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Certified Guardian, Court evaluator and Counsel for aiP traininG: CertifiCation
ProGram aPProved by offiCe of Court administration
Prepared in connection with a Continuing Legal Education course presented at New York County Lawyers’ Association, 14 Vesey Street, New York, NY
presented on Tuesday, December 4, 2012.
P r o g r A m C h A I r :
Clifford A. Meirowitz, Law Offices of Clifford A. Meirowitz PLLC
F A C u L t Y :
Tammy R. Lawlor, Esq, Miller & Milone; Michele Lippa Gartner, Esq, NYS Office of Court Administration, Guardian & Fiduciary Services Guardianship Proceedings; Peachetta S. deFreitas, Esq, Law Offices of
Alfreida B. Kenny; Linda Redlisky, Esq, Rafferty & Redlisky, LLP; Peter J. Strauss, Esq, Epstein Becker & Green, P.C.; Wendy H. Sheinberg, Esq., Davidow Davidow Siegel & Stern, LLP; Hon. Lottie E. Wilkins, Supreme Court, New York County; Steven R. Finkelstein, Esq, Finkelstein & Virga, P.C.; Peggy Barbanel,
Esq., Peggy Barbanel, Esq.
7 TRANSITIONAL & NON-TRANSITIONAL MCLE CREDITS: This course has been approved in accordance with the requirements of the New York State Continuing Legal Education Board for a maximum of 7 Transitional & Non-Transitional credit hours: 1 Ethics; 2 Skills; 4 Professional Practice
Information Regarding CLE Credits and Certification Certified Guardian, Court Evaluator and Counsel for AIP Training: Certification
Program Approved by the NYS Office of Court Administration December 7, 2012, 9:00AM to 5:00PM
The New York State CLE Board Regulations require all accredited CLE providers to provide documentation that CLE course attendees are, in fact, present during the course. Please review the following NYCLA rules for MCLE credit allocation and certificate distribution.
i. You must sign-in and note the time of arrival to receive your
course materials and receive MCLE credit. The time will be verified by the Program Assistant.
ii. You will receive your MCLE certificate as you exit the room at
the end of the course. The certificates will bear your name and will be arranged in alphabetical order on the tables directly outside the auditorium.
iii. If you arrive after the course has begun, you must sign-in and note the time of your arrival. The time will be verified by the Program Assistant. If it has been determined that you will still receive educational value by attending a portion of the program, you will receive a pro-rated CLE certificate.
iv. Please note: We can only certify MCLE credit for the actual time
you are in attendance. If you leave before the end of the course, you must sign-out and enter the time you are leaving. The time will be verified by the Program Assistant. Again, if it has been determined that you received educational value from attending a portion of the program, your CLE credits will be pro-rated and the certificate will be mailed to you within one week.
v. If you leave early and do not sign out, we will assume that you left at the midpoint of the course. If it has been determined that you received educational value from the portion of the program you attended, we will pro-rate the credits accordingly, unless you can provide verification of course completion. Your certificate will be mailed to you within one week.
Thank you for choosing NYCLA as your CLE provider!
Continuing Legal Education Institute
14 Vesey Street, New York, N.Y. 10007
Certified Guardian, Court Evaluator and Counsel for the Alleged Incapacitated Person
Tuesday, December 4, 2012 9:00AM – 5:00PM
COURSE MATERIALS
Section Overview & Concepts of Article 81 and Comparisons with Guardians 1 Pursuant to SCPA Article 17 and 17A Tammy R. Lawlor, Esq.
• Distinguishing Article 81 and Article 17A Proceedings • Relationship between Article 81 and Other Provisions of Law
Part 36 Rules of the Chief Judge 2
• Michele Lippa Gartner, Esq. Attorney for the Alleged Incapacitated Person 3 Peachetta deFreitas, Esq.
• Considerations for Counsel for the AIP in an Article 81 Guardianship Proceeding
The Court Evaluator: Duties, Responsibilities & Ethics 4 Linda Redlisky, Esq., Rafferty & Redlisky Family Health Care Decisions Act 5 Peter J. Strauss, Esq.
• New York’s New (2010) Family Health Care Decisions Act: Major Step Forward or a Modest One? (PowerPoint presentation)
Duties, Responsibilities & Ethics of the Guardian of the Person and 6 Property Wendy H. Sheinberg, Esq.
• Duties, Responsibilities & Ethics of the Guardian of the Person and Property (PowerPoint presentation)
• Selected Materials and Source Web Addresses
Record Keeping & Reporting Requirements 7 Peggy Barnabel, Esq. Orientation to Medical Terminology 8
• Guardianship Practice in New York State, Vol. One, 08/04 Supplement Robert Abrams, Esq., Editor in Chief Copyright 2004, New York State Bar Association
Overview and Concepts of Article 81 and Comparison with Guardians Pursuant to 1 SCPA Article 17 and 17A Tammy R. Lawlor,Esq., Miller & Millone
1
Patricia Bomba M.D., F.A.C.P.Vice President and Medical Director, Geriatrics, Excellus BlueCross BlueShield
Chair, MOLST Statewide Implementation TeamLeader, Community-wide End-of-life/Palliative Care Initiative
Chair, National Healthcare Decisions Day New York State Coalition
MOLST and FHCDA: Honoring Patient Preferences for Care at the End of life:Recognizing the Value of the MOLST Program
New York State Bar Association Fall Conference October 29, 2010
Tammy R. Lawlor, Esq.Tammy R. Lawlor, Esq.
