§ 33-15-47 - Forms.
SECTION 33-15-47
§ 33-15-47 Forms. – The following forms shall be used for the purposes of this chapter:
STATE OF RHODE ISLAND PROBATE COURT OF THE
COUNTY OF ]]]]]]]]]]]]]
No.
ESTATE OF ]]]]]]]]]]]]]]]]]]]]]]]]]]]]
PERSONAL ESTATE ESTIMATED AT $]]]]]]]] CITY/TOWN OF
19
PETITION FOR LIMITED GUARDIANSHIP OR GUARDIANSHIP
hereby petitions the Probate Court of the
Petitioner
city/town of ]]]]]]]]]]]]]] to appoint a limitedguardian/guardian for ]]]]]]]]]]]]]] who currently resides at
Address
]]]]]]]]]]]]]]]]]], in the city/town of ]]]]]]]]]]]]]]]]]],and whose date of birth is ]]]]]]]]]]]]]]]]]].
Based upon an assessment conducted by
]]]]]]]]]]]]]]]]]] on, which
Date
functional assessment reflects the current level offunctioning of ]]]]]]]]]]]]]]]]]], it has been determined that
Respondent Respondent
lacks decision-making ability in one or more of the followingareas as indicated:
]]]] health care
]]]] financial matters
]]]] residence
]]]] association
]]]] other
Regarding each area indicated, please describe the specificassistance needed:
Indicate which of the following less restrictive alternativesto guardianship have been explored and deemed inappropriate as indicated:
]]]] Durable Power of Attorney for HealthCare
]]]] Living Will
]]]] Power of Attorney
]]]] Durable Power of Attorney
]]]] Trusts
]]]] Joint Property Arrangements
]]]] Representative Payee
]]]] Money Management
]]]] Single Court Transactions
]]]] Government Benefit and Social ServicePrograms
]]]] Housing Options
]]]] Other
Please describe the basis for the determination that thealternative will not meet the needs of the respondent for each alternativeexplored and deemed inappropriate:
The following individual/agency is willing to serve asguardian:
Upon information and belief the above individual/agency has: