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Home My WebLink About03-24-06 0<.2 - C(\ ~ SUPREME COURT OF PENNSYLVANIA ADMINISTRATIVE OFFICE OF THE PENNSYLVANIA COURTS Act 24 of 1992 - GUARDIANSHIP ACT Report Covers Period January 1, 2005 to Decmber 31, 2005 for Cumberland County \0 o o ~ ~ 1'-4 ~ .""" ~ ~ = = E9 ~ QJ ~ ~ o Z "'C QJ :t: .""" e ~ rI'l QJ = oi-I fI.l :I ~ e ~ o ~ 1. Age: Indicate the age of the respondent. I 311s-39 1 5140-59 I S160-79 I SlOver So 2. Type of Petitioner: Indicate the type of petitioner I 71 Institution I 10 IAgencies 1 141 Relatives I o I Other Organizations 1 1 1 Other Individuals 3. Relief Requested: Indicate the type of relief requested. Limited Plenary - I 11 Estate I 1 I Estate I o I Person 1 5 I Person I 11 Estate & Person I 24 I Estate & Person 1 o I Regular I 221 Regular I 21 Emergency 1 SI Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I 51 Institutions I 1 I Estate I 2 1 Estate I SIAgencies 1 o I Person I 5 1 Person I 91 Relatives I o 1 Estate & Person I lSI Estate & Person I 1 1 Other Organizations 1 o I Regular I 19 1 Regular I 3 1 Other Individuals I 11 Emergency I 61 Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 01$ I 01 Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number 1 lSI$ I 4,260.7S1 ~ \'<? ~J 717-240-7766 Tele hone Number 717-240-7766 Telephone Number SUPREME COURT OF PENNSYLVANIA ....i," !Y.:" '~ ,; It'< ..)oo;ol.,~" . ) ~i ..;>...... . , .: ~"", ~?','" "I, '.... '. ' '..&.;;: '-l -,,".:;,a. ~-<-~~-,,-,,~./~~~ '., '~'''''.l;::~~~~';;~. ~.~;~~~ . ADMINISTRATIVE OFFICE OF PENNSYLVANIA COURTS 1515 MARKET STREET, SUITE 1414 PHILADELPHIA, PENNSYLVANIA 19102 TEL: 215.560.6300 FAX: 215.560.5487 MEMORANDUM TO: FROM: All Clerks of the Orphans' Court Zygmont A. Pines /)~ ~ ~ Court Administrator of ~;;'nZI~a~ DATE: March 8, 2006 SUBJ: Act 24 of 1992 - Guardianship Act As you know, 20 Pa.C.S. 95512.3 requires a program of annual data collection "to assist in evaluating the operation and costs of the guardianship system." The Act also provides that "[i]f the alleged incapacitated person is unable to pay for counselor for the evaluation, the court shall order the county to pay these costs. These costs shall be reimbursed by the Commonwealth in the following fiscal year" (see 95511(c)). Enclosed is the data collection/ county reimbursement reporting form. Please note there are four copies. Copies must be submitted no later than April 17, 2006. A completed form must be submitted even if reimbursement is not being sought. Instructions for completing the report appear on the reverse side of each copy along with mailing addresses: Department of Public Welfare Copy: the first copy is the official reimbursement request form which is to be submitted to the Department of Public Welfare; DPW is responsible for the reimbursement program. Please forward the report to the county budget official who has authority to certify the reimbursement information. AOPC Copy: the second copy is to be submitted to the Administrative Office of Pennsylvania Courts. Department of Aging Copy: the third copy is to be submitted to the Department of Aging. Orphans' Court Clerk Copy: the fourth copy is for your records. (over) Please note that each copy of the form is to be fully completed before sending the forms to the respective agencies. A worksheet has been developed (also enclosed) to help compile the required information. Make as many copies of the worksheet as necessary, and complete one for each petition flied. Use of the worksheet is optional; the worksheets are only to assist you in compiling the annual totals. The reporting form covers the period January 1, 2005 through December 31, 2005. Should you have any questions concerning the form, please emai1 Roe.Figazzotto:EWacourts.us. Finally, I would ask that you please provide a copy of the enclosed to your Orphans' Court judges. Thank you for your assistance and cooperation. Enclosures cc: All President Judges (with enclos. Orphans' Court Clerk Copy) All District Court Administrators (with enclos. Orphans' Court Clerk Copy) ~ o o ~ ... 1"- ~ := $...t ~ = ~ ..c: ~ ~ QJ ..... ~ ~ o Z "C QJ ..... ..... 0.