Free Order Appointing a Temporary Conservator or Guardian - West Virginia

IN THE CIRCUIT COURT OF _______________ COUNTY, WEST VIRGINIA
For Clerk's Use Only IN RE: ___________________________________________, DATE FILED: ____________________________________ AN ALLEGED PROTECTED PERSON CASE NUMBER ___________ - G - __________

ORDER OF APPOINTMENT OF TEMPORARY CONSERVATOR AND/OR GUARDIAN
[West Virginia Code: § 44A-2-13]

On the ______ day of _____________________________, 20______, a hearing in this matter was held before The Honorable ________________________________________________, Judge of this Court upon the petition of _________________ _____________________________ , which was filed with this Court on the ______ day of __________________, 20 _______, seeking the appointment of a temporary conservator and/or guardian for the above-named alleged Protected Person pursuant to the provisions of West Virginia Code: § 44A-2-14. On the ______ day of ____________________________, 20 ______, this Court entered an Order appointing counsel for the alleged Protected Person, to-wit: ____________________________________________. It further appears to the Court that AFTER the aforementioned appointment of counsel was made, timely and adequate notice of this hearing was given to the alleged Protected Person on the _______ day of _____________________, 20 _____, in the following manner: _______________________________

____________________________________________________________________________________________________________ ___________________________________________________________________________________________________________, and that insofar as this hearing for the appointment of a temporary conservator and/or guardian is concerned, this matter has properly matured for hearing. The following parties and/or counsel appeared for this hearing: _________________________________________________ ____________________________________________________________________________________________________________ Whereupon the Court proceeded to hear the evidence of the parties and the arguments of counsel and hereby makes the following findings: 1. The individual alleged to be a protected person is an adult individual who [initial applicable finding(s)]: __________ __________ is a resident of ____________________County, West Virginia. has been admitted to a health care or correctional facility in ___________________ County, West Virginia.

SCA-CG 907T-1 / 6-94

Order of Appointment of Temporary Conservator and/or Guardian - Page 1 of 3 Pages

2.

Based upon the evidence presented, the Court hereby finds and determines that ___________________________________, the individual alleged to be a protected person, is, for purposes of this hearing only, a "protected person" and meets the definition of a "protected person" under West Virginia Code: § 44A-1-4.

3.

The Court also finds that an immediate need exists for the appointment of a temporary guardian and/or conservator such that adherence to the procedures otherwise set forth in Chapter 44A for the appointment of a conservator and/or guardian may result in significant harm to a person or to the Protected Person's estate. The basis for this finding is as follows: ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ___________________________________________________________________. [Attach additional pages as necessary.]

Based upon the foregoing, the Court hereby ORDERS and makes the following appointment(s):

[Name] ________________________________________ as temporary conservator.

[Name] ________________________________________ as temporary guardian.

If a "temporary conservator" is appointed under the terms of this Order, the powers and duties of said temporary conservator shall be strictly limited to the following specifically enumerated duties and responsibilities: _________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ If a "temporary guardian" is appointed under the terms of this Order, the powers and duties of said temporary guardian shall be strictly limited to the following specifically enumerated duties and responsibilities: ______________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ ___________________________________________________________________________________________________________.
SCA-CG 907T-2 / 6-94

Order of Appointment of Temporary Conservator and/or Guardian - Page 2 of 3 Pages

Upon consideration of the evidence presented and the arguments made during the hearing, it is hereby ORDERED that [initial applicable finding and, if appropriate, insert amount of required bond]: __________ __________ __________ __________ Bond of the temporary guardian is hereby waived. The posting of bond by the temporary conservator is excused under the provisions of § 31A-4-18. Bond is set and shall be posted by the temporary guardian in the amount of: Bond is set and shall be posted by the temporary conservator in the amount of: $ ________________. $ ________________.

It is further ORDERED that the form of the bond(s) herein required shall be: ____________________________________ __________________________________________________________________________________________________. The Court notes that bond, as required above, has been posted as required by § 44A-2-13(a)(2), prior to the issuance of this order as follows in the following amount(s) and form(s): ___________________________________________________________ _________________________________________________________________________________________________________. It is ORDERED that the mandatory education required by § 44A-1-10 has been [initial one of the following]: __________ __________ waived by the terms of this Order. completed prior to the entry of this order of appointment as provided under § 44A-2-13(a)(3).

Pursuant to the terms of West Virginia Code: § 44A-2-14(b), this Order of appointment shall expire [check one of the following expiration dates authorized by the Court and complete explanation, if necessary]: __________ __________ within forty-five (45) days of the date of the entry of this Order within ninety (90) days of the entry of this Order, based upon the following good cause which was shown to the Court [explain]: ________________________________________________________________ ____________________________________________________________________________________. The Clerk of this Court shall enter the foregoing as of the ________ day of ________________________,20 ______, and shall transmit attested copies to counsel of record for the parties, to any guardian and/or conservator appointed by this Order, and to the Petitioner. Pursuant to West Virginia Code: § 44A-2-14(d), the guardian and/or conservator SHALL, within FIVE (5) DAYS OF THE DATE OF THE ENTRY OF THIS ORDER, mail a copy of this order of appointment, together with the statement of the right to appeal for a modification or termination which is annexed hereto, to the Protected Person and to all individuals and entities who would be entitled to notice of the hearing on the petition filed in this cause. SO ORDERED. ________________________________________________ JUDGE OF THE CIRCUIT COURT

STATEMENT OF RIGHTS TO APPEAL FOR A MODIFICATION OR TERMINATION
Pursuant to the provisions of West Virginia Code: § 44A-4-6, and other applicable law, the Protected Person named herein, any guardian and/or conservator of the Protected Person, or any other "interested person" as defined by law, has the right to, and may, seek an appeal to the Circuit Court to modify or terminate the appointment(s) and/or the powers of the guardian and/or conservator appointed by this Order.
SCA-CG 907T-3 / 6-94

Order of Appointment of Temporary Conservator and/or Guardian - Page 3 of 3 Pages