Form JV-069 "Guardian Ad Litem Motion for Additional Hours/Extension of Time" - Massachusetts

What Is Form JV-069?

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

Form Details:

  • Released on July 6, 2015;
  • The latest edition provided by the Massachusetts Juvenile Court Department;
  • 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 JV-069 by clicking the link below or browse more documents and templates provided by the Massachusetts Juvenile Court Department.

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Download Form JV-069 "Guardian Ad Litem Motion for Additional Hours/Extension of Time" - Massachusetts

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DOCKET NO.
Trial Court of Massachusetts
GUARDIAN AD LITEM MOTION FOR
Juvenile Court Department
ADDITIONAL HOURS/EXTENSION OF TIME
CASE NAME
DIVISION
APPOINTMENT DATE
NEXT COURT DATE
MOTION FOR ADDITIONAL HOURS/EXTENSION OF TIME TO FILE REPORT
I,
, request:
(NAME)
Additional hours. No. of hours requested
:
(not to exceed 10 Hours)
No. of previously approved requests for additional hours:
Extension of time to file my report.
No. of previously approved requests for extension of time:
I am appointed as a Guardian Ad Litem for:
(check category of appointment)
Extraordinary Medical Treatment
Legal Rights
A. Antipsychotic Medication Recommendation
A. Privilege
B. Forgoing or Discontinuing Life Sustaining/Medical Treartment
B. Claims
C. Administration of Medical Treatment and/or Procedure
C. Advisor
Treatment Monitor
Education Surrogate
Evaluator
:
Diminished Capacity
(Issue)
REASON(S) FOR REQUEST
(MUST BE COMPLETED)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
NOTE: If additional space is needed, please fill out and attach a separate sheet.
DATE
SIGNATURE OF GUARDIAN AD LITEM
TO BE COMPLETED BY COURT
_________________________________________________________________
Motion is hereby allowed
_________________________________________________________________
Hours
(not to exceed 10 hours)
_________________________________________________________________
_________________________________________________________________
Due Date
_________________________________________________________________
Motion is hereby denied
_________________________________________________________________
DATE
SIGNATURE OF JUSTICE
JV-069 (07/06/2015)
DOCKET NO.
Trial Court of Massachusetts
GUARDIAN AD LITEM MOTION FOR
Juvenile Court Department
ADDITIONAL HOURS/EXTENSION OF TIME
CASE NAME
DIVISION
APPOINTMENT DATE
NEXT COURT DATE
MOTION FOR ADDITIONAL HOURS/EXTENSION OF TIME TO FILE REPORT
I,
, request:
(NAME)
Additional hours. No. of hours requested
:
(not to exceed 10 Hours)
No. of previously approved requests for additional hours:
Extension of time to file my report.
No. of previously approved requests for extension of time:
I am appointed as a Guardian Ad Litem for:
(check category of appointment)
Extraordinary Medical Treatment
Legal Rights
A. Antipsychotic Medication Recommendation
A. Privilege
B. Forgoing or Discontinuing Life Sustaining/Medical Treartment
B. Claims
C. Administration of Medical Treatment and/or Procedure
C. Advisor
Treatment Monitor
Education Surrogate
Evaluator
:
Diminished Capacity
(Issue)
REASON(S) FOR REQUEST
(MUST BE COMPLETED)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
NOTE: If additional space is needed, please fill out and attach a separate sheet.
DATE
SIGNATURE OF GUARDIAN AD LITEM
TO BE COMPLETED BY COURT
_________________________________________________________________
Motion is hereby allowed
_________________________________________________________________
Hours
(not to exceed 10 hours)
_________________________________________________________________
_________________________________________________________________
Due Date
_________________________________________________________________
Motion is hereby denied
_________________________________________________________________
DATE
SIGNATURE OF JUSTICE
JV-069 (07/06/2015)