-4 e ..c = rJ'J QJ ~ ..... rI'J = ~ e ~ o ~ SUPREME COURT OF PENNSYL VANIA ADMINISTRATIVE OFFICE OF PENNSYL VANIA COURTS ACT 24 OF 1992 - GUARDIANSHIP ACT REPORT COVERS PERIOD JANUARY 1,2005 TO DECEMBER 31, 2005 FOR CUMBERLAND COUNTY 1. AGE: Report the number of respondents in each age category. ( ) 18-39 ( ) 40-59 ( ) 60-79 ( ) Over 80 2. TYPE OF PETITIONER: Report the number of petitioners in each category. ( ) Institutions ( ) Agencies ( ) Relatives ( ) Other Organizations ( ) Other Individuals 3. RELIEF REQUESTED: Report the numberofpetitionsfor each type ofreli~frequested. LIMITED PLENARY ( ) Estate ( ) Estate ( ) Person ( ) Person ( ) Estate & Person ( ) Estate & Person ( ) Regular ( ) Regular ( ) Emergency ( ) Emergency 4. ApPROVED PETITIONS: Report the number <<f approved petitionsfor each category. PETITIONER LIMITED PLENARY ( ) Institutions ( ) Estate ( ) Estate ( ) Agencies ( ) Person ( ) Person ( ) Relatives ( ) Estate & Person ( ) Estate & Person ( ) Other Organizations ( ) Regular ( ) Regular ( ) Other Individuals ( ) Emergency ( ) Emergency 5. REIMBURSEMENT INFORMATION: Evaluations paid by county: Report the number <<fevaluations and total dollar amount. Number ( ) $ ( ) Counsel paid by county: Report the number <<f appointments and total dollar amount. Number ( ) $ ( ) Name and title of person providing statistical information Name and title of person certifying reimbursement information "- AOPC-ACT24 Orphans' Court Clerk Copy INSTRUCTIONS FOR COMPLETING THE FORM PURPOSE: The aim of this report is to gather systematic information on the number and type of guardianship petitions filed and adjudicated pursuant to Act 24 of 1992. The form is to be completed and submitted annually. Act 24 also provides for Commonwealth reimbursement for evaluation and legal counsel expenses incurred by the county. This report also serves as the reimbursement request form. WHAT TO COUNT: For Question 1, count the number of new cases - files opened for new respondents - during the reporting period. For Questions 2 and 3, count each petition filed which requests appointment of a guardian or change of guardian. DO NOT COUNT ancillary petitions (e.g., petition for an extension). For Question 4, count the number of approved petitions only. QUESTIONS ABOUT HOW TO COMPILE THE STATISTICS: Contact the AOPC Policy & Research Department at Roe. Figazzotto@pacourts.us SUPREME COURT OF PENNSYL VANIA ADMINISTRATIVE OFFICE OF PENNSYL VANIA COURTS ACT 24 OF 1992 - GUARDIANSHIP ACT REPORT COVERS PERIOD JANUARY 1,2005 TO DECEMBER 31, 2005 FOR CUMBERLAND COUNTY c.o o o ~ ... l' ~ .....c 0.-4 1004 ~ = ~ ..= ~ 1004 QJ .... ~ ~ o Z "'t:$ QJ .... .... 0.-4 e ..c = rJ'j QJ ~ .... r.Il = ~ e 1004 o ~ 1. AGE: Report the number of respondents in each age category. ( ) 18-39 ( ) 40-59 ( ) 60-79 ( ) Over 80 2. TYPE OF PETITIONER: Report the number of petitioners in each category. ( ) Institutions ( ) Agencies ( ) Relatives ( J Other Organizations ( J Other Individuals 3. RELIEF REQUESTED: Report the numberqfpetitionsforeach type of relief requested. LIMITED Pu:NARY ( ) Estate ( ) Estate ( ) Person ( ) Person ( ) Estate & Person ( ) Estate & Person ( ) Regular ( ) Regular ( ) Emergency ( ) Emergency 4. ApPROVED PETITIONS: Report the number q{approved petitionsfor each category. PETITIONER LIMITED PLENARY ( ) Institutions ( ) Estate ( ) Estate ( ) Agencies ( ) Person ( ) Person ( ) Relatives ( ) Estate & Person ( ) Estate & Person ( ) Other Organizations ( ) Regular ( ) Regular ( ) Other Individuals ( ) Emergency ( ) Emergency 5. REIMBURSEMENT INFORMATION: Evaluations paid by county: Report the number q{ evaluations and total dollar amount. Number ( ) $ ( ) Counsel paid by county: Report the number q{appointments and total dollar amount. Number ( ) $ ( ) Name and title of person providing statistical information Telephone Number Name and title of person certifying reimbursement information Telephone Number " AOPC-ACT24 Department of Aging Copy INSTRUCTIONS FOR COMPLETING THE FORM PURPOSE: The aim of this report is to gather systematic information on the number and type of guardianship petitions filed and adjudicated pursuant to Act 24 of 1992. The form is to be completed and submitted annually. Act 24 also provides for Commonwealth reimbursement for evaluation and legal counsel expenses incurred by the county. This report also serves as the reimbursement request form. WHAT TO COUNT: For Question 1, count the number of new cases - files opened for new respondents - during the reporting period. For Questions 2 and 3, count each petition filed which requests appointment of a guardian or change of guardian. DO NOT COUNT ancillary petitions (e.g., petition for an extension). For Question 4, count the number of approved petitions only. WHERE TO SEND THE FORM: This copy ofthe form is to be sent to: James Bubb Pennsyl vania Department of Aging 555 Walnut Street Harrisburg, Pennsylvania 17101-1919 QUESTIONS ABOUT HOW TO COMPILE THE STATISTICS: Contact the AOPC Policy & Research Department at Roe. F igazzotto@pacourts.us SUPREME COURT OF PENNSYLVANIA ADMINISTRATIVE OFFICE OF PENNSYLVANIA COURTS ACT 24 OF 1992 - GUARDIANSHIP ACT REPORT COVERS PERIOD JANUARY 1,2005 TO DECEMBER 31, 2005 FOR CUMBERLAND COUNTY c.c o o ~ .... t--- ~ =-= $..4 ~ = ~ ..c= ~ $..4 ~ ..... ~ ~ o Z ~ ~ ..... ..... .....c e ..c = rJ:J ~ ~ ..... r.I'J = ~ e $..4 o ~ 1. ACE: Report the number o.frespondents in each age category. ( ) 18-39 ( ) 40-59 ( ) 60-79 ( ) Over 80 2. TYPE OF PETITIONER: Report the number of petitioners in each category. ( ) Institutions ( ) Agencies ( ) Relatives ( ) Other Organizations ( J Other Individuals 3. RELIEF REQUESTED: Report the numbero.fpetitionsfor each type of relief requested. LIMITED PLENARY ( ) Estate ( ) Estate ( ) Person ( ) Person ( ) Estate & Person ( ) Estate & Person ( ) Regular ( ) Regular ( ) Emergency ( ) Emergency 4. ApPROVED PETITIONS: Report the number 0.