Free Instructions - New Hampshire

Instructions for completing Petition and Affidavit for Expedited Hearing
(NHJB-2169-P) Form use. There may be circumstances in an adult guardianship where it is important to hold a hearing within 15 days of the filing of the petition for guardianship. This form requests that the court do so.

Top part of form ·COURT NAME: Enter the name of the county probate court where the document will be filed. (Example: Belknap County Probate Court; Rockingham County Probate Court). ·CASE NAME: Enter the name of the person, the proposed ward. (example: Guardianship of John Adams). ·CASE NUMBER: Leave blank if not yet assigned by court OR fill in case number if it is known.

Main part of form This section is to be completed by the petitioner(s) or a physician. In the first blank line, which begins "I/We", enter the name(s) of petitioner(s) or the physician completing the form. In the next space provided, specify the facts and reasons why it is necessary for an expedited hearing to be held and a guardian appointed. Physician's section of form If a physician is completing the form: 1. Enter the name of the facility in which you are affiliated and its complete mailing address including zip code. Enter the name of the proposed ward/patient.

2.

Signature section The sentence prior to the signature section indicates that the person filing this document has provided copies to all attorneys, parties and persons beneficially interested in the case. This form must be signed in the presence of a Notary Public or Justice of the Peace. They will complete the section immediately following your signature. You will sign the form on the Signature line, and date it in the appropriate space to the left. Order This section will be completed by the judge.

Review the completed form for accuracy prior to filing it with the court. If completing this form on-line, some fields may be filled in automatically based on entries in other fields. If more space is needed for any question, please attach additional sheets of paper.

NHJB-2169-P Instructions (06/04/2008)

1 of 1