin and other interested parties set out in the complaint by regular
and certified mail, return receipt requested, at least 20 days prior to the date scheduled for
the hearing.
5.
, Esquire, whose address is
____________________________________and telephone is _____________________,
be and hereby is appointed as counsel for the alleged incapacitated person. Said attorney
shall be immediately served with copies of the complaint and supporting documents along
with this order. Said attorney shall personally interview the client, examine the medical
records, make inquiries of persons having knowledge of the alleged incapacitated person’s
circumstances, make reasonable inquiries to locate any will, powers of attorney or health care
directive previously executed by the alleged incapacitated person and prepare a written report
of findings and recommendations to be filed in court and with the plaintiff(s) pursuant to R.
4:86-10 at least ____ days prior to the hearing.
6.
This court may summarily appoint a guardian of the person and estate without
a hearing if the attorney appointed for
reports that
he/she on behalf of the alleged incapacitated person does not dispute either the need for
the guardianship or the fitness of the proposed guardian and the alleged
incapacitated person does not request a plenary hearing.
______________________________________
, J.S.C.
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FORM E -- JUDGMENT APPOINTING GUARDIAN
Plaintiff(s)
Address:
TYPE YOUR NAME(S)
Telephone Number:
SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION
COUNTY
PROBATE PART
Docket No.
In the Matter of
CIVIL ACTION
JUDGMENT OF LEGAL INCAPACITY
AND APPOINTING A GUARDIAN OF THE
PERSON AND ESTATE FOR PERSON
RECEIVING DIVISION OF
DEVELOPMENTAL DISABILITIES
SERVICES
TYPE INCAPACITATED PERSON’S NAME
An Incapacitated Person
This matter having been opened to the court on the complaint of the plaintiff(s)
, and the court having
appointed
as attorney for
and the court having reviewed the pleadings and the affidavits or certifications of
, M.D., (or
psychologist) and
licensed
, Division of Developmental Disabilities official,
and the report of
, Esq., and it appearing that
suffers from a chronic functional impairment and that
he/she lacks cognitive capacity and as a result is incapable of governing himself/herself
and managing his/her affairs.
It is on this
day of
, 20__ ORDERED and ADJUDGED that:
1.
is an incapacitated person and is unfit
and unable to govern himself/herself and manage his /her affairs because of a significant
chronic functional impairment, except, but subject to the right of the guardian(s) herein
appointed to seek to have this portion of the judgment vacated or modified for good cause,
is able at this time to govern himself /herself
and manage his/her own affairs with respect to the following areas:
_______________________________________________________________________
______________________________________________________________________
_____________________________________________________________________.
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2:
be and hereby is/are appointed
[Limited] Guardian(s) of the Person and Estate of
and that Letters of [Limited] Guardianship of the Person and Estate shall be issued upon
him/her /them (a) qualifying according to law, (b) acknowledging to the Surrogate of
________________ County, upon receipt of a copy of the guardian’s manual, the receipt
of the same and (c) entering into a surety bond unto the Superior Court of New Jersey
in the amount of $
, which bond shall contain the conditions set forth in N.J.S.A.
3B:15-7 and R. 1:13-3. The court shall approve the bond as to form and sufficiency.
3.
The guardian(s) shall have authority to make any and all medical decisions
regarding
including, but not limited to, the authority to consent or withhold
consent to surgical procedures and such other procedures reasonably attendant thereto, and
all decisions concerning withdrawal or denial of life support shall be exercised in full
compliance with existing statutory and case law.
4.
Upon qualifying, the Surrogate of ________________ County shall issue
Letters of Guardianship of the Person and Estate to
thereupon he/she/they shall then be authorized to perform all the functions and duties of
a guardian as allowed by law, except as limited herein or in areas herein above set forth
where
retains decision making rights.
5.
The Guardian(s) of the Estate may not alienate, mortgage, transfer or otherwise
encumber or dispose of real property without court approval. Said limitation shall be stated
in the Letters of Guardianship.
6.
The court having reviewed the affidavit or certification of services of
, Esq., previously filed with the
court, ____________________________ shall pay ______________________________,
court-appointed attorney for _________________________, a fee of $
for
professional services rendered and $
for expenses incurred, which
disbursements are hereby approved.
7.
is hereby directed to advise the Surrogate of
_______________ County within ten (10) days of any changes in the address or telephone
number of himself or herself and/or the incapacitated person or of the death of the
incapacitated person.
8.
shall cooperate fully with any court staff
or volunteers until the guardianship is terminated by the death or return to competency of
or the guardian’s death, removal or discharge.
9.
The plaintiff shall serve a copy of this Judgment upon all interested parties and
attorneys of record within seven (7) days from the receipt hereof.
________________________________________
, J.S.C.
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FORM F NOTICE OF PENDING HEARING
Plaintiff(s)
Address:
TYPE YOUR NAME(s)
Telephone Number:
SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION
COUNTY
PROBATE PART
Docket No.
