GN-3110, 05/18 Order and Notice of Hearing 24724754.38(2), 54.38(6), 54.42(5), 54.44(1), 54.44(4), 55.09, 55.10, 55.11(3), and 55.14, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. A P etition was filed by [N ame ] requesting: temporary guardian of person . estate. permanent guardian of person . estate. standby guardian of person . estate. successor guardian of person . estate. protective placement . protective services . involuntary administration of psychotropic medication . F or g uardianship, t he court is satisfied as to compliance with 24754.34, Wis. Stat s. THE COURT ORDERS : 1. The P etition be heard at NOTICE OF HEARING Date Time Location (Include Room Number) Court Official If you require reasonable accommodations to participate in the court process due to a disability, please call to the scheduled court date. Please note that the court does not provide transportation. 2. A copy of this Order and the P etition shall be served upon the individual and guardia n, if any, and delivered to all interested persons and all others entitled to notice. 3. A copy of the P hysicia n or Psychologists R eport shall be filed with the court and provided by the petitioner to the guardian ad litem and the attorney for the proposed ward or ward at least 96 hours before the time of the hearing. 4 . For protective placement , i f the individual is developmentally disabled and is in or may be placed in a nursing or intermediate care facility, a copy of this Order and the P etition shall be served upon the appropriate board or designated agency. The board or agency shall submit to the court within 120 days of this order a plan for home or community - based care in the most integrated setting appropriate to the needs of the individual. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Name Date of Birth Amended Order and Notice of Hearing Case No. American LegalNet, Inc. www.FormsWorkFlow.com GN-3110, 05/18 Order and Notice of Hearing 24724754.38(2), 54.38(6), 54.42(5), 54.44(1), 54.44(4), 55.09, 55.10, and 55.11(3), Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2 5. T he individual, if able to attend, shall appear in person at the hearing, unless attendance is waived by the guardian ad litem and waiver is certified in writing to the court . 6. For protective placement or protective services, a copy of the comprehensive e valuation and any independent attorney. NOTICE: If this is a Temporary Guardianship proceeding, the individual is notified of the right to an attorney and the right to petition for reconsideration or modification of the temporary guardianship. TH IS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. American LegalNet, Inc. www.FormsWorkFlow.com