Form G-01 Effective June 1, 2019 Page 1 of 2
COURT OF COMMON PLEAS OF
ORPHANS' COURT DIVISION
To:_____________
_________________________
IMPORTANT NOTICE
CITATION
WITH NOTICE
A Petition has been filed with this Court to have you declared an In
capacitated
Person. If the Court finds you to be an Incapacitated Person, your rights will be affected,
including your right to manage money and property and to make decisions. A copy of
the Petition which has been filed by ________________________________is attached.
You are hereby ordered to appear at a hearing to be held in Courtroom No.
_______, ________________________________, Pennsylvania on _____________,
2_____ at _______________ __.m. to tell the Court why it should not find you to be an
Incapacitated Person and appoint a Guardian to act on your behalf.
To be an In
capacitated Person means that you are not able to receive and
effectively evaluate information and communicate decisions and that you are unable to
manage your money and/or other property, or to make necessary decisions about where
you will live, what medical care you will get, or how your money will be spent.
At
the hearing, you have the right to appear, to be represented by an attorney,
and to request a jury trial. If you do not have an attorney, you have the right to request
the Court to appoint an attorney to represent you and to have the attorney’s fees paid
for you if you cannot afford to pay them yourself. You also have the right to request
that the Court order that an independent evaluation be conducted as to your alleged
incapacity.
I
f the Court decides that you are an Incapacitated Person, the Court may
appoint a Guardian for you, based on the nature of any condition or disability and
your capacity to make and communicate decisions. The Guardian will be of your
person and/or your money and other property and will have either limited or full
powers to act for you.