( approved petitionsfor each categOlY. PETITIONER LIMITED PLENARY ( ) Institutions ( ) Estate ( ) Estate ( ) Agencies ( ) Person ( ) Person ( ) Relatives ( ) Estate & Person ( J Estate & Person ( ) Other Organizations ( ) Regular ( ) Regular ( ) Other Individuals ( ) Emergency ( ) Emergency 5. REIMBURSEMENT INFORMATION: Evaluations paid by county: Report the number of evaluations and total dollar amount. Number ( ) $ ( ) Counsel paid by county: Report the number 0.( appointments and total dollar amount. Number ( ) $ ( ) Name and title of person providing statistical information Telephone Number Name and title of person certifying reimbursement information TelephoneN umber \. AOPC-ACT24 Department of Public Welfare Copy INSTRUCTIONS FOR COMPLETING THE FORM PURPOSE: The aim of this report is to gather systematic information on the number and type of guardianship petitions filed and adjudicated pursuant to Act 24 of 1992. The form is to be completed and submitted annually. Act 24 also provides for Commonwealth reimbursement for evaluation and legal counsel expenses incurred by the county. This report also serves as the reimbursement request form. WHAT TO COUNT: For Question 1, count the number of new cases - files opened for new respondents - during the reporting period. For Questions 2 and 3, count each petition filed which requests appointment of a guardian or change of guardian. DO NOT COUNT ancillary petitions (e.g., petition for an extension). For Question 4, count the number of approved petitions only. WHERE TO SEND THE FORM: This copy ofthe form is to be sent to: Elizabeth Zeisloft Bureau of Financial Management & Administration Office of Mental Health & Substance Abuse Services Pennsylvania Department of Public Welfare 1 st Floor Administration Building, HSH P.O. Box 2675 Harrisburg, Pennsylvania 17105-2675 QUESTIONS ABOUT HOW TO COMPILE THE STATlSTlCS: Contact the AOPC Policy & Research Department at Roe.F igazzotto@pacourts.us ~ Q Q ~ '" ~ ~ I"""'l .~ ;..c ~ = ~ ..d ~ ;..c ~ ...... ~ ~ o Z ~ ~ ...... ...... .~ e ..c = rJl ~ = ...... r.I'J = ~ e ;..c o ~ SUPREME COURT OF PENNSYL VANIA ADMINISTRATIVE OFFICE OF PENNSYLVANIA COURTS ACT 24 OF 1992 - GUARDIANSHIP ACT REPORT COVERS PERIOD JANUARY 1,2005 TO DECEMBER 31,2005 FOR CUMBERLAND COUNTY 1. ACE: Report the number of respondents in each age category. ( ) 18-39 ( ) 40-59 ( ) 60-79 ( ) Over 80 2. TYPE OF PETITIONER: Report the number of petitioners in each category. ( ) Institutions ( ) Agencies ( ) Relatives ( ) Other Organizations ( ) Other Individuals 3. RELIEF REQUESTED: Report the number of petitions for each type ofrelit;frequested. LIMITED PLENARY ( ) Estate ( ) Estate ( ) Person ( ) Person ( ) Estate & Person ( ) Estate & Person ( ) Regular ( ) Regular ( ) Emergency ( ) Emergency 4. ApPROVED PETITIONS: Report the number of approved petitionsfor each category. PETITIONER LIMITED PLENARY ( ) Institutions ( ) Estate ( ) Estate ( ) Agencies ( ) Person ( ) Person ( ) Relatives ( ) Estate & Person ( ) Estate & Person ( ) Other Organizations ( ) Regular ( ) Regular ( ) Other Individuals ( ) Emergency ( ) Emergency 5. REIMBURSEMENT INFORMATION: Evaluations paid by county: Report the number of evaluations and total dollar amount. Number ( ) $ ( ) Counsel paid by county: Report the number of appointments and total dollar amount. Number ( ) $ ( ) N arne/Title of person providing statistical information Telephone Number Name/Title of person certifying reimbursement information Telephone Number AorC-ACT24 AOPC Copy INSTRUCTIONS FOR COMPLETING THE FORM PURPOSE: The aim of this report is to gather systematic information on the number and type of guardianship petitions filed and adjudicated pursuant to Act 24 of 1992. The form is to be completed and submitted annually. Act 24 also provides for Commonwealth reimbursement for evaluation and legal counsel expenses incurred by the county. This report also serves as the reimbursement request form. WHAT TO COUNT: For Question 1, count the number of new cases - files opened for new respondents - during the reporting period. For Questions 2 and 3, count each petition filed which requests appointment of a guardian or change of guardian. DO NOT COUNT ancillary petitions (e.g., petition for an extension). For Question 4, count the number of approved petitions only. WHERE TO SEND THE FORM: This copy ofthe form is to be sent to: Department of Policy & Research Administrative Office ofPennsyl vania Courts 15 15 Market Street Suite 1414 Philadelphia, Pennsylvania 19102 QUESTIONS ABOUT HOW TO COMPlLE THE STATISTICS: Contact the AOPC Policy & Research Department at Roe. F igazzotto@Pacourts.us ACT 24 OF 1992 - GUARDIANSHIP ACT WORKSHEET DKT# 1. AGE: Indicate the age of the respondent. ( ) 18-39 ( ) 40-59 ( ) 60-79 ( ) Over 80 2. TYPE OF PETITIONER: Indicate the type o.