Tammy R. Lawlor, Esq.
Tammy Lawlor, Esq. is a Partner at the Law Firm of Miller & Milone, P.C.
Ms. Lawlor is a graduate of the HofstraUniversity School of Law and was admitted
to the New York State Bar in 1997. She also holds a Masters of Business
Administration, specializing in Finance. She has practiced with
Miller & Milone, P.C. since 1997.
Jurisdiction under the Statute
1. Mentally Retarded Person:a. Certified as being incapable of managing his or her affairs
by reason of mental retardation.
b. Certification:1. One licensed physician and one licensed psychologist:2. Two licensed physicians; ** one who is familiar with and has professional knowledge
involving persons with mental retardation
2
Patricia Bomba M.D., F.A.C.P.Vice President and Medical Director, Geriatrics, Excellus BlueCross BlueShield
Chair, MOLST Statewide Implementation TeamLeader, Community-wide End-of-life/Palliative Care Initiative
Chair, National Healthcare Decisions Day New York State Coalition
MOLST and FHCDA: Honoring Patient Preferences for Care at the End of life:Recognizing the Value of the MOLST Program
New York State Bar Association Fall Conference October 29, 2010
Jurisdiction under the Statute
2. Persons with Other DevelopmentalDisabilities:
a. Certified as having an impaired ability to understand and appreciate the nature and consequences of decisions
b. Disability is likely to continue indefinitely.
Jurisdiction under the Statute
2. Persons with Other Developmental Disabilities: (continued)
c. Disability is attributed to:
1. cerebral palsy, epilepsy, neurological impairment, autism,or traumatic head;* and originated before the age of 22;*except traumatic head injury can be at any age.
2. any other condition closely related to mental retardationand results in similar impairment of intellectual function or behavior and originated before the age of 22;
3. attributable to dyslexia, resulting from one of the above listed disabilities or mental retardation and originated before the age of 22;
Filing Procedure1. Brought in Surrogate’s Court2. For a Person:
a) Mentally Retarded; orb) Other Developmental Disabilities
3. Petitioner: a parent or any interested person over 18 years old; includes a corporation authorized to serve as Guardian as provided in the statute;
4. Venue: the county where the person resides, or may be the county where the parents reside;
5. Standby Guardians: a Standby Guardian should be similar age to the person with the disability; it is important to name a Standby Guardian.
3
Patricia Bomba M.D., F.A.C.P.Vice President and Medical Director, Geriatrics, Excellus BlueCross BlueShield
Chair, MOLST Statewide Implementation TeamLeader, Community-wide End-of-life/Palliative Care Initiative
Chair, National Healthcare Decisions Day New York State Coalition
MOLST and FHCDA: Honoring Patient Preferences for Care at the End of life:Recognizing the Value of the MOLST Program
New York State Bar Association Fall Conference October 29, 2010
Additional Filing Requirements
• Birth Certificate
• Request for Information Guardianship Form;
• Fingerprints
• Death Certificate of Predeceased Parent;
• Renunciation
Court Procedure1. Citation
a. Must be served on the following individuals unless a waiverand consent or renunciation has been filed;
b. Individuals:• Parents;• Adult children (if parents aren’t Petitioner);• Adult siblings (if parents aren’t Petitioner);• Spouse of person;• Person having care or custody of the person,
with whom he or she resides, other than parents or spouse;
• Person who is subject of proceeding, if over 14 years old;
• Grandparents, if both parents are deceased;
Court Procedure
2. Notice of Petitiona. Served by certified mail if
parents not the Petitioner:• Adult siblings; • Adult children;• MHLS in the judicial
department where facility is located;• Director of residential facility where person resides;• One other person if designated in writing by the person;• Such other persons the Court deems proper;
4
Patricia Bomba M.D., F.A.C.P.Vice President and Medical Director, Geriatrics, Excellus BlueCross BlueShield
Chair, MOLST Statewide Implementation TeamLeader, Community-wide End-of-life/Palliative Care Initiative
Chair, National Healthcare Decisions Day New York State Coalition
MOLST and FHCDA: Honoring Patient Preferences for Care at the End of life:Recognizing the Value of the MOLST Program
New York State Bar Association Fall Conference October 29, 2010
OtherRolesinArticle17‐AProceeding
1. Guardian ad Litem:a. Statute does not require appointment
b. Some Courts appoint GAL to assess if it’s not in person’s best interests
2. Mental Hygiene Legal Service: a. Must interview the person and file a
written report with the Court advising whether it objects to the appointment of a Guardian
Appointment of a Guardian under Article 17-A Proceeding:
1. Role and Authority of the Guardiana. Role is not clearly defined in Article 17-A;b. Statute provides guidance regarding bond and accountings;c. No guidance or definition of powers, no powers are defined or
limited;d. Guardian is given full plenary powers to make decisions
2. Accountabilitya. Article 17-A Property Guardian must file Accounting; b. Article 17-A Personal Guardian does not need to file Annual
Report.
3. Modifications of the Guardianshipa. Modifications may be requested by Person or Guardian.
4. Training a. No Training is mandated or required.
Article 81 vs. Article 17-A Guardians
ARTICLE 17-A
a. Certification as to Mental Retardation or Developmental Disability;b. No provision for the Appointment of Counsel or Court Evaluator;c. Limited requirements for the Appointment of Guardian ad Litem;d. Presumption of need for guardianship services for life;e. No Training required; f. Usually a quicker and less expensive approach.
