PROBATE COURT OF WARREN COUNTY, OHIO IN THE MATTER OF GUARDIANSHIP OF ___________________________________ Case No. ______________________ EX PARTE JUDGMENT ENTRY APPOINTMENT OF EMERGENCY GUARDIAN FOR INCOMPETENT PERSON Upon hearing the applicant for appointment of an emergency guardian herein the Court finds that ________________________________________________________________________________________ is incompetent by reason of _________________________________________________________________ and further there exists emergency circumstances and that it is reasonably certain that immediate action is required to prevent significant injury to the person and/or estate of the proposed ward, that the proposed ward is incapable of taking proper care of ____ self and ____ property, and that an emergency guardianship is necessary. The Court therefore appoints _________________________________________________, a suitable and competent person, emergency guardian of the person and estate of __________________________________ incompetent, limited to the following: consenting or withholding consent for medical treatment and personal care; authorizing hospitalization or other residential institutionalization. __________________________________________________________________________________. The Court orders notice of the appointment of the emergency guardian be issued to the ward. The Court orders Letters of Emergency Guardianship be issued to ______________________________ as provided by law, for limited period from _________________________ to _________________________. ____________________________________________ ____________________________________________ Date Probate Judge American LegalNet, Inc. www.USCourtForms.com