{petitioner. ( ) Institutions ( ) Agencies ( ) Relatives ( ) Other Organizations ( ) Other Individuals 3. RELlEF REQUESTED: Indicate the type ofreli~{reques ted. LIMITED PLENARY ( ) Estate ( ) Estate ( ) Person ( ) Person ( ) Estate & Person ( ) Estate & Person ( ) Regular ( ) Regular ( J Emergency ( ) Emergency 4. ApPROVED PETITIONS: Indicate the type of approved petition, !f applicable. PETITIONER LIMITED PLENARY ( ) Institutions ( ) Estate ( ) Estate ( ) Agencies ( ) Person ( ) Person ( ) Relatives ( ) Estate & Person ( ) Estate & Person ( ) Other Organizations ( ) Regular ( J Regular ( ) Other Individuals ( ) Emergency ( J Emergency 5. REIMBURSEMENT INFORMATION: Evaluations paid by county: Indicate ({the evaluation was paid by the county and the total dollar amount. ( ) Number $ ( ) Counsel paid by county: Indicate ({counsel was paid by the county and the total dollar amount. ( ) ( ) Number $ AOPC-ACT24 c.o Q Q ~ .,. ~ ~ ..c ~ M ~ ~ =: ~ ..c ~ M ~ ... ~ ~ o Z "'0 ~ ... ... . .... e ,.Q = en ~ ~ ... rJ} = ~ S M o ~ SUPREME COURT OF PENNSYLVANIA ADMINISTRATIVE OFFICE OF PENNSYLVANIA COURTS ACT 24 OF 1992 - GUARDIANSHIP ACT REPORT COVERS PERIOD JANUARY 1,2005 TO DECEMBER 31,2005 FOR ADAMS COUNTY '\ l. AGE: Report the number of i-esp on dents in each age categ01Y. ( ) 18-39 ( ) 40-59 ( ) 60-79 ( ) Over 80 2. TYPE OF PETITIONER: Report the number of petitioners in each category. ( ) Institutions ( ) Agencies ( ) Relatives ( ) Other Organizations ( J Other Individuals 3. RELIEF REQUESTED: Report the number of petitions for each type <?fi-eliC!frequested. LIMITED PLENARY ( ) Estate ( ) Estate ( J Person ( ) Person ( ) Estate & Person ( ) Estate & Person ( J Regular ( J Regular ( ) Emergency ( ) Emergency 4. ApPROVED PETITIONS: Report the number of approved petitionsforeach categ01Y. PETITIONER LIMITED PLENARY ( ) Institutions ( ) Estate ( ) Estate ( J Agencies ( J Person ( ) Person ( ) Re1ati ves ( ) Estate & Person ( ) Estate & Person ( ) Other Organizations ( ) Regular ( ) Regular ( J Other Individuals ( ) Emergency ( ) Emergency S. PETITIONS TERMINATED OR MOI>IFIEI>: Report the number o/petitions either terminated or mod(fied. TERMINA TEl> MO()[FIED ( ) ( ) 6. REIMBURSEMENT INFORMATION: Evaluations paid by county: Report the number <?f evaluations and total dollar amount. Number ( ) $ ( ) Counsel paid by county: Report the number <?fappointments and total doflaramount. Number ( ) $ ( ) Name/Title of person providingstatistical information Telephone Number N ame/Title of person certifying reimbursement information TelephoneNumber \. AOPC-ACT24 (Revised 2()()(j) AOPC Copy INSTRUCTIONS FOR COMPLETING THE FORM PURPOSE: The aim of this report is to gather systematic information on the number and type of guardianship petitions filed and adjudicated pursuant to Act 24 of 1992. The form is to be completed and submitted annually. Act 24 also provides for Commonwealth reimbursement for evaluation and legal counsel expenses incurred by the county. This report also serves as the reimbursement request form. WHAT TO COUNT: For Question 1, count the number of new cases - files opened for new respondents - during the reporting period. For Questions 2 and 3, count each petition filed which requests appointment of a guardian or change of guardian. DO NOT COUNT ancillary petitions (e.g., petition for an extension). For Question 4, count the number of approved petitions only. For Question 5, count each petition which resulted in the termination ofa quardianship and count each petition which resulted in the modification of an existing order. WHERE TO SEND THE FORM: This copy ofthe form is to be sent to: Department of Policy & Research Administrati ve Office of Pennsylvania Courts 15 15 Market Street Suite 1414 Philadelphia, Pennsylvania 19102 QUESTIONS ABOUT HOW TO COMPILE THE STATISTICS: Contact the AOPC Policy & Research Department at Roe. Figazzotto@Pacourts.us Act 24 of 1992 - Guardianship Act Worksheet DKT# 1. Age: Indicate the age of the respondent. 