Notice Of Rights To Alleged Incapacitated Individual (Form Pc 626)
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2JIS CODE: NLI
Approved, SCAO
STATE OF MICHIGAN
FILE NO.
NOTICE OF RIGHTS
PROBATE COURT
TO ALLEGED INCAPACITATED
COUNTY OF
INDIVIDUAL
Court telephone no.
Court address
Notice that a Petition for a Guardian has been Filed: A petition has been filed in this court asking that a
guardian be appointed to help you make personal decisions for you that you now make for yourself.
• If a guardian is appointed for you, the guardian will make decisions for you, such as what medical care you
receive and where you live.
• A guardian will be responsible to get services for you that will help you return to managing your own affairs
as soon as possible.
• This notice states all of your rights as to this matter. A guardian ad litem may be appointed by the court
to more fully explain these rights to you. A guardian ad litem will give you this notice and do the following.
- The guardian ad litem must visit you in person.
- The guardian ad litem must explain the nature, purpose, and legal effects of the appointment of a
guardian.
- The guardian ad litem must inform you that a guardian may have the power to execute a
do-not-resuscitate order on your behalf and to place a do-not-resuscitate identification bracelet on you
unless you object. The guardian ad litem must also inform you that you may ask the court to review a
do-not-resuscitate order that has been executed on your behalf.
- The guardian ad litem must explain your rights about the guardianship hearing.
- The guardian ad litem must inform you that you can object to the petition, request limits on the guardian's
powers, object to a particular person being appointed as your guardian, come to the hearing, and be
represented by an attorney and, if you cannot afford an attorney, to have one appointed at public expense.
You have certain rights before and at the court hearing on the petition to appoint a guardian for you.
• You have the right to have the guardianship case started and conducted where you reside or are
present, or if you have been admitted to an institution by a court, in the county in which that court is
located.
• You have the right to file a petition on your own behalf to have a guardian appointed for you.
• You have the right to be represented by an attorney. If you cannot afford an attorney, you can ask the court
to appoint one for you at public expense.
• You have the right to have a guardian ad litem appointed to represent you if you are not represented by
an attorney.
• You have the right to get an independent evaluation of your condition at your own expense. If you cannot
afford to pay for the evaluation, the court will approve reasonable costs at public expense.
• You have the right to be present at the hearing. If you wish to be present at the hearing, all practical steps
must be taken to ensure your presence, including moving the site of the hearing.
• You have the right to see and hear all the evidence presented during the hearing.
See other side for more rights
NOTICE OF RIGHTS TO ALLEGED INCAPACITATED INDIVIDUAL
PC 626 (9/14)
MCL 700.5306a
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