5
Patricia Bomba M.D., F.A.C.P.Vice President and Medical Director, Geriatrics, Excellus BlueCross BlueShield
Chair, MOLST Statewide Implementation TeamLeader, Community-wide End-of-life/Palliative Care Initiative
Chair, National Healthcare Decisions Day New York State Coalition
MOLST and FHCDA: Honoring Patient Preferences for Care at the End of life:Recognizing the Value of the MOLST Program
New York State Bar Association Fall Conference October 29, 2010
Article 81 vs. Article 17-A Guardians
ARTICLE 81
a. Focuses on the functional assessment and activities of daily living of the person;
b. Requires the Appointment of Court Evaluator;
c. Requires that the Order and Judgment Appointing the Guardianspecifically define the authority and powers of the Guardian;
d. Initial and Annual Reports are required;
e. Training is required.
Needs of Individual under Article 17-A Proceeding:
1. Look at the functioning level of the person:a. If a person is fairly high functioning and
capable of making certain decisions and expressing wishes and preferences, then an Article 81 provides greater flexibility and independence.
b. If a person is functioning at a lower level and is severely disabled then an Article 17-A may be more appropriate.
Medical Consent Issues Under Article 17-A Proceeding
1. In most cases under Article 17-A, it is assumed that the appointment of a Guardian was to consent to medical treatment.
2. Under Article 81, the Court must grant specific authority to consent to medical treatment.
6
Patricia Bomba M.D., F.A.C.P.Vice President and Medical Director, Geriatrics, Excellus BlueCross BlueShield
Chair, MOLST Statewide Implementation TeamLeader, Community-wide End-of-life/Palliative Care Initiative
Chair, National Healthcare Decisions Day New York State Coalition
MOLST and FHCDA: Honoring Patient Preferences for Care at the End of life:Recognizing the Value of the MOLST Program
New York State Bar Association Fall Conference October 29, 2010
Non-Routine Medical Decisions and End of Life Decision Making
• In re Scott Matthews
• In re Hofbauer
• Rivers v. Katz
OMRDD regulations for Guardians:
Office of Mental Retardation and Developmental Disabilities regulations provide for the full participation of Guardians, appointed by way of Article 17-A or Article 81. With regards to decisions affecting the care and treatment of persons in either state operated or state certified OMRDD programs
OMRDD regulations encourages Guardians involvement in:
1. Objection to an appeal of care and treatment;
2. Informed consent for service plans that involve risk;
3. Rights and responsibilities person receiving services;
4. Reportable incidents and abuse.
7
Patricia Bomba M.D., F.A.C.P.Vice President and Medical Director, Geriatrics, Excellus BlueCross BlueShield
Chair, MOLST Statewide Implementation TeamLeader, Community-wide End-of-life/Palliative Care Initiative
Chair, National Healthcare Decisions Day New York State Coalition
MOLST and FHCDA: Honoring Patient Preferences for Care at the End of life:Recognizing the Value of the MOLST Program
New York State Bar Association Fall Conference October 29, 2010
Conclusion
Article 81 provides better for the procedural and substantive rights of the individual who is disabled.
Article 17-A provides broader powers to parents and/or guardians with less cost, no training requirements, and easier accounting requirements.
Tammy R. Lawlor, Esq.
Tammy Lawlor, Esq. is a Partner at the Law Firm of Miller & Milone, P.C.
Ms. Lawlor is a graduate of the Hofstra University School of Law and was admitted
to the New York State Bar in 1997. She also holds a Masters of Business
Administration, specializing in Finance. She has practiced with
Miller & Milone, P.C. since 1997.
Jurisdiction under the Statute
1. Mentally Retarded Person: a. Certified as being incapable of managing his or her affairs
by reason of mental retardation.
b. Certification: 1. One licensed physician and one licensed psychologist: 2. Two licensed physicians; * * one who is familiar with and has professional knowledge
involving persons with mental retardation
Jurisdiction under the Statute
2. Persons with Other Developmental Disabilities:
a. Certified as having an impaired ability to understand and appreciate the nature and consequences of decisions
b. Disability is likely to continue indefinitely.
Jurisdiction under the Statute
2. Persons with Other Developmental Disabilities: (continued)
c. Disability is attributed to:
1. cerebral palsy, epilepsy, neurological impairment, autism, or traumatic head;* and originated before the age of 22;
*except traumatic head injury can be at any age.
2. any other condition closely related to mental retardation and results in similar impairment of intellectual function or behavior and originated before the age of 22;
3. attributable to dyslexia, resulting from one of the above listed disabilities or mental retardation and originated before the age of 22;
Filing Procedure 1. Brought in Surrogate’s Court 2. For a Person:
a) Mentally Retarded; or b) Other Developmental Disabilities
3. Petitioner: a parent or any interested person over 18 years old; includes a corporation authorized to serve as Guardian as provided in the statute;
4. Venue: the county where the person resides, or may be the county where the parents reside;
5. Standby Guardians: a Standby Guardian should be similar age to the person with the disability; it is important to name a Standby Guardian.
