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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