Verified Motion For Appointment Of Temporary Guardian For A Minor {MPC 340}

VERIFIED MOTION FOR APPOINTMENT OF TEMPORARY GUARDIAN FOR A MINOR G.L. c.190B, §5-204 In the Interests of: First Name Middle Name Docket No. Commonwealth of Massachusetts The Trial Court Probate and Family Court Division Last Name Minor on Petition filed Now comes the moving party First Name Middle Initial Last Name who states as follows: 1. An emergency exists requiring the appointment of a Temporary Guardian as any delay in the appointment will cause immediate and substantial harm to the health, safety or welfare of the Minor, and no other person has authority to act in the circumstances. The nature of the circumstances requiring the appointment of a Temporary Guardian are: 2. 3. The particular harm sought to be avoided is: 4. The actions which need to be taken by a Temporary Guardian to avoid the harm are: WHEREFORE, PETITIONER REQUESTS THAT THIS HONORABLE COURT: 1. Appoint First Name Middle Name Last Name as Temporary Guardian(s) of the Minor to serve the minor has no estate other: with without sureties for the following reasons: 2. The moving party further seeks specific court authorization: MPC 340 (5/30/11) page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 3. In addition, I request that the Court: SIGNED UNDER THE PENALTIES OF PERJURY I affirm or swear under oath that I have read the foregoing petition and that the statements set forth therein are true and correct to the best of my knowledge. Date Signature of moving party Attorney for moving party: Print Name (Address) (City/Town) (State) (Apt, Unit, No. etc.) (Zip) Primary Phone #: BBO No.: MPC 340 (5/30/11) page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com