Form PC679 "Order Appointing Emergency Temporary Guardian for Individual With Alleged Developmental Disability" - Michigan

What Is Form PC679?

This is a legal form that was released by the Michigan Probate Court - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2018;
  • The latest edition provided by the Michigan Probate Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PC679 by clicking the link below or browse more documents and templates provided by the Michigan Probate Court.

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Download Form PC679 "Order Appointing Emergency Temporary Guardian for Individual With Alleged Developmental Disability" - Michigan

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Approved, SCAO
JIS CODE: OEG
STATE OF MICHIGAN
FILE NO.
ORDER APPOINTING EMERGENCY
PROBATE COURT
TEMPORARY GUARDIAN FOR INDIVIDUAL
COUNTY OF
WITH ALLEGED DEVELOPMENTAL DISABILITY
In the matter of
, an individual with an alleged developmental disability
1. Date of hearing:
Judge:
Bar no.
THE COURT FINDS:
2. A petition was filed requesting the appointment of an emergency temporary guardian for
Name
3. Notice of hearing was
provided to all interested persons.
waived by all interested persons.
waived by the court.
4.
is an individual with an alleged developmental disability.
Name
5. Based on clear and convincing evidence, an emergency exists and
needs the immediate
Name
protection of a temporary guardian of the
person,
estate,
pending a full hearing in this matter.
IT IS ORDERED:
6.
, whose address and telephone number are
Name (type or print)
Address
City
State
Zip
Telephone no.
is appointed temporary guardian of the
person
estate
for
.
7. The temporary guardian shall have the authority to do the following:
8. The temporary guardian shall qualify by filing an acceptance of appointment.
Bond at $
must be filed.
9. The temporary guardianship shall expire on
or, if a hearing pursuant to statute is held earlier,
then on the date of the hearing.
10.
shall perform the necessary tests and report to accompany this
Name of agency (e.g., community mental health)
petition at least one day before the scheduled hearing in this matter.
Date
Judge
Bar no.
Attorney name (type or print)
Address
City
State
Zip
Telephone no.
Do not write below this line - For court use only
ORDER APPOINTING EMERGENCY TEMPORARY GUARDIAN FOR INDIVIDUAL WITH
PC 679 (12/18)
ALLEGED DEVELOPMENTAL DISABILITY
MCL 330.1607, MCR 5.104
Approved, SCAO
JIS CODE: OEG
STATE OF MICHIGAN
FILE NO.
ORDER APPOINTING EMERGENCY
PROBATE COURT
TEMPORARY GUARDIAN FOR INDIVIDUAL
COUNTY OF
WITH ALLEGED DEVELOPMENTAL DISABILITY
In the matter of
, an individual with an alleged developmental disability
1. Date of hearing:
Judge:
Bar no.
THE COURT FINDS:
2. A petition was filed requesting the appointment of an emergency temporary guardian for
Name
3. Notice of hearing was
provided to all interested persons.
waived by all interested persons.
waived by the court.
4.
is an individual with an alleged developmental disability.
Name
5. Based on clear and convincing evidence, an emergency exists and
needs the immediate
Name
protection of a temporary guardian of the
person,
estate,
pending a full hearing in this matter.
IT IS ORDERED:
6.
, whose address and telephone number are
Name (type or print)
Address
City
State
Zip
Telephone no.
is appointed temporary guardian of the
person
estate
for
.
7. The temporary guardian shall have the authority to do the following:
8. The temporary guardian shall qualify by filing an acceptance of appointment.
Bond at $
must be filed.
9. The temporary guardianship shall expire on
or, if a hearing pursuant to statute is held earlier,
then on the date of the hearing.
10.
shall perform the necessary tests and report to accompany this
Name of agency (e.g., community mental health)
petition at least one day before the scheduled hearing in this matter.
Date
Judge
Bar no.
Attorney name (type or print)
Address
City
State
Zip
Telephone no.
Do not write below this line - For court use only
ORDER APPOINTING EMERGENCY TEMPORARY GUARDIAN FOR INDIVIDUAL WITH
PC 679 (12/18)
ALLEGED DEVELOPMENTAL DISABILITY
MCL 330.1607, MCR 5.104