Additional Filing Requirements
• Birth Certificate
• Request for Information Guardianship Form;
• Fingerprints
• Death Certificate of Predeceased Parent;
• Renunciation
Court Procedure 1. Citation
a. Must be served on the following individuals unless a waiver and consent or renunciation has been filed; b. Individuals: • Parents; • Adult children (if parents aren’t Petitioner); • Adult siblings (if parents aren’t Petitioner); • Spouse of person; • Person having care or custody of the person,
with whom he or she resides, other than parents or spouse;
• Person who is subject of proceeding, if over 14 years old;
• Grandparents, if both parents are deceased;
Court Procedure
2. Notice of Petition a. Served by certified mail if parents not the Petitioner:
• Adult siblings; • Adult children; • MHLS in the judicial
department where facility is located; • Director of residential facility where person resides; • One other person if designated in writing by the person; • Such other persons the Court deems proper;
Other Roles in Article 17-A Proceeding
1. Guardian ad Litem: a. Statute does not require appointment
b. Some Courts appoint GAL
to assess if it’s not in person’s best interests
2. Mental Hygiene Legal Service: a. Must interview the person and file a
written report with the Court advising whether it objects to the appointment of a Guardian
Appointment of a Guardian under Article 17-A Proceeding:
1. Role and Authority of the Guardian a. Role is not clearly defined in Article 17-A; b. Statute provides guidance regarding bond and accountings; c. No guidance or definition of powers, no powers are defined or
limited; d. Guardian is given full plenary powers to make decisions
2. Accountability a. Article 17-A Property Guardian must file Accounting; b. Article 17-A Personal Guardian does not need to file Annual
Report.
3. Modifications of the Guardianship a. Modifications may be requested by Person or Guardian.
4. Training a. No Training is mandated or required.
Article 81 vs. Article 17-A Guardians
ARTICLE 17-A
a. Certification as to Mental Retardation or Developmental Disability; b. No provision for the Appointment of Counsel or Court Evaluator; c. Limited requirements for the Appointment of Guardian ad Litem; d. Presumption of need for guardianship services for life; e. No Training required; f. Usually a quicker and less expensive approach.
Article 81 vs. Article 17-A Guardians
ARTICLE 81
a. Focuses on the functional assessment and activities of daily living of the person;
b. Requires the Appointment of Court Evaluator;
c. Requires that the Order and Judgment Appointing the Guardian specifically define the authority and powers of the Guardian;
d. Initial and Annual Reports are required;
e. Training is required.
Needs of Individual under Article 17-A Proceeding:
1. Look at the functioning level of the person: a. If a person is fairly high functioning and
capable of making certain decisions and expressing wishes and preferences, then an Article 81 provides greater flexibility and independence.
b. If a person is functioning at a lower level and is severely disabled then an Article 17-A may be more appropriate.
Medical Consent Issues Under Article 17-A Proceeding
1. In most cases under Article 17-A, it is assumed that the appointment of a Guardian was to consent to medical treatment.
2. Under Article 81, the Court must grant specific authority to consent to medical treatment.
Non-Routine Medical Decisions and End of Life Decision Making
• In re Scott Matthews
• In re Hofbauer
• Rivers v. Katz
OMRDD regulations for Guardians:
Office of Mental Retardation and Developmental Disabilities regulations provide for the full participation of Guardians, appointed by way of Article 17-A or Article 81. With regards to decisions affecting the care and treatment of persons in either state operated or state certified OMRDD programs
OMRDD regulations encourages Guardians involvement in:
1. Objection to an appeal of care and treatment;
2. Informed consent for service plans that involve risk;
3. Rights and responsibilities person receiving services;
4. Reportable incidents and abuse.
Conclusion
Article 81 provides better for the procedural and substantive rights of the individual who is disabled.
Article 17-A provides broader powers to parents and/or guardians with less cost, no training requirements, and easier accounting requirements.
Part 36 Rules of Chief Judge 2 Michele Lippa Gartner, Esq. NYS Office of Court Administration Guardian and Fiduciary Services Guardianship Proceedings
Michele Gartner is Special Counsel for Surrogate & Fiduciary Matters for the NYS Office of Court Administration. She received her JD from SUNY at Buffalo School of Law
PART 36THE RULES OF THE CHIEF JUDGE
Guardian, Court Evaluator & Attorney for the AIP
Michele GartnerSpecial Counsel for Surrogate & Fiduciary Matters
Office of Court Administration
25 Beaver Street, New York, New York 10004
(212) 428-5533
CERTIFIED TRAINING
1
CERTIFIED TRAINING
Guardian, Court Evaluator & Attorney for the AIPPART 36
THE RULES OF THE CHIEF JUDGE
Outline . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Part 36: The Rules of the Chief Judge . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Part 36: Explanatory Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
UCS Form 870: Application for Appointment to Part 36 List . . . . . . . . . . . . . . . . 16
Instructions to Amend Application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
UCS Form 872: Notice of Appointment & Certification of Compliance. . . . . . . . . . . 23
Sample Secondary Appointment Forms:
Application for Approval of Secondary Appointment . . . . . . . . . . . . . . . . 28
Decision and Order Approving Application for Secondary Appointment . . . . . . 29
UCS Form 876: Report of Law Firm Compensation . . . . . . . . . . . . . . . . . . . . 31
