Circuit court forms

Mental commitments (CH 51)

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Number Form name Revised Mark/view
GF-131
Order Appointing Guardian Ad Litem or Attorney
Order appointing either a guardian ad litem or counsel for an individual.

05/09/13 Form English
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Summary English
GF-220
Adjudication and Prohibited Possession of Firearms and Day Care License Restriction Report
To notify the CIB that a juvenile, individual found incompetent, under a GN, or under protective placement/services has been prohibited from possessing a firearm.

08/18/11 Form English
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GF-221
Adjudication and Prohibited Possession of Firearms Cancellation Report
To notify the Crime Information Bureau when a previously imposed firearms restriction has been cancelled for a juvenile, individual found incompetent, or an individual under a guardianship or protective services or protective placement order.

08/05/10 Form English
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GF-222
Order Approving Delegation of Powers under 48.979
To obtain court approval for a delegation of powers under ยง48.979 for a child who is subject to the jurisdiction of the court.

03/09/12 Form English
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ME-901
Statement of Emergency Detention by Law Enforcement Officer
This form initiates involuntary civil commitment proceedings by a law enforcement officer of an individual who is believed to be mentally ill, developmentally disabled, or drug dependent, and dangerous to self or to others.

05/01/14 Form English
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ME-902
Statement of Emergency Detention by Treatment Director
Initiates involuntary civil commitment proceedings by treatment director.

12/16/02 Form English
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ME-903
Petition for Examination
Initiates involuntary civil commitment proceedings by 3 adult petitioners of an individual.

05/09/13 Form English
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ME-904
Motion and Order for Dismissal
Request from corporation counsel for dismissal of a ch 51 proceeding and the court's order granting dismissal.

12/16/02 Form English
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ME-905
Order for Involuntary Medication and Treatment
Authorizes a treatment provider to involuntarily administer medications and treatment to a subject.

12/16/02 Form English
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ME-907
Statement of Emergency Detention by DA or Corp Counsel
Initiates a civil commitment proceeding for criminal defendants who have previously been committed as incompetent to proceed to trial.

12/16/02 Form English
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ME-908
Settlement Agreement and Court Approval and Order to Transport
Resolves mental commitment proceedings with an agreement between parties.

10/11/07 Form English
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ME-909
Affidavit of Noncompliance with Settlement Agreement and Court Order
An affidavit of noncompliance filed by corporation counsel to reinitiate the commitment proceedings.

12/16/02 Form English
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ME-910
Order for Final Hearing or Dismissal
Either dismisses the matter or ,if probable cause is found, binds the case over for final hearing, authorizes further detention or conditional release.

10/07/10 Form English
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ME-911
Order of Commitment/Extension of Commitment/Dismissal
To order dismissal or involuntary commitment of a subject and designate a treatment facility or outpatient services or dismissal.

02/10/11 Form English
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ME-912
Treatment Conditions
Itemizes the treatment conditions for an outpatient commitment.

12/16/02 Form English
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ME-913
Petition for Examination (Fifth Standard under 51.20(1)(a)2.e.)
Initiates involuntary civil commitment proceedings by 3 adult petitioners.

05/09/13 Form English
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ME-914
Order of Commitment/Extension of Commitment/Dismissal (Fifth Standard)
To order, under the fifth standard, involuntary commitment or extension of involuntary commitment or dismissal.

02/10/11 Form English
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ME-917
Physician's Report for Medication or Treatment and Request for Hearing
Allows corporation counsel to request a hearing to determine if the court should order medication and treatment.

12/16/02 Form English
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ME-918
Order for Hearing on Medication or Treatment
To order a hearing for medication or treatment.

12/16/02 Form English
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ME-921
Statement of Petition for Review of Admission
Initiates the review of a voluntary admission of a minor to an approved inpatient treatment facility for the primary purpose of treatment for mental illness, developmental disabilities, alchoholism or drug abuse.

10/07/10 Form English
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ME-922
Order Confirming Voluntary Admission
Court order approving the voluntary admission of a minor to an approved inpatient treatment facility for the primary purpose of treatment for mental illness developmental disabilities, alchoholism, or drug abuse.

04/19/07 Form English
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ME-923
Order of Dismissal Upon Discharge
To order Dismissal upon discharge.

04/19/07 Form English
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ME-931
Order for Reimbursement of Costs of Legal Services (Chapter 51)
Order for Reimbursement of Costs of Representation (Chapter 51)

08/07/08 Form English
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ME-932
Public Defender Response (Chapter 51)
Public Defender Response (Chapter 51)

08/07/08 Form English
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ME-933
Revised Reimbursement Order (Chapter 51)
Based on response of Public Defender office, indigency is determined and reimbursement ordered.

08/07/08 Form English
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ME-934
Petition for Examination 51.20(1)(ar) and (1)(av)
Initiates involuntary commitment proceedings of inmate of a state prison who is alleged to be mentally ill to receive outpatient treatment in prison or inpatient treatment at a state facility because appropriate treatment is not available in the prison.

10/02/08 Form English
Form English
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