| Chapter 179 |
| 2024 -- S 2112 Enacted 06/20/2024 |
| A N A C T |
| RELATING TO PROBATE PRACTICE AND PROCEDURE -- LIMITED GUARDIANSHIP AND GUARDIANSHIP OF ADULTS |
Introduced By: Senators de la Cruz, Bissaillon, F. Lombardi, LaMountain, Zurier, Rogers, E Morgan, Paolino, DeLuca, and Burke |
| Date Introduced: January 12, 2024 |
| It is enacted by the General Assembly as follows: |
| SECTION 1. Section 33-15-47 of the General Laws in Chapter 33-15 entitled "Limited |
| Guardianship and Guardianship of Adults" is hereby amended to read as follows: |
| 33-15-47. Forms. |
| The following forms shall be used for the purposes of this chapter: |
| STATE OF RHODE ISLAND PROBATE COURT OF THE |
| COUNTY OF _______________ ______________________ |
| No. _________________ |
| ESTATE OF ____________________________ |
| PERSONAL ESTATE ESTIMATED AT $________ CITY/TOWN OF |
| ________________ |
| 20 ____________ |
| PETITION FOR LIMITED GUARDIANSHIP |
| OR GUARDIANSHIP |
| ______________________hereby petitions the Probate Court of the city/town of ______________ |
| Petitioner |
| to appoint a limited guardian/guardian for ______________ who currently resides at |
| ________________________, in the city/town of __________________, and whose date of birth |
| Address |
| is __________________. |
| Based upon an assessment conducted by ________________ on ______________, which |
| Date |
| functional assessment reflects the current level of functioning of ______________, it has been |
| Respondent |
| determined that _____________ lacks decision-making ability in one or more of the following |
| Respondent |
| areas as indicated: |
| ____ health care |
| ____ financial matters |
| ____ residence |
| ____ association |
| ____ other |
| Regarding each area indicated, please describe the specific assistance needed: |
| Indicate which of the following less restrictive alternatives to guardianship have been explored |
| and deemed inappropriate as indicated: |
| ____ Durable Power of Attorney for Health Care |
| ____ Living Will |
| ____ Power of Attorney |
| ____ Durable Power of Attorney |
| ____ Trusts |
| ____ Joint Property Arrangements |
| ____ Representative Payee |
| ____ Money Management |
| ____ Single Court Transactions |
| ____ Government Benefit and Social Service Programs |
| ____ Housing Options |
| ____ Supported Decision-Making, see chapter 66.13 of title 42 |
| ____ Other |
| Please describe the basis for the determination that the alternative will not meet the needs of the |
| respondent for each alternative explored and deemed inappropriate: |
| The following individual/agency is willing to serve as guardian: |
| Upon information and belief the above individual/agency has: |
| □ No conflict of interest that would interfere with guardianship duties. |
| □ No criminal background that would interfere with guardianship duties. |
| □ The capacity to manage financial resources involved. |
| □ The ability to meet requirements of law and unique needs of individual. |
| □ Demonstrated willingness to undergo training. |
| The Respondent has the following heirs at law: |
| NAME: RESIDENCE: |
| ___________________________________ |
| Signature |
| ___________________________________ |
| Name |
| ___________________________________ |
| Address |
| __________________________________ |
| Telephone |
| Subscribed and sworn to before me this as to the truth of the above facts by ________ in ________ |
| on the ________day of ________, 20____. |
| __________________________________ |
| Notary Public |
| __________________________________ |
| Print Name |
| DECREE |
| __________________ __________________ |
| Dated PROBATE JUDGE |
| This notice should be served at once and returned to the clerk of the court. |
| NOTICE |
| STATE OF RHODE ISLAND |
| BY THE PROBATE COURT OF THE __________ OF ____________ |
| BY THE COUNTY OF ______________ AND STATE AFORESAID |
| To ________________________ |
| Estate or ______________ |
| Docket No. _____________ |
| GREETING: |
| A petition for Limited Guardianship/Guardianship has been filed in the Probate Court of the |
| city/town of _______________________. |
| _______________________________ has requested that the Probate Court appoint a limited |
| Petitioner |
| guardian/guardian for you. |
| A hearing regarding this Petition shall be held |
| On: ______________ |
| date |
| At: _______________ |
| time |
| at the Probate Court for the town of . |
| ______________________________________________________________________________ |
| Address |
| ______________________________________________________________________________ |
| The Petition requests that the Probate Court consider the qualification of the following |
| individual/agency to serve as your limited guardian/guardian: |
| ______________________________________________________________________________ |
| ______________________________________________________________________________ |
| A guardian ad litem will be appointed by the Probate Court to visit you, explain the |
| process and inform you of your rights. |
| You have the right to attend the hearing to contest the petition, to request that the powers |
| of the guardian be limited or to object to the appointment of particular individual/agency limited |