311s-39 5140-59 s160-79 slOver So 2. Type of Petitioner: Indicate the type of petitioner 71 Institution o I Other Organizations 10 IAgencies 1 I Other Individuals 141 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary 11 Estate 11 Estate o I Person 51 Person 11 Estate & Person 241 Estate & Person 221 Regular Sl Emergency o I Regular 21 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary 51 Institutions 11 Estate 21 Estate SIAgencies o I Person 51 Person 91 Relatives o I Estate & Person IS I Estate & Pe 191 Regular 1 I Other Organizations o I Regular 31 Other Individuals 11 Emergency 61 Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1 01$ 01 Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 141$ 3,754.531 Act 24 of 1992 - Guardianship Act W orJ.{Sneet DKT# 1. Age: Indicate the age of the respondent. 311S-39 5140-59 S160-79 Slaver So 2. Type of Petitioner: Indicate the type of petitioner 71Institution o lather Organizations 10 IAgencies 1 lather Individuals 141 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary 11 Estate 11 Estate o I Person 5lPerson 11 Estate & Person o I Regular 241 Estate & Person 221 Regular SI Emergency 21 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary 51 Institutions SIAgencies 91 Relatives 1lEstate 21 Estate o I Person 51 Person o I Estate & Person IS I Estate & Person 19 I Regular 61 Emergency 1 I Other Organizations o I Regular 3 lather Individuals 11 Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 01$ 01 Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number 1 lSI$ I 4,260.7SI Act 24 of 1992 - Guardianship Act WorliSneet DKT# 21-2004-0669 1. Age: Indicate the age of the respondent. 118-39 140-59 116~-79 lOver 80 2. Type of Petitioner: Indicate the type of petitioner I Institution IOther Organizations IAgencies I Other Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary 11 Estate I Estate I Person I Person I Estate & Person I Estate & Person I Regular I Regular 11 Emergency I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions 11 Estate I Estate IAgencies I Person I Person 11 Relatives I Other Organizations I Estate & Person I Estate & Person I Regular I Regular I Other Individuals 11 Emergency I Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act WorkSheet DKT# 21-2005-052 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations 1140-59 laver 80 160-79 I Agencies lather Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate I Person 11 Estate & Person 11 Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions IAgencies 11 Relatives lather Organizations lather Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person 11 Estate & Person 11 Regular I Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 270.001 Act 24 of 1992 - Guardianship Act WorkSheet DKT# 21-2005-0078 1. Age: Indicate the age of the respondent. 118-39 140-59 160-79 1 laver 80 2. Type of Petitioner: Indicate the type of petitioner 1 Institution lather Organizations IAgencies lather Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate 1 Person I Person I Estate & Person 11 Estate & Person I Regular 11 Regular I Emergency I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary 1 Institutions IAgencies I Estate I Estate I Person 1 Person I Relatives 1 Estate & Person I Estate & Person 1 Regular lather Organizations I Regular lather Individuals 1 Emergency I Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number 1 11$ 214.711 Act 24 of 1992 - Guardianship Act Worl{Sneet DKT# 21-2005-0122 1. Age: Indicate the age of the respondent. 1118-39 140-59 160-79 lOver 80 2. Type of Petitioner: Indicate the type of petitioner I Institution IOther Organizations I Agencies I Other Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person I Person I Estate & Person llEstate & Person I Regular I Emergency 11 Regular 1 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions I Estate 1 Estate IAgencies I Person I Person 11 Relatives I Estate & Person 11 Estate & Person 11 Regular I Emergency 1 Other Organizations I Regular I Other Individuals I Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 67.501 Act 24 of 1992 - Guardianship Act WorkSneet DKT# 21-2005-00147 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner 31 Institution lather Organizations 140-59 110ver 80 160-79 IAgencies lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate 11 Person 21 Estate & Person 21 Regular 11 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner 41 Institutions IAgencies I Relatives lather Organizations lather Individuals 5. Reimbursement Information: Limited Plenary 1 Estate 1 I Estate I Person 21 Person I Estate & Person 11 Estate & Person I Regular 31 Regular I Emergency 11 Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act WorKSneet DKT# 21-2005-0173 1. Age: Indicate the age of the respondent. 