Notice Of Petition For Court Ordered Protective Services On An Amergency Basis
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Petition For Court Ordered Protective Services On An Amergency Basis Form. This is a Ohio form and can be use in Butler County (Court Of Common Pleas).
Loading PDF...
Tags: Notice Of Petition For Court Ordered Protective Services On An Amergency Basis, 23.3, Ohio County (Court Of Common Pleas), Butler
PROBATE COURT OF BUTLER COUNTY, OHIO
RANDY T. ROGERS, JUDGE
, AN ADULT
IN THE MATTER OF:
CASE NO.
NOTICE OF PETITION FOR COURT ORDERED
PROTECTIVE SERVICES ON AN EMERGENCY BASIS
[R.C. 5101.69]
TO:
Name of Adult, spouse, if any, if no spouse, adult children or next of kin, and guardian, if any, if their whereabouts are known.
You are hereby notified that on the
day of
,
, the Butler
County Department of Job & Family Services filed a Petition for Court Ordered Protective
Services to be provided for the above named Adult without the Adult’s consent on the grounds
that an emergency exists and that the Department has been unable to obtain the consent of
the Adult for protective services to be given. A copy of the petition is attached hereto.
This Petition has been set for hearing in the Butler County Probate Court, Hamilton, Ohio
located at the Butler County Courthouse 101 High Street, Second Floor on the
day of
,
, at
o’clock AM/PM The Adult may appear at the
hearing, may present, examine, and cross-examine witnesses, and present evidence to contest
the petition. The Adult is entitled to be represented by an attorney and, if found to be indigent,
the Adult may request an attorney to be appointed without cost.
WITNESS my signature and seal of said Court,
this
day of
,
Probate Judge
By:
Deputy Clerk
FORM 23.3 - NOTICE OF PETITION FOR COURT ORDERED
PROTECTIVE SERVICES ON AN EMERGENCY BASIS
American LegalNet, Inc.
www.FormsWorkFlow.com
Eff. Date: January 1, 2010
CASE NO.
The State of Ohio, Butler County Probate Court
I hereby certify that I caused a copy of the within notice to be mailed, by certified mail, to the last
known address of
at
at
Randy T. Rogers, Probate Judge
By:
Deputy Clerk
RETURN
Butler County, Ohio
,
Received this notice on the
o’clock AM/PM , and on the
day of
,
day of
,
at
, I served the same by
delivering a true copy thereof personally to
FEES
Sheriff
Service and return, 1 st name, $
Deputy Sheriff/Process Server
Additional names, at $
Miles traveled, at
$
Name
$
Title
Total
$
FORM 23.3 - NOTICE OF PETITION FOR COURT ORDERED
PROTECTIVE SERVICES ON AN EMERGENCY BASIS
American LegalNet, Inc.
www.FormsWorkFlow.com
Eff. Date: January 1, 2010
