Form AOC-702A "Summons Involuntary Treatment (Substance Use Disorder)" - Kentucky

What Is Form AOC-702A?

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

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Kentucky Court of Justice;
  • 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 AOC-702A by clicking the link below or browse more documents and templates provided by the Kentucky Court of Justice.

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Download Form AOC-702A "Summons Involuntary Treatment (Substance Use Disorder)" - Kentucky

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AOC-702A
Summons Type: IT
Case No. ____________________
Rev. 6-19
Page 1 of 1
l e x
Court ________________________
District
e t
j u s t i t i a
Commonwealth of Kentucky
County ______________________
Court of Justice
www.courts.ky.gov
Summons Involuntary Treatment
Division ______________________
KRS Chapter 222; CR 4.01; 4.02
(Substance Use Disorder)
IN THE INTEREST OF:
)
)
_____________________________________________
)
RESPONDENT
)
)
)
_____________________________________________
)
ADDRESS
)
* * * * * * * * * * * *
The Commonwealth of Kentucky to the above-named Respondent:
You are hereby notified that a legal action has been filed in which you are the Respondent. A copy of
the petition is attached.
You are further notified by the appropriate block(s) checked below to:
appear on ___________________________________, 2_______,
________________
a.m.
p.m. at
q
q
q
(Time)
(Date)
______________________________________________________________________________________ to be
(Location)
examined by _____________________________________, a qualified health professional.
(Name)
appear on ___________________________________, 2_______, ________________
a.m.
p.m. at
q
q
q
(Date)
(Time)
______________________________________________________________________________________ to be
(Location)
examined by _____________________________________, a qualified health professional.
(Name)
At your request a Professional retained by you shall be permitted to witness and participate in your examination.
appear on ___________________________________, 2_______, ________________
a.m.
p.m. at
q
q
q
(Date)
(Time)
______________________________________________________________________________________ for a
(Location)
hearing in this matter.
The Court has appointed counsel to represent you in this action, namely the Hon.______________________________,
Address ______________________________________________ and telephone number _______________________.
FAILURE TO COMPLY WITH THIS SUMMONS MAY BE PUNISHABLE AS CONTEMPT OF COURT
________________________________, 2______
________________________________________, Clerk
Date
By: _________________________________________, D.C.
PROOF OF SERVICE
Executed by delivering a copy of the summons and petition to the above named Respondent.
________________________________, 2_______
____________________________________________
Date
Signature
____________________________________________
Title
Print
Reset Form
AOC-702A
Summons Type: IT
Case No. ____________________
Rev. 6-19
Page 1 of 1
l e x
Court ________________________
District
e t
j u s t i t i a
Commonwealth of Kentucky
County ______________________
Court of Justice
www.courts.ky.gov
Summons Involuntary Treatment
Division ______________________
KRS Chapter 222; CR 4.01; 4.02
(Substance Use Disorder)
IN THE INTEREST OF:
)
)
_____________________________________________
)
RESPONDENT
)
)
)
_____________________________________________
)
ADDRESS
)
* * * * * * * * * * * *
The Commonwealth of Kentucky to the above-named Respondent:
You are hereby notified that a legal action has been filed in which you are the Respondent. A copy of
the petition is attached.
You are further notified by the appropriate block(s) checked below to:
appear on ___________________________________, 2_______,
________________
a.m.
p.m. at
q
q
q
(Time)
(Date)
______________________________________________________________________________________ to be
(Location)
examined by _____________________________________, a qualified health professional.
(Name)
appear on ___________________________________, 2_______, ________________
a.m.
p.m. at
q
q
q
(Date)
(Time)
______________________________________________________________________________________ to be
(Location)
examined by _____________________________________, a qualified health professional.
(Name)
At your request a Professional retained by you shall be permitted to witness and participate in your examination.
appear on ___________________________________, 2_______, ________________
a.m.
p.m. at
q
q
q
(Date)
(Time)
______________________________________________________________________________________ for a
(Location)
hearing in this matter.
The Court has appointed counsel to represent you in this action, namely the Hon.______________________________,
Address ______________________________________________ and telephone number _______________________.
FAILURE TO COMPLY WITH THIS SUMMONS MAY BE PUNISHABLE AS CONTEMPT OF COURT
________________________________, 2______
________________________________________, Clerk
Date
By: _________________________________________, D.C.
PROOF OF SERVICE
Executed by delivering a copy of the summons and petition to the above named Respondent.
________________________________, 2_______
____________________________________________
Date
Signature
____________________________________________
Title
Print
Reset Form