Materials
2
22 N.Y.C.R.R. § 36 et. seq.
Eligibility Criteria for Fiduciaries Training Requirements Application Process Disqualifications Limitations on Compensation
Recording/Reporting Requirements Appointments Compensation Public Database
Subject to Part 36 Rules:
Guardians, Court Evaluators, Attorneys for Alleged Incapacitated Persons, Court Examiners
Supplemental Needs Trustees Guardians ad Litem, their counsel &
assistants Law Guardians Receivers Referees (Foreclosure) Public Administrator and Counsel to PA
3
Those performing specific services for Guardians or Receivers: Counsel Accountants Auctioneers Appraisers Property managers Real estate brokers
Secondary Appointments are Subject to Part 36 Rules
Guardians: Relatives, Friends, nominated by ward or proposed by a party
Referees performing quasi-judicial functions
SNT Trustee who is relative or proposed by proponent of trust
Not-for-profit as guardian or court evaluator
Bank or trust company as SNT trustee or depository
DSS, HRA, MD as GAL in treatment case
Appointments taken pro bono
Relatives of Judge and spouse and the spouses of those relatives to 1st cousins Includes housing judges, town and village judges
All court employees & close relatives of court employees grade 24 and above, within jurisdiction
County and state political party officials & their close relatives 2 year prohibition for official and family Members, Associates, Counsel, Employees of “law firms or
entities” while official is associated with the firm
Former Judges and close relatives for two years, within jurisdiction
4
Judge’s campaign staff, their families and associates of their law firms for 2 years, by that Judge
JHOs in the particular court where the JHO is on the panel
Disbarred or suspended attorneys
Felons, unless certificate of relief, and misdemeanants for 5 years post sentence, unless waived by CAJ
Persons removed from the list for cause
Attorney for alleged incapacitated person may NOT be guardian or counsel to guardian (absolute ban)
Court Evaluator may not be appointed Guardian UNLESS court finds “extenuating
circumstances” In writing Filed with the fiduciary clerk
UNLESS court finds “Compelling Reason”
Guardians and receivers may NOT be appointed counsel to themselves
Law firm “associated” with a guardian or receiver may NOT be counsel to that guardian or receiver
5
“The Caps”
$75,000 Rule If past year’s compensation > $75k
ineligible for appointment for one year
$15,000 Rule One appointment per year : > $15k
anticipated compensation in any year Good Faith
Compensation = Award by the Court
Eligibility determined on date of Appointment.
Applies to new appointments only, may keep inventory.
One Exception: Necessary to maintain continuity of
representation or service Must be same person or entity Same appointment category
Judicial Order Includes secondary appointments
UCS Form 872 (list & non-list) Sent to appointee Appointee returns form to court
UCS Form 872.5 (non-list only) “Good Cause” Judge sends to Fiduciary Clerk & CAJ
6
Those who perform specific services for “Guardians or Receivers” Counsel Accountant Appraisers Property Managers, Real Estate Brokers
Court Approval Required: Order
Must meet all eligibility requirements
UCS Form 872 (& 872.5 if non-list)
8
§ 36.0 PREAMBLEPublic trust in the judicial process demands that appointments by judges be fair, impartial and beyond reproach. Accordingly, these rules are intended to ensure that appointees are selected on the basis of merit, withoutfavoritism, nepotism, politics or other factors unrelated to the qualifications ofthe appointee or the requirements of the case.The rules cannot be written in a way that foresees every situation in which theyshould be applied. Therefore, the appointment of trained and competentpersons, and the avoidance of factors unrelated to the merit of theappointments or the value of the work performed are the fundamentalobjectives that should guide all appointments made, and orders issued,pursuant to this Part.
§ 36.1 APPLICATION(a) Except as set forth in subdivision (b), this Part shall apply to the
following appointments made by any judge or justice of the Unified CourtSystem:(1) guardians;(2) guardians ad litem, including guardians ad litem appointed to
investigate and report to the court on particular issues, and theircounsel and assistants;
(3) law guardians who are not paid from public funds, in those judicialdepartments where their appointments are authorized;
(4) court evaluators;(5) attorneys for alleged incapacitated persons;(6) court examiners;(7) supplemental needs trustees;(8) receivers;(9) referees (other than special masters and those otherwise
performing judicial functions in a quasi-judicial capacity);(10) the following persons or entities performing services for guardians or
receivers:(i) counsel(ii) accountants(iii) auctioneers(iv) appraisers(v) property managers(vi) real estate brokers
(11) a public administrator within the City of New York and for thecounties of Westchester, Onondaga, Erie, Monroe, Suffolk and Nassauand counsel to the public administrator, except that only sections36.2(c) and 36.4(e) of this Part shall apply, and that section 36.2(c)shall not apply to incumbents in these positions until one year afterthe effective date of this paragraph.
(b) Except for sections 36.2(c)(6) and 36.2(c)(7), this Part shall not apply to:(1) appointments of law guardians pursuant to section 243 of the Family
Court Act, guardians ad litem pursuant to section 403-a of theSurrogate’s Court Procedure Act, or the Mental Hygiene Legal Service;
(2) the appointment of, or the appointment of any persons or entitiesperforming services for, any of the following:(i) a guardian who is a relative of (A) the subject of the guardianshipproceeding or (B) the beneficiary of a proceeding to create asupplemental needs trust; a person or entity nominated as guardian bythe subject of the proceeding or proposed as guardian by a party to theproceeding; a supplemental needs trustee nominated by thebeneficiary of a supplemental needs trust or proposed by a proponentof the trust; or a person or entity having a legally recognized duty orinterest with respect to the subject of the proceeding;(ii) a guardian ad litem nominated by an infant of 14 years of age orover;(iii) a nonprofit institution performing property management orpersonal needs services, or acting as court evaluator;(iv) a bank or trust company as a depository for funds or as asupplemental needs trustee;(v) except as set forth in section 36.1(a)(11), a public official vested withthe powers of an administrator;(vi) a person or institution whose appointment is required by law;(vii) a physician whose appointment as a guardian ad litem is necessarywhere emergency medical or surgical procedures are required.