| guardian/ guardian. If you wish to contest the petition, you have the right to be represented by an |
| attorney, at state expense, if you are indigent. |
| If the Petition is granted and a limited guardian/guardian is appointed, the Probate Court |
| may give the limited guardian/guardian the power to make decisions about one or more of the |
| following: |
| Your health care; your money; where you live; and with whom you associate. |
| Copies of this Notice will be mailed to: |
| The administrator of any care or treatment facility where you live or receive primary |
| services; your spouse, and heirs at law; any individual or entity known to petitioner to be regularly |
| supplying protection services to you. |
| CERTIFICATION OF SERVICE |
| I certify that I hand-delivered and read this Notice to __________________ on the |
| ________ day of________, 20____. |
| ___________________________________ |
| Signature |
| ___________________________________ |
| Print Name |
| __________________________________ |
| Address |
| CERTIFICATION OF NOTICE |
| I certify that, as required by Rhode Island General Laws § 33-15-17.1(e), I mailed a copy |
| of this Notice to the following persons, at the addresses listed, on the ________ day of ________, |
| 20____. |
| __________________________________ |
| Signature |
| ___________________________________ |
| Print Name |
| __________________________________ |
| Address |
| Subscribed and sworn to before me this ________ day of ________, 20____. |
| ___________________________________ |
| Notary Public |
| WITNESS |
| Judge of the Probate Court of the ________ of ________ this ________ day of ________, |
| 20____. |
| ___________________________________ |
| Clerk |
| DECISION-MAKING ASSESSMENT TOOL |
| Name of Individual being assessed: Current Address: |
| ______________________________ ______________________________ |
| ______________________________ |
| Date of Birth: Permanent Address (if different): |
| ________________________ _________________________ |
| _________________________ |
| Instructions for Completion |
| This document will be used by a Probate Court to determine whether to appoint a |
| guardian to assist this individual in some or all areas of decision-making. |
| This document has two parts. Please first complete the part which is right after these |
| instructions, titled Assessment. Then complete the second section, titled Summary. |
| To a physician completing this document: The individual's treating physician must |
| complete this document. If there is any information of which the treating physician completing |
| this document does not have direct knowledge, he or she is encouraged to make such inquiries of |
| such other persons as are necessary to complete the entire form. Those persons might include |
| other medical personnel such as nurses, or other persons such as family members or social service |
| professionals who are acquainted with the individual. If the physician has received information |
| from others in completing the form, the names of those individuals must be listed on the |
| Summary. |
| To a non-physician completing this document: Professionals or other persons acquainted |
| with the individual being assessed may also complete this document. If there is information of |
| which a non-physician completing this document does not have knowledge, such non-physician |
| may either leave portions of the document blank, or also make inquiries or do such investigation |
| as is necessary to complete the entire document. Again, the names of any individual from whom |
| information is derived should be listed on the Summary. |
| The document must be signed and dated by the person completing it. It does not need to be |
| notarized. |
| A. BIOLOGICAL ASSESSMENT |
| THE FOLLOWING IS BASED UPON A PHYSICAL EXAMINATION CONDUCTED BY ME |
| ON |
| __________________________ |
| (DATE) |
| 1. DIAGNOSIS and PROGNOSIS: |
| 2. MEDICATION (PLEASE LIST): |
| How do the above medications, if any, affect the individual's decision-making ability? Please |
| explain: |
| 3. CURRENT NUTRITIONAL STATUS: |
| B. PSYCHOLOGICAL ASSESSMENT |
| 1. MEMORY (CIRCLE ONE) |
| (A) Intact; (B) Mild Impairment; (C) Moderate Impairment; (D) Severe Impairment |
| 2. ATTENTION (CIRCLE ONE) |
| (A) Intact; (B) Mild Impairment; (C) Shifting/Wandering; (D) Delirium; (E) Unresponsive |
| 3. JUDGMENT (CIRCLE ONE) |
| (A) Intact; (B) Able to Make Most Decisions; (C) Impaired; (D) Gross Impairment |
| 4. LANGUAGE (CIRCLE ALL THAT APPLY) |
| (A) Intact (B) Sensory Deficits (Hearing/Speech/Sight) |
| (C) Impairment In Comprehension/Speech: Mild/Moderate/Severe |
| (D) Completely Unresponsive |
| 5. EMOTION (CIRCLE ALL THAT APPLY) |
| (A) ANXIETY/DEPRESSION: (1) None (2) History of Anxiety/Depression |
| (3) Moderate Symptoms of Anxiety/Depression |
| (4) Severe symptoms with sleep/appetite/energy disturbance |
| (5) Suicide/Homicidal |
| (B) OTHER: (1) Suspiciousness/Belligerence/Explosiveness |
| (2) Delusions/Hallucinations (3) Unresponsive |
| If you circled any of the above, other than (A) or (1) for any of the above categories, please |
| explain whether the situation is treatable or reversible, and if so, how: |
| C. SOCIAL ASSESSMENT |