118-39 1140-59 160-79 laver 80 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations 2 I Agencies lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person I Person 11 Estate & Person llEstate & Person I Regular 11 Regular 11 Emergency I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions I Estate I Estate IAgencies I Person I Person I Relatives lather Organizations I Estate & Person 2 I Estate & Person I Regular 11 Regular 210ther Individuals I Emergency 11 Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act Worksneet DKT # 21-2005-00202 1. Age: Indicate the age of the respondent. 118-39 1140-59 160-79 lOver 80 2. Type of Petitioner: Indicate the type of petitioner 2 I Institution IOther Organizations IAgencies I Other Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person 11 Person I Estate & Person IIEstate & Person I Regular 1 I Regular I Emergency 11 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions I Estate I Estate I Agencies I Relatives I Other Organizations I Person 11 Person I Estate & Person I Estate & Person I Regular I Regular 1 I Other Individuals I Emergency 11 Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 148.50 I Act 24 of 1992 - Guardianship Act W or1{Sneet DKT# 21-2005-0263 1. Age: Indicate the age of the respondent. 118-39 1140-59 160-79 laver 80 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations IAgencies lather Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person I Person I Estate & Person 11Estate & Person I Regular 11 Regular I Emergency I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions I Estate I Estate I Agencies I Person I Person 11 Relatives lather Organizations I Estate & Person 11 Estate & Person I Regular 11 Regular I Emergency lather Individuals I Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act W orRsneet DKT# 21-2005-0380 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations 140-59 1 laver 80 160-79 21Agencies lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate I Person 2 I Estate & Person llRegular 11 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions 21Agencies I Relatives 1 lather Organizations lather Individuals 5. Reimbursement Information: Limited Plenary I Estate IIEstate I Person IIPerson I Estate & Person 1 I Estate & Person I Regular 21 Regular I Emergency 11 Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 21$ 823.50 I Act 24 of 1992 - Guardianship Act W orJ.{Sheet DKT# 21-2005-0393 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution IOther Organizations 140-59 lOver 80 1160-79 IAgencies I Other Individuals 21 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person 1 Estate & Person I Regular I Emergency Plenary I Estate 21 Person I Estate & Person 11 Regular 11 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions IAgencies 11 Relatives I Other Organizations I Other Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person 11 Person I Estate & Person 1 Estate & Person 11 Regular 1 Emergency I Regular I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number 1 11$ 888.541 Act 24 of 1992 - Guardianship Act W orliSneet DKT# 21-2005-0404 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations 140-59 laver 80 1160-79 21Agencies lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate I Person 21 Estate & Person 11 Regular 11 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions 2lAgencies I Relatives lather Organizations lather Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person 1 Person I Estate & Person 21 Estate & Person I Regular 11 Regular I Emergency 11 Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 157.501 Act 24 of 1992 - Guardianship Act worksneet DKT# 21-2005-0417 1. Age: Indicate the age of the respondent. 1118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution I Other Organizations 140-59 lOver 80 160-79 IAgencies I Other Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate I Person 11 Estate & Person 11 Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions I Agencies 11 Relatives I Other Organizations I Other Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person IIEstate & Person I Regular I Emergency 11 Regular I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 176.001 Act 24 of 1992 - Guardianship Act WorKsneet DKT# 21-2005-0425 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations 140-59 1 laver 80 160-79 I Agencies lather Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited 'Estate I Person I Estate & Person I Regular I Emergency Plenary , Estate I Person 11 Estate & Person 11 Regular , Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions I Agencies 11 Relatives , Other Organizations lather Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person 11 Estate & Person , Regular 11 Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 265.501 Act 24 of 1992 - Guardianship Act W or1{Sneet DKT# 21-2005-0453 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations 140-59 laver 80 1160-79 