(3) an appointment other than above without compensation, except thatthe appointee must file a notice of appointment pursuant to section36.4(a) of this Part.
§ 36.2 APPOINTMENTS(a) Appointments by the judge. All appointments of the persons or entities set
forth in section 36.1, including those persons or entities set forth in section36.1(a)(10) who perform services for guardians or receivers, shall be madeby the judge authorized by law to make the appointment. In makingappointments of persons or entities to perform services for guardians orreceivers, the appointing judge may consider the recommendation of theguardian or receiver.
(b) Use of lists.(1) All appointments pursuant to this Part shall be made by the appointing
judge from the appropriate list of applicants established by the ChiefAdministrator of the Courts pursuant to section 36.3 of this Part.
(2) An appointing judge may appoint a person or entity not on theappropriate list of applicants upon a finding of good cause, which shallbe set forth in writing and shall be filed with the fiduciary clerk at thetime of the making of the appointment. The appointing judge shallsend a copy of such writing to the Chief Administrator. A judge may notappoint a person or entity that has been removed from a list pursuantto section 36.3(e).
(3) Appointments made from outside the lists shall remain subject to all ofthe requirements and limitations set forth in this Part, except that theappointing judge may waive any education and training requirementswhere completion of these requirements would be impractical.
(c) Disqualifications from appointment.(1) No person shall be appointed who is a judge or housing judge of the
Unified Court System of the State of New York, or who is a relative of, orrelated by marriage to, a judge or housing judge of the Unified CourtSystem within the fourth degree of relationship.
(2) No person serving as a judicial hearing officer pursuant to Part 122 ofthe Rules of the Chief Administrator shall be appointed in actions orproceedings in a court in a county where he or she serves on a judicialhearing officer panel for such court.
(3) No person shall be appointed who is a full-time or part-time employeeof the Unified Court System. No person who is the spouse, sibling,parent or child of an employee who holds a position at salary gradeJG24 or above, or its equivalent, shall be appointed by a court within thejudicial district where the employee is employed or, with respect to anemployee with statewide responsibilities, by any court in the state.
(4) (i) No person who is the chair or executive director, or their equivalent,of a state or county political party, or the spouse, sibling, parent or childof that official, shall be appointed while that official serves in thatposition and for a period of two years after that official no longer holdsthat position. This prohibition shall apply to the members, associates,counsel and employees of any law firms or entities while the official isassociated with that firm or entity.(ii) No person who has served as a campaign chair, coordinator,manager, treasurer or finance chair for a candidate for judicial office, orthe spouse, sibling, parent or child of that person, or anyone associatedwith the law firm of that person, shall be appointed by the judge forwhom that service was performed for a period of two years followingthe judicial election. If the candidate is a sitting judge, thedisqualifications shall apply as well from the time the person assumesany of the above roles during the campaign for judicial office.
(5) No former judge or housing judge of the Unified Court System, or thespouse, sibling, parent or child of such judge, shall be appointed, withintwo years from the date the judge left judicial office, by a court withinthe jurisdiction where the judge served. Jurisdiction is defined asfollows:(i) The jurisdiction of a judge of the Court of Appeals shall be statewide.(ii) The jurisdiction of a justice of an Appellate Division shall be the judi-cial department within which the justice served.(iii) The jurisdiction of a justice of the Supreme Court and a judge of theCourt of Claims shall be the principal judicial district within which thejustice or judge served.(iv) With respect to all other judges, the jurisdiction shall be the princi-pal county within which the judge served.
(6) No attorney who has been disbarred or suspended from the practice oflaw shall be appointed during the period of disbarment or suspension.
(7) No person convicted of a felony, or for five years following the date ofsentencing after conviction of a misdemeanor (unless otherwisewaived by the Chief Administrator upon application), shall beappointed unless that person receives a certificate of relief fromdisabilities.
PART 36. Appointments by the Court
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(8) No receiver or guardian shall be appointed as his or her own counsel,and no person associated with a law firm of that receiver or guardianshall be appointed as counsel to that receiver or guardian, unless thereis a compelling reason to do so.
(9) No attorney for an alleged incapacitated person shall be appointed asguardian to that person, or as counsel to the guardian of that person.
(10) No person serving as a court evaluator shall be appointed as guardianfor the incapacitated person except under extenuating circumstancesthat are set forth in writing and filed with the fiduciary clerk at thetime of the appointment.
(d) Limitations on appointments based upon compensation.(1) No person or entity shall be eligible to receive more than one
appointment within a calendar year for which the compensationanticipated to be awarded to the appointee in any calendar yearexceeds the sum of $15,000.
(2) If a person or entity has been awarded more than an aggregate of$75,000 in compensation by all courts during any calendar year, theperson or entity shall not be eligible for compensated appointments byany court during the next calendar year.
(3) For purposes of this Part, the term “compensation” shall mean awardsby a court of fees, commissions, allowances or other compensation,excluding costs and disbursements.
(4) These limitations shall not apply where the appointment is necessaryto maintain continuity of representation of or service to the sameperson or entity in further or subsequent proceedings.
§ 36.3 PROCEDURE FOR APPOINTMENT(a) Application for appointment. The Chief Administrator shall provide for the
application by persons or entities seeking appointments pursuant to thisPart on such forms as shall be promulgated by the Chief Administrator. Theforms shall contain such information as is necessary to establish that theapplicant meets the qualifications for the appointments covered by thisPart and to apprise the appointing judge of the applicant’s background.
