Notice Of Petition For Court Ordered Protective Services On An Amergency Basis {23.3}

PROBATE COURT OF BUTLER COUNTY, OHIO RANDY T. ROGERS, JUDGE IN THE MATTER OF: CASE NO. NOTICE OF PETITION FOR COURT ORDERED PROTECTIVE SERVICES ON AN EMERGENCY BASIS [R.C. 5101.69] , AN ADULT TO: Name of Adult, spouse, if any, if no spouse, adult children or next of kin, and guardian, if any, if their whereabouts are known. You are hereby notified that on the day of , , the Butler County Department of Job & Family Services filed a Petition for Court Ordered Protective Services to be provided for the above named Adult without the Adult's consent on the grounds that an emergency exists and that the Department has been unable to obtain the consent of the Adult for protective services to be given. A copy of the petition is attached hereto. This Petition has been set for hearing in the Butler County Probate Court, Hamilton, Ohio located at the Butler County Courthouse 101 High Street, Second Floor on the day of , , at o'clock AM/PM The Adult may appear at the hearing, may present, examine, and cross-examine witnesses, and present evidence to contest the petition. The Adult is entitled to be represented by an attorney and, if found to be indigent, the Adult may request an attorney to be appointed without cost. WITNESS my signature and seal of said Court, this day of Probate Judge , By: Deputy Clerk FORM 23.3 - NOTICE OF PETITION FOR COURT ORDERED PROTECTIVE SERVICES ON AN EMERGENCY BASIS American LegalNet, Inc. www.FormsWorkFlow.com Eff. Date: January 1, 2010 CASE NO. The State of Ohio, Butler County Probate Court I hereby certify that I caused a copy of the within notice to be mailed, by certified mail, to the last known address of at at Randy T. Rogers, Probate Judge By: Deputy Clerk RETURN Butler County, Ohio , Received this notice on the o'clock AM/PM , and on the day of day of , , at , I served the same by delivering a true copy thereof personally to FEES Sheriff Service and return, 1 st name, $ Deputy Sheriff/Process Server Additional names, at $ Miles traveled, at $ Name $ Title Total $ FORM 23.3 - NOTICE OF PETITION FOR COURT ORDERED PROTECTIVE SERVICES ON AN EMERGENCY BASIS American LegalNet, Inc. www.FormsWorkFlow.com Eff. Date: January 1, 2010