2 I Agencies lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate I Person 2 I Estate & Person 11 Regular 11 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions 21Agencies I Relatives lather Organizations lather Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person 2 I Estate & Person I Regular 11 Regular I Emergency 11 Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 225.00 I Act 24 of 1992 - Guardianship Act WorKsheet DKT# 21-2005-0463 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution I Other Organizations 140-59 lOver 80 1160-79 IAgencies I Other Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate IIPerson I Estate & Person 11 Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions I Agencies 11 Relatives I Other Organizations I Other Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person 1 I Estate & Person I Regular 11 Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number 1 11$ 100.531 Act 24 of 1992 - Guardianship Act WorRsneet DKT# 21-2005-0681 1. Age: Indicate the age of the respondent. 118-39 140-59 1160-79 laver 80 2. Type of Petitioner: Indicate the type of petitioner 11 Institution lather Organizations IAgencies lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person I Person I Estate & Person 1lEstate & Person I Regular 11 Regular I Emergency I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions I Estate I Estate 'Agencies I Person I Person I Relatives lather Organizations I Estate & Person I Estate & Person I Regular I Regular lather Individuals I Emergency I Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 277.751 Act 24 of 1992 - Guardianship Act Wor1<Sneet DKT# 21-2005-0711 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner 11 Institution lather Organizations 140-59 1 laver 80 160-79 IAgencies lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate I Person 11 Estate & Person 11 Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner 11 Institutions IAgencies I Relatives lather Organizations lather Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person 11 Estate & Person I Regular 11 Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act Worl{Sneet DKT# 2005-769 1. Age: Indicate the age of the respondent. 118-39 140-59 160-79 1 laver 80 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations llAgencies lather Individuals 1 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person I Person I Estate & Person 11 Estate & Person I Regular 11 Regular I Emergency I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions IIAgencies I Relatives I Estate I Estate I Person I Person I Estate & Person 11 Estate & Person 11 Regular I Emergency lather Organizations I Regular lather Individuals I Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act W or1{Sneet DKT# 2005-0792 1. Age: Indicate the age of the respondent. 118-39 140-59 1160-79 2. Type of Petitioner: Indicate the type of petitioner I Institution I Other Organizations 1 I Agencies I Other Individuals 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person I Person I Estate & Person 11Estate & Person I Regular I Regular 1 Emergency 11 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited I Institutions I Estate 1 I Agencies I Person I Relatives I Estate & Person I Regular I Emergency IOther Organizations I Other Individuals 5. Reimbursement Information: lOver 80 I Relatives Plenary 1 Estate I Person 11 Estate & Person 11 Regular 1 Emergency 1$ Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I Number I 11$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. 1401 Act 24 of 1992 - Guardianship Act workstteet DKT# 2005-0808 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations 140-59 1 laver 80 160-79 3. Relief Requested: Indicate the type of relief requested. IAgencies lather Individuals Limited I Estate I Person I Estate & Person I Regular I Emergency 11 Relatives Plenary I Estate I Person 11 Estate & Person 11 Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions I Agencies IIRelatives lather Organizations lather Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person 11 Estate & Person I Regular 11 Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act worKsheet DKT# 2005-0912 1. Age: Indicate the age of the respondent. 1118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution IOther Organizations 140-59 , Over 80 160-79 I Agencies , Other Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary 11 Estate I Person I Estate & Person I Regular 11 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner , Institutions 'Agencies I Relatives I Other Organizations I Other Individuals 5. Reimbursement Information: Limited Plenary , Estate I Estate I Person I Person I Estate & Person I Estate & Person I Regular I Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act WorRsneet DKT# 2005-0968 1. Age: Indicate the age of the respondent. 