(b) Qualifications for appointment. The Chief Administrator shall establishrequirements of education and training for placement on the list ofavailable applicants. These requirements shall consist, as appropriate, ofsubstantive issues pertaining to each category of appointment — includingapplicable law, procedures, and ethics — as well as explications of the rulesand procedures implementing the process established by this Part.Education and training courses and programs shall meet the requirementsof these rules only if certified by the Chief Administrator. Attorneyparticipants in these education and training courses and programs may beeligible for continuing legal education credit in accordance with therequirements of the Continuing Legal Education Board.
(c) Establishment of lists. The Chief Administrator shall establish separate listsof qualified applicants for each category of appointment, and shall makeavailable such information as will enable the appointing judge to be apprised of the background of each applicant. The ChiefAdministrator may establish more than one list for the same appointmentcategory where appropriate to apprise the appointing judge of applicantswho have substantial experience in that category. Pursuant to section81.32(b) of the Mental Hygiene Law, the Presiding Justice of the appropriateAppellate Division shall designate the qualified applicants on the lists ofcourt examiners established by the Chief Administrator.
(d) Reregistration. The Chief Administrator shall establish a procedurerequiring that each person or entity on a list reregister every two years inorder to remain on the list.
(e) Removal from list. The Chief Administrator may remove any person orentity from any list for unsatisfactory performance or any conductincompatible with appointment from that list, or if disqualified fromappointment pursuant to this Part. A person or entity may not be removedexcept upon receipt of a written statement of reasons for the removal andan opportunity to provide an explanation and to submit facts in oppositionto the removal.
§ 36.4 PROCEDURE AFTER APPOINTMENT(a) Notice of appointment and certification of compliance.
(1) Every person or entity appointed pursuant to this Part shall file with thefiduciary clerk of the court from which the appointment is made,within 30 days of the making of the appointment, (i) a notice ofappointment and (ii) a certification of compliance with this Part, onsuch form as promulgated by the Chief Administrator. Copies of thisform shall be made available at the office of the fiduciary clerk andshall be transmitted by that clerk to the appointee immediately afterthe making of the appointment by the appointing judge. An appointee
who accepts an appointment without compensation need notcomplete the certification of compliance portion of the form.
(2) The notice of appointment shall contain the date of the appointmentand the nature of the appointment.
(3) The certification of compliance shall include:(i) a statement that the appointment is in compliance with sections36.2(c) and (d); and (ii) a list of all appointments received, or for whichcompensation has been awarded, during the current calendar year andthe year immediately preceding the current calendar year, which shallcontain (A) the name of the judge who made each appointment, (B) thecompensation awarded, and (C) where compensation remains to beawarded, (i) the compensation anticipated to be awarded and (ii)separate identification of those appointments for which compensationof $15000 or more is anticipated to be awarded during any calendaryear. The list shall include the appointment for which the filing is made.
(4) A person or entity who is required to complete the certification ofcompliance, but who is unable to certify that the appointment is incompliance with this Part, shall immediately so inform the appointingjudge.
(b) Approval of compensation.(1) Upon seeking approval of compensation of more than $500, an
appointee must file with the fiduciary clerk, on such form as ispromulgated by the Chief Administrator, a statement of approval ofcompensation, which shall contain a confirmation to be signed by thefiduciary clerk that the appointee has filed the notice of appointmentand certification of compliance.
(2) A judge shall not approve compensation of more than $500, and nocompensation shall be awarded, unless the appointee has filed thenotice of appointment and certification of compliance form required bythis Part and the fiduciary clerk has confirmed to the appointing judgethe filing of that form.
(3) Each approval of compensation of $5,000 or more to appointeespursuant to this section shall be accompanied by a statement, inwriting, of the reasons therefor by the judge. The judge shall file a copyof the order approving compensation and the statement with thefiduciary clerk at the time of the signing of the order.
(4) Compensation to appointees shall not exceed the fair value of servicesrendered. Appointees who serve as counsel to a guardian or receivershall not be compensated as counsel for services that should have beenperformed by the guardian or receiver.
(c) Reporting of compensation received by law firms. A law firm whosemembers, associates and employees have had a total of $50,000 or more incompensation approved in a single calendar year for appointments madepursuant to this Part shall report such amounts on a form promulgated bythe Chief Administrator.
(d) Exception. The procedure set forth in this section shall not apply to theappointment of a referee to sell real property and a referee to computewhose compensation for such appointments is not anticipated to exceed$750.
(e) Approval and Reporting of Compensation Received by Counsel to the PublicAdministrator.(1) A judge shall not approve compensation to counsel to the public
administrator in excess of the fee schedule promulgated by theadministrative board of the public administrator under SCPA 1128unless accompanied by the judge's statement, in writing, of thereasons therefor, and by the appointee's affidavit of legal servicesunder SCPA 1108 setting forth in detail the services rendered, the timespent, and the method or basis by which the requested compensationwas determined.
(2) Any approval of compensation in excess of the fee schedulepromulgated by the administrative board of the public administratorshall be reported to the Office of Court Administration on a formpromulgated by the Chief Administrator and shall be accompanied bya copy of the order approving compensation, the judge's writtenstatement, and the counsel's affidavit of legal services, which recordsshall be published as determined by the Chief Administrator.
(3) Each approval of compensation of $5,000 or more to counsel shall bereported to the Office of Court Administration on a form promulgatedby the Chief Administrator and shall be published as determined by theChief Administrator.
