Free pc643.pmd - Michigan

Approved, SCAO

JIS CODE: AGL

STATE OF MICHIGAN PROBATE COURT COUNTY
CIRCUIT COURT - FAMILY DIVISION

FILE NO. ACCEPTANCE OF APPOINTMENT AND REPORT OF GUARDIAN AD LITEM

In the matter of 1. I have been appointed by the court as guardian ad litem for
Name

,

and I accept this appointment. 2. I report to the court as follows:

3. I recommend:

Date Signature Name (type or print) Address City, state, zip Telephone no.

NOTE: See other side for partial duties of the guardian ad litem in conservatorship.
Do not write below this line - For court use only

PC 643 (9/07)

ACCEPTANCE OF APPOINTMENT AND REPORT OF GUARDIAN AD LITEM

MCL 700.1403(d), MCL 700.5406, MCR 5.121

NOTICE OF PARTIAL DUTIES OF GUARDIAN AD LITEM IN CONSERVATORSHIP: A guardian ad litem appointed under MCL 700.5406 who meets with, examines, or evaluates an individual who is the subject of a petition in a protective proceeding shall do all of the following: · Consider whether there is an appropriate alternative to a conservatorship. · If a conservatorship is appropriate, consider the desirability of limiting the scope and duration of the conservator's authority. · Report to the court on the basis of the required considerations stated above.

Please note that these are not the only duties required of a guardian ad litem.