118-39 140-59 160-79 110ver 80 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations IAgencies 1 lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person I Person I Estate & Person 11 Estate & Person I Regular I Emergency 11 Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions I Estate I Estate IAgencies I Person I Person I Relatives I Estate & Person I Estate & Person lather Organizations I Regular I Regular lather Individuals I Emergency I Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act W or.kstteet DKT# 2005-0995 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner 1 Institution I Other Organizations 1140-59 lOver 80 160-79 1 Agencies 1 Other Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate 1 Person 1 Estate & Person 1 Regular I Emergency Plenary 1 Estate I Person 11 Estate & Person 11 Regular 1 Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner 1 Institutions 1 Agencies I Relatives IOther Organizations 1 Other Individuals 5. Reimbursement Information: Limited Plenary 1 Estate I Estate I Person I Person I Estate & Person I Estate & Person 1 Regular 1 Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number 1 1$ Act 24 of 1992 - Guardianship Act WorKsheet DKT# 2005-1012 1. Age: Indicate the age of the respondent. 118-39 140-59 1160-79 lOver 80 2. Type of Petitioner: Indicate the type of petitioner I Institution I Other Organizations I Agencies I Other Individuals 11 Relatives 3. Relief Requested: Indicate the type of relief requested. Limited Plenary I Estate I Estate I Person I Person I Estate & Person I Regular 11 Estate & Person 11 Regular I Emergency I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner Limited Plenary I Institutions I Estate I Estate I Agencies I Person I Person I Relatives I Estate & Person I Estate & Person I Other Organizations I Regular I Regular IOther Individuals I Emergency I Emergency 5. Reimbursement Information: Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 1$ Act 24 of 1992 - Guardianship Act Wor1{Sheet DKT# 2002-0482 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution I Other Organizations 140-59 lOver 80 160-79 I Agencies I Other Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate I Person I Estate & Person , Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions IAgencies I Relatives I Other Organizations I Other Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person I Estate & Person I Regular I Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 791 Act 24 of 1992 - Guardianship Act WorKsheet DKT# 2005-01072 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution I Other Organizations 140-59 lOver 80 160-79 IAgencies I Other Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary I Estate I Person I Estate & Person I Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions IAgencies I Relatives I Other Organizations IOther Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person I Estate & Person I Regular I Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 3561 Act 24 of 1992 - Guardianship Act worKsheet DKT# 2004-0973 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution I Other Organizations 140-59 lOver 80 160-79 IAgencies I Other Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited I Estate I Person I Estate & Person I Regular I Emergency Plenary 1 Estate I Person 1 Estate & Person I Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions IAgencies I Relatives I Other Organizations I Other Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate 1 Person I Person I Estate & Person I Regular I Estate & Person I Regular I Emergency I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 451 Act 24 of 1992 - Guardianship Act W orksneet DKT# 2004-00831 1. Age: Indicate the age of the respondent. 118-39 2. Type of Petitioner: Indicate the type of petitioner I Institution lather Organizations 140-59 laver 80 160-79 1 Agencies lather Individuals I Relatives 3. Relief Requested: Indicate the type of relief requested. Limited 1 Estate I Person 1 Estate & Person I Regular I Emergency Plenary 1 Estate 1 Person 1 Estate & Person 1 Regular I Emergency 4. Approved Petitions: Indicate the type of approved petition, if applicable. Petitioner I Institutions lAgencies 1 Relatives lather Organizations lather Individuals 5. Reimbursement Information: Limited Plenary I Estate I Estate I Person I Person I Estate & Person I Estate & Person I Regular I Emergency I Regular I Emergency Evaluations paid by county: Indicate if the evaluation was paid by the county and the total dollar amount Number I 1$ Cousel paid by county: Indicate if counsel was paid by the county and the total dollar amount. Number I 11$ 271