COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... IN THE SUPERIOR COURT OF WASHINGTON THE PEOPLE OF THE STATE OF FOR THE COUNTY OF KING NEW YORK In TO the Guardianship of: ) Case No: ) ) ORDER APPROVING PERSONAL CARE ) PLAN GREETINGS: ) ) [ ] Initial [ ] Periodic WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ) , the Honorable at the Court _______________________________ ) (ORAPRT) located at County of An Incapacitated, Person ) , 20 in room on the day of , at o'clock in the noon, and at any recessed ___________________________________ ) (CLERK’S ACTION REQUIRED) or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. CLERK’S INFORMATION SUMMARY Due Date for Next Periodic Care Plan_______________________________________________. Witness, Honorable , one of the Justices of the Name, Address and Telephone for Guardian/Attorney___________________________________ Court in County, day of , 20 _____________________________________________________________________________. (Attorney must sign above and type name below) Guardian of the Person of _________________________________________, an incapacitated Attorney(s) for person, having come on for hearing this day before the undersigned and the Court having been advised in the matters now before the Court, the Court makes the following: Office and P.O. Address ORDER APPROVING CARE PLAN - Page 1 of 2 2001 Guardianship Forms Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : I. Index No. Calendar No. : Plaintiff(s) FINDINGS OF FACT JUDICIAL SUBPOENA -against- : The Personal Care Plan includes all of the facts necessary to give the Court jurisdiction over this matter. No notice is required for the hearing on the :report. Based upon the foregoing Findings of Facts, the Court: now, therefore makes the following: Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . .II.. . . . . CONCLUSIONS .OF. LAW . ................ .. The [ ] Initial Personal Care Plan [ ] Periodic Personal Care Plan should be approved. THE PEOPLE OF THE STATE OF NEW YORK III. TO The [ ] Initial Personal Care Plan [ ORDER ] Periodic Personal Care Plan is approved. GREETINGS: DONE IN OPEN COURT this ____________ day of _____________________, 200 _____. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the _______________________________________ JUDGE/COURT COMMISSIONER Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the Presented by: behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a party on whose result of your failure to comply. Signature of Guardian Witness, Honorable Court in County, Printed Name of Guardian, , one of the Justices of the WSBA/CPG# day of , 20 Address Telephone/Fax Number City, State, Zip Code Email Address (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address ORDER APPROVING CARE PLAN - Page 2 of 2 2001 Guardianship Forms Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com