In the Matter of
CIVIL ACTION
NOTICE OF PENDING HEARING, RIGHT
TO APPEAR AND RIGHT TO REQUEST
A JURY TRIAL
TYPE INCAPACITATED PERSON’S NAME
An Alleged Incapacitated Person
TO:
Be advised that a verified complaint has been filed with the New Jersey Superior
Court, Chancery Division, Probate Part seeking to have you declared to be an
incapacitated person and have a guardian appointed. If a guardian is appointed, you
could lose your individual rights.
at
The matter has been set down for a hearing on
a.m./p.m. in the
, New Jersey.
County Court House,
You have the right to be present in court. You have the right to be represented by
an attorney of your own choosing. You may appear in person or through legal counsel to
oppose the relief sought. You have the right to demand a trial by jury.
If either you or the attorney appointed for you do not dispute the need for a
guardianship or the fitness of the proposed guardian, and if you do not request a plenary
hearing, the court may summarily appoint
as guardian(s) without the necessity of a hearing.
Date:
Date:
________________________________________
Signature of Plaintiff
____________________________________________
Signature of Plaintiff
Type Name
Type Name
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FORM G PROOF OF SERVICE
Pro Se Plaintiff(s)
Address:
TYPE YOUR NAME(s)
Telephone Number:
SUPERIOR COURT OF NEW JERSEY
CHANCERY DIVISION
COUNTY
PROBATE PART
Docket No.
In the Matter of
CIVIL ACTION
TYPE INCAPACITATED PERSON’S NAME
PROOF OF SERVICE
an Alleged Incapacitated Person
1.
I,
2.
, of full age, hereby certify and say:
On
, I personally served
, the alleged incapacitated person, at
with copies of the following
documents regarding the above captioned matter:
A.
B.
C.
D.
E.
3.
Verified Complaint
Division of Development Disabilities Official’s Certification
(Check one)
Physician’s Certification or
Psychologist’s
Certification
Order for Hearing
Notice of Pending Hearing, Right to Appear and Right to Request a
Jury Trial.
The alleged incapacitated person has been afforded the opportunity to
appear personally or through an attorney in this matter, and he/she has been given or
afforded assistance to communicate with friends, relatives or attorneys concerning this
matter.
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4.
On
, I served a copy of the Verified Complaint,
DDD official’s Certification, (check one)
Physician’s Certification or
Psychologist’s Certification and Order for Hearing by certified mailed, return receipt
requested, and regular mail on:
Name
5.
Address
Date Served
Copies of all return receipt cards for certified mail are attached.
I hereby certify that the statements made by me are true. I am aware that if
any are wilfully false, I am subject to punishment.
Date:
____________________________________
signature
type name
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2002 Surrogates
Atlantic County Surrogate
1201 Bacharach Blvd.
Atlantic City, NJ 08402
Bergen County Surrogate
Justice Center
10 Main Street
Hackensack, NJ 07601-7691
Burlington County Surrogate
Court Complex, First Floor
49 Rancocas Road
Mount Holly, NJ 08060-1827
Camden County Surrogate
Hall of Justice
101 South Fifth Street
Camden, NJ 08103-4001
Cape May County Surrogate
4 Moore Road
Cape May Court House, NJ 08210
Cumberland Co. Surrogate
Cumberland County Courthouse
60 West Broad Street
Bridgeton, NJ 08302
Gloucester County Surrogate
Surrogate's Building
P. O. Box 177
Woodbury, NJ 08096-7177
Hudson County Surrogate
107 Administration Building
595 Newark Avenue
Jersey City, NJ 07306
Hunterdon County Surrogate
Hunterdon County Justice Center
65 Park Avenue, PO Box 2900
Flemington, NJ 08822-2900
Mercer County Surrogate
Mercer County Courthouse
175 South Broad Street, P O Box 8068
Trenton, NJ 08650-0068
Middlesex County Surrogate
Administration Building, First Floor
75 Bayard Steet
New Brunswick, NJ 08903
Monmouth County Surrogate
Hall of Records
1 East Main Street, PO Box 1265
Freehold, NJ 07728-1265
Essex County Surrogate
206 Hall of Records
469 Dr. MLK, Jr. Boulevard
Newark, NJ 07102
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Morris County Surrogate
Administration & Records Building
P.O. Box 900
Morristown, NJ 07963-0900
Somerset County Surrogate
Administration Building
20 Grove Street, P O Box 3000
Somerville, NJ 08876-1262
Ocean County Surrogate
Ocean County Courthouse
118 Washington Street, P O Box 2191
Toms River, NJ 08754
Sussex County Surrogate
4 Park Place
Newton, NJ 07860-1795
Passaic County Surrogate
Passaic County Old Courthouse
71 Hamilton Street
Paterson, NJ 07505-2018
Salem County Surrogate
Salem County Courthouse
92 Market Street
Salem, NJ 08079-9856
Union County Surrogate
Union County Courthouse
2 Broad Street, 2nd floor
Elizabeth, NJ 07207-6001
Warren County Surrogate
Warren County Courthouse
413 Second Street
Belvidere, NJ 07823
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