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IN THE
CIRCUIT COURT OF ___________ COUNTY, ILLINOIS
COUNTY
DEPARTMENT - PROBATE DIVISION
ESTATE OF ) NO.
) ) DOCKET
)
A DISABLED PERSON ) PAGE
PETITION
TO PLACE WARD IN A RESIDENTIAL FACILITY
NOW COMES petitioner,
_____________________________legal guardian of the person of _________________________,(hereinafter
"the ward"), a disabled person, and pursuant to 755 ILCS 5/11a-14.1 respectfully states as follows:
1. That Petitioner was duly
appointed legal guardian of the person
of the above named ward by the Court on
_______________________.
2. That the ward currently resides
at
___________________________________________________________________________.
3.
That the ward now requires care that can best be provided by placement
at and has no objection to moving to
___________________________________________________________________________:
4. That all costs will be paid by
Public Assistance monies.
WHEREFORE, Petitioner respectfully prays:
A. The legal guardian is authorized
to place the ward at
___________________________________________________________________.
B. Any other relief this Court deems
equitable and just.
Respectfully
submitted,
By: Legal
Guardian
The ward is _____ years old and currently
resides at_________________________________________________________.
The ward has a diagnosis of
______________________________________________________.
The ward will be moved to
________________________________________. This placement is
in the best interest of the ward because
________________________________________________________________________.
VERIFICATION
UPON AFFIRMATION
I affirm under penalty of perjury
that I am a the legal guardian of the ward , that I am familiar with the
circumstances relating to the estate herein, that I have read the foregoing,
and that the facts and matters stated therein are true and accurate.
Pro
Se
Name:
Address:
Telephone
# ( )
IN THE CIRCUIT COURT OF __________ COUNTY,
ILLINOIS
COUNTY
DEPARTMENT - PROBATE DIVISION
ESTATE OF ) NO.
)
) DOCKET
)
A DISABLED PERSON ) PAGE
ORDER
FOR RESIDENTIAL PLACEMENT
THIS CAUSE, coming to be heard on
the Petition of the Legal Guardian to Place Ward ina Residential Facility, due
notice having been given, and the Court being fully advised in the premises.
IT IS HEREBY ORDERED that the guardians of
the person of ___________________________ is authorized to place the ward at
_______________________________________________.
ENTERED:
Pro
Se
Name:
Address:
Telephone # (
)
Sec. 11a-14.1. Residential placement.)
No guardian appointed under this Article, … shall have the
power, unless specified by court order, to place his ward in a
residential facility. The
guardianship order may specify
the conditions on which the
guardian may admit the ward to a residential facility without further
court order. In making
residential placement decisions,
the guardian shall make decisions inconformity with the preferences
of the
ward unless the
guardian is reasonably certain
that the decisions will result in substantial harm to the ward
or to the ward's estate. When the preferences of the ward
cannot be ascertained or where they will result in substantial harm
to the ward or to the ward's estate, the guardian shall make decisions
with respect to the ward's placement which are in the best
interests of the ward. The guardian shall not remove the ward from his or
her home or separate
the ward from family and friends
unless such removal is necessary
to prevent substantial harm to the ward
or to the ward’s estate. The
guardian shall have a duty to investigate the availability of reasonable
residential alternatives. The guardian shall
monitor the placement of
the ward on
an on-going basis to ensure its
continued appropriateness, and shall pursue appropriate alternatives as
needed.(Source: P.A. 90-250, eff. 7-29-97.)