Action Of Emergency Guardian
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Action Of Emergency Guardian Form. This is a Ohio form and can be use in Montgomery County (Court Of Common Pleas).
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Tags: Action Of Emergency Guardian, 17.08, Ohio County (Court Of Common Pleas), Montgomery
PROBATE COURT OF MONTGOMERY COUNTY, OHIO
ALICE O. McCOLLUM, JUDGE
GUARDIANSHIP OF ________________________________________________________
CASE NO. ________________________
ACTION OF EMERGENCY GUARDIAN
Affiant being duly sworn, deposes and says:
In accordance with the order of this Court dated __________________________________________,
the above named ward was ___________________________________________________________
_________________________________________________________________________________
(Action Taken In Regards to the Ward)
________________________________________________________________________________________________________________
______________________________________
Sworn to before me and subscribed in my presence this _________ day of __________________,
____________.
____________________________________
Notary Public
The affidavit must be signed by a supervisor/administrator of a rest home or facility (if ward admitted to
same), doctor or medical provider (if ward hospitalized, medicated or surgical procedures performed),
etc.
This form must be RETURNED to the Montgomery County Probate Court NO LATER THAN FIVE (5)
DAYS after the expiration of the 72 hour order.
M.C. FORM 17.08 - ACTION OF EMERGENCY GUARDIAN
02/2006
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