Fillable MOTION FOR PERMISSION TO CHANGE/CONTINUE RESIDENTIAL PLACEMENT (Vermont Judiciary)

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MOTION FOR PERMISSION TO CHANGE/CONTINUE RESIDENTIAL PLACEMENT (Vermont Judiciary)

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The MOTION FOR PERMISSION TO CHANGE/CONTINUE RESIDENTIAL PLACEMENT (Vermont Judiciary) form is 2 pages long and contains:

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  • 9 check-boxes
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PAG98 – Motion for Permission to Change/Continue Residential Placement (09/2014) Page 1 of 2
STATE OF VERMONT
SUPERIOR COURT
PROBATE DIVISION
Unit
Docket No.:
In re Guardianship of :
MOTION FOR PERMISSION TO CHANGE/CONTINUE RESIDENTIAL PLACEMENT
As the guardian for Respondent, I request the Court’s approval of the following : (Check One)
☐ A change in Respondent’s residential placement.
☐ The continuation of an emergency change in residential placement. This change was made on
________________________________ due to the following emergency circumstance:
Date of change
Specifically describe the emergency circumstances.
The change in residential placement is: (check one)
☐ Admission to nursing home
☐ From private home to :
☐ group home
☐ residential care home
☐ assisted living residence
☐ boarding home
☐ Other: (describe)___________________________________________________________
In support of this request, I state:
1. I have been granted the power to choose or change the residence of Respondent pursuant to 14
V.S.A. Section 3069(c)(1) ; AND
PAG98 – Motion for Permission to Change/Continue Residential Placement (09/2014) Page 2 of 2
2. The change in residence is/was necessary because:
Specifically describe the facts that support your request.
Date
Signature of Guardian
Printed Name of Guardian
Guardian’s Mailing Address
Guardian’s Phone Number
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MOTION FOR PERMISSION TO CHANGECONTINUE RESIDENTIAL PLACEMENT (Vermont Judiciary)

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Completed 30 July 2020

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