GN-3665, 05/18 Order on Petition to Modify Guardianship 24754.64, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE MATTER OF Name Date of Birth Amended Order on Petition to Modify Guardianship Case No. Use this order to modify guardianship. Use form GN 3660 to deny Petition or terminate guardianship. A Petition to Modify Guardianship was filed and a hearing was held. After consideration of the reports and other documents on file, all factors required by the statutes, and such additional information presented; THE COURT FINDS: 1. NOTICE AND JURISDICTION A. Notice was was not properly served. B. This court does does not have jurisdiction over the subject matter and the ward. 2. MODIFICATION TO RIGHTS AND POWERS OF GUARDIAN OF PERSON AND ESTATE The ward continues to be incompetent as previously found by the court. However, the level of incapacity has changed since the last review of competency. As a result, the rights and powers of the ward and powers of the guardian are now as follows: GUARDIANSHIP OF THE PERSON (CAUTION: The boxes checked below should reflect all rights and powers transferred to the guardian by any prior court order that were not restored to the ward in this proceeding. This should reflect the current rights and powers of the guardian.) A. Rights to be removed in full. If removed, these rights may not be exercised by any person. The ward continues to be incompetent and has incapacity to exercise the following right to (1) execute a will. (2) serve on a jury. (3) register to vote or to vote in an election. B. Rights to be restored, removed in full, or exercised by ward only with consent of guardian of person to (If any right is restored by this order, do NOT check the box.) Ward may not exercise this right. Remove right in full. Ward may exercis e only with the consent of the guardian of the p erson. (1) consent to marriage. (3) apply for a fishing license. (4) apply for a license under Ch. 29, Wis. Stats., other than fishing. (5) apply for any other license or credential under 24754.25(2)(c)1.d., Wis . Stats. Specifically: American LegalNet, Inc. www.FormsWorkFlow.com GN-3665, 05/18 Order on Petition to Modify Guardianship 24754.64, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 (6) consent to sterilization. (7) consent to organ, tissue, or bone marrow donation. C. Powers to be transferred to guardian of the person in full or in part to 1.A. give informed consent to the voluntary receipt by the ward of a medical examination, medication, including any appropriate psychotropic medication, and medical treatment that is in the ward best interest, if the guardian has first made a good - faith attempt to discuss with the ward the voluntary receipt of the examination, medication, or treatment and if the ward does not protest. Full Transfer. Partial Transfer. The ward retains the power to: 1.B. give informed consent, if in the ward best interests, to the involuntary administration of a medical examination, medication other than psychotropic medication, and medical treatment that is in the ward 's best interest. Full Transfer. Partial Transfer. The ward retains the power to: 2. authorize ward might help the ward , or others if minimal risk of harm. Full Transfer. Partial Transfer. The ward retains the power to: 3. authorize ward ward but might help others if greater than minimal risk of harm to the ward but evidence indicates ward would have elected to participate. Full Transfer. Partial Transfer. The ward retains the power to: 4. consent to experimental treatment in the ward Full Transfer. Partial Transfer. The ward retains the power to: 5. give informed consent to receipt by ward of social and supported living services. Full Transfer. Partial Transfer. The ward retains the power to: 6. give informed consent to release of confidential records other than court, treatment, and patient health care records and redisclosure as appropriate. Full Transfer. Partial Transfer. The ward retains the power to: 7. make decisions related to mobility and travel. Full Transfer. Partial Transfer. The ward retains the power to: 8. choose providers of medical, social, and supported living services. Full Transfer. Partial Transfer. The ward retains the power to: 9. make decisions regarding educational and vocational placement and support services or employment. Full Transfer. Partial Transfer. The ward retains the power to: 10. make decisions regarding initiating a petition for termination of marriage. Full Transfer. Partial Transfer. The ward retains the power to: 11. re ceive all notices on behalf of the ward . Full Transfer. Partial Transfer. The ward retains the power to: 12. act in all proceedings as an advocate of the ward , except the power to enter into a contract that binds the w ard or the ward ward in any legal proceedings pertaini ng to the property, unless the g uardian of the p erson is also the g uardian of the e state. Full Transfer. Partial Transfer. The ward retains the power to: 13. apply for protective placement or for commitment on behalf of the ward which does not require court approval . Full Transfer. Partial Transfer. The ward retains the power to: 14. have custody of the ward . Full Transfer. Partial Transfer. The ward retains the power to: 15. Other: American LegalNet, Inc. www.FormsWorkFlow.com GN-3665, 05/18 Order on Petition to Modify Guardianship 24754.64, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 3 GUARDIAN OF THE ESTATE The ward continues to be incompetent. It is appropriate to A. appoint and authorize a permanent guardian of the estate to perform duties under 24754.19, Wis. Stats., and exercise the powers that do not require court approval under 24754.20(3), Wis. Stats., except as follows: (Choose one) (1) The ward retains all powers, except for the following powers to be transferred to the guardian: (2) All powers to be transferred to the guardian, except for the following powers: (3) All powers to be transferred to guardian. B. authorize the guardian of the estate to perform the following additional powers (other than to make gifts) that require court approval under 24754.20(2), Wis. Stats.: See attached C. direct the guardian of the estate to deposit the wardbank, credit union, savings bank or savings and loan association in the name of the guardian and the ward, payable only upon further order of the court, and waive bond for the guardian of the estate. D. Other: THE COURT ORDERS: 1. The rights and powers of the ward and guardian are modified as indicated in the findings above. 2. Letters of Guardianship of the Person Estate be issued consistent with this Order. 3. Reasonable compensation of the guardian ad litem and wardattorney shall be paid from the wardincome or assets. by petitioner. by county. Other: 4. Other: THIS IS A FINAL ORDER FOR THE PURPOSE OF APPEAL IF SIGNED BY A CIRCUIT COURT JUDGE. DISTRIBUTION: 1. Court 2. 3. of Attorney 4. Corporation Counsel 5. Social worker/ County Dept. of Human Services 6. Spouse/Adult Children/Parent of Minor 7. Facility, if any 8. Other: American LegalNet, Inc. www.FormsWorkFlow.com