| 1. MOBILITY (CIRCLE ALL THAT APPLY) |
| (A) Intact/Exercises (B) Drives Car Or Uses Public Transportation (C) Independent |
| Ambulation in Home Only; (D) Walker/Cane; (E) Requires Assistance |
| If you circled (C), (D), or (E), is situation treatable or reversible? If so, how? |
| 2. SELF CARE (CIRCLE ALL THAT APPLY) |
| (A) No Assistance Needed; |
| (B) Requires Assistance with (1) Meals (2) Bathing (3) Dressing (4) Toileting/Feeding |
| If you circled any of (B), is individual aware that assistance is required? ___________________ |
| Is individual willing to accept assistance? _____________________________________________ |
| Is individual able to arrange for assistance? ____________________________________________ |
| 3. CARE PLAN MAINTENANCE (CIRCLE ALL THAT APPLY) |
| (A) No Active Problem; (B) Initiates Problem Identification; (C) Actively Cooperative; |
| (D) Passively Cooperative; (E) Passively Uncooperative; (F) Actively Uncooperative |
| 4. SOCIAL NETWORK RELATIONSHIPS |
| (CIRCLE ONE IN (A) AND INONE IN (B)) |
| SUPPORT: |
| (1) Very Good Supportive Network; (2) Some Support From Family And Friends; (3) No |
| Or Limited Support From Family/Friends; (4) Needs Community Support; (5) |
| Isolated/Homebound |
| (B) SOCIAL SKILLS: |
| (1) Very Good Social Skills; (2) Good Social Skills; (3) Interacts With Prompting; (4) |
| Isolated |
| D. SUMMARY |
| I hereby certify that I have reviewed sections A, B, & C attached hereto and based on such |
| assessments that the individual's decision-making ability is as follows: |
| (1) PLEASE DESCRIBE AS FULLY AS YOU CAN THE INDIVIDUAL'S DECISION- |
| MAKING ABILITY IN EACH OF THE FOLLOWING AREAS: |
| A. FINANCIAL MATTERS |
| B. HEALTH CARE MATTERS |
| C. RELATIONSHIPS |
| D. RESIDENTIAL MATTERS |
| (2) PLEASE INDICATE YOUR OPINION REGARDING WHETHER THE INDIVIDUAL |
| NEEDS A SUBSTITUTE DECISION-MAKER IN ANY OF THE FOLLOWING AREAS: |
| (Circle one for each category. If you circle "limited" for any category, please explain.) |
| (1) FINANCIAL MATTERS Yes No Limited |
| (2) HEALTH CARE MATTERS Yes No Limited |
| (3) RELATIONSHIPS Yes No Limited |
| (4) RESIDENTIAL MATTERS Yes No Limited |
| (5) OTHER: If there are any other areas in which you think the individual lacks decision-making |
| ability or has limited decision-making ability, please explain. |
| __________________________________ |
| Signature |
| _______________________________ |
| Name (Print or Type) |
| ______________________________ |
| Title |
| ______________________________ |
| Date |
| ______________________________ |
| Names and titles of others who assisted in Preparation of This Assessment. |
| STATE OF RHODE ISLAND PROBATE COURT OF THE |
| COUNTY OF ___________________ |
| Estate of ________________________ Docket No. ________________ |
| ANNUAL STATUS REPORT |
| (1) The residence of the ward is |
| (2) The medical condition of the ward is: |
| (3) I perceive the following changes in the decision making capacity of the ward: |
| (4) The following is a summary of the actions I have taken and decisions I have made on behalf of |
| the ward during the last year: |
| (If more space is needed, please attach a supplement). |
| __________________________ |
| Guardian |
| __________________________ |
| Date |
| STATE OF RHODE ISLAND PROBATE COURT OF |
| COUNTY OF _____________ THE _______________ |
| (Estate Name) |
| Probate Court No. ______ |
| REPORT OF THE GUARDIAN AD LITEM |
| Now comes (Name of Guardian Ad Litem) for (Name of Proposed Ward) and reports that |
| on (Date), I personally visited the proposed ward at (Address). I explained to (Name of Proposed |
| Ward) the following: |
| * The nature, purpose, and legal effect of the appointment of a guardian; |
| * The hearing procedure, including, but not limited to, the right to contest the petition, to |
| request limits on the guardian's powers, to object to a particular person being appointed guardian, |
| to be present at the hearing, and to be represented by legal counsel; |
| * The name of the person known to be seeking appointment as guardian: |
| Based on such visit and the respondent's reaction thereto, I make the following |
| determination regarding the respondent's desire to be present at the hearing, to contest the |
| petition, to have limits placed on the guardian's powers and respondent's objection, if any, to a |
| particular person being appointed as guardian. |
| Based on my review of the petition, the decision making assessment tool, my interview |
| with the prospective guardian, my visit with the respondent, and interviews and discussions with |
| other parties, I made the following additional determinations: |
| Regarding whether the respondent is in need of a guardian of the type prayed for in the |
| petition: |
| Regarding whether the guardian ad litem has, in the course of fulfilling his or her duties, |
| discovered information concerning the suitability of the individual or entity to serve as such |
| guardian: |
| Respectfully submitted, |
| Date: ________________________ _______________________ |
| (Name of Guardian Ad Litem) |
| SECTION 2. This act shall take effect upon passage. |
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| LC003751 |
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