§ 36.5 PUBLICATION OF APPOINTMENTS.(a) All forms filed pursuant to section 36.4 shall be public records.(b) The Chief Administrator shall arrange for the periodic publication of the
names of all persons and entities appointed by each appointing judge, andthe compensation approved for each appointee.
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PART 36 OF THE RULES OF THE CHIEF JUDGE: AN EXPLANATORY NOTEPart 36 of the Rules of the Chief Judge creates a system that broadens the eligibility for appointment toa wide range of applicants well-trained in their category of appointment, establishes procedures thatpromote accountability and openness in the selection process, and insulates that process from appear-ances of favoritism, nepotism or politics.
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1. APPLICABILITYPart 36 governs ten categories of primary appointments andsix categories of secondary appointments (§ 36.1 [a]), as setforth below.
a. GuardiansPart 36 applies to guardians appointed for: 1) incapacitatedpersons pursuant to Mental Hygiene Law article 81; 2) minorspursuant to Surrogate’s Court Procedure Act article 17 or CivilPractice Laws and Rules article 12; and 3) the mentally retardedor developmentally disabled pursuant to Surrogate’s CourtProcedure Act article17-A (§ 36.1 [a][1]). If a person is appointedguardian upon a ward’s nomination or a party’s proposal,appointment is exempt from Part 36 (§ 36.1 [b][2][i]).A guardianship where the appointee is a nonprofit institution,department of social services, or other public agency withlegally recognized duties or interests is exempt from Part 36 (§36.1 [b][2]][i], [iii]). Guardianships in proceedings for the termi-nation of parental rights (see Social Services Law § 384-b,Surrogate’s Court Procedure Act § 403-a, Family Ct. Act article6) are also exempt, since only persons or entities authorized bylaw may be appointed guardian in such proceedings (§ 36.1[b][2][i], [vi]).
b. Guardians Ad LitemPart 36 applies to guardians ad litem appointed under the gen-eral provisions of Surrogate’s Court Procedure Act § 403 andCivil Practice Laws and Rules 1202, including guardians adlitem appointed to investigate and report to the court on particular issues (§ 36.1 [a][2]). Where a court appoints counselor assistants to guardians ad litem, these appointees also aregoverned by the rules. If appointed a guardian ad litem uponthe nomination of an infant of 14 years of age or over, theappointee is exempt (§ 36.1[b][2][ii]). Similarly exempt is aphysician whose appointment as a guardian ad litem is neces-sary where emergency medical or surgical procedures arerequired (§ 36.1 [b][2][vii]).
c. Law GuardiansPrivately paid law guardians who are appointed in domesticrelations matters in those Departments of the AppellateDivision where authorized are subject to the provisions of Part36 (§ 36.1 [a][3]). Law guardians appointed and paid from pub-lic funds are exempt (§ 36.1 [b][1]). (As a general rule, Part 36applies only to appointees compensated at the expense of pri-vate parties, and not those compensated from public fundssuch as appointments pursuant to Family Court Act § 243,Surrogate’s Court Procedure Act § 403-a, 407, Judiciary Law §35, and County Law article 18-B.)
d. Court Evaluators, Attorneys For AllegedIncapacitated Persons, Court ExaminersIn proceedings for the appointment of guardians for incapaci-tated persons pursuant to article 81 of the Mental HygieneLaw, the court may appoint an attorney for the alleged inca-pacitated person (Mental Hygiene Law § 81.10) or appoint acourt evaluator as an independent witness to investigate andreport to the court (Mental Hygiene Law § 81.09). These
appointments are governed by Part 36 (§ 36.1 (a)(4), (5)), exceptthat a nonprofit institution appointed court evaluator isexempt (§ 36.1 [b][2][iii]). The Mental Hygiene Legal Service,which may serve as attorney for an alleged incapacitated per-son or court evaluator, is also exempt (§ 36.1 [b][1]).If a guardian is appointed pursuant to article 81 of the MentalHygiene Law, the court may also assign a court examiner toaudit and report on accountings required to be filed in suchguardianship proceedings (Mental Hygiene Law § 81.30, 81.31).Court examiners are designated by the Presiding Justice ofeach Department of the Appellate Division (Mental HygieneLaw § 81.32), and, upon designation, must comply with all theprovisions of Part 36 (§§ 36.1 [a][6]; 36.3 [c]).
e. Supplemental Needs TrusteesSupplemental needs trustees (see Omnibus BudgetReconciliation Act of 1993 (42 USC 1396p[d][4], EPTL § 7-1.12, SSL§ 366 [2][b][2][iii], 18 NYCRR § 360-4.5) may be appointed in anumber of contexts in Supreme Court or Surrogate’s Court,e.g., in infants’ compromise orders, or in proceedings underarticle 17-A of the Surrogate’s Court Procedure Act or article 81of the Mental Hygiene Law. When selected by the court andappointed by judgment or order, a supplemental needs trusteeis subject to the provisions of Part 36 (§ 36.1 [a][7]), unless theappointee is a bank or trust company (§ 36.1 [b][2][iv]), or isappointed upon nomination by the beneficiary, or by the pro-ponent, of the trust (§ 36.1 [b][2][i]).
f. ReceiversPart 36 applies to receivers almost without exception (§ 36.1[a][8]). In rare cases where the choice of receiver would be dic-tated by law, such an appointee would be exempt (§ 36.1[b][2][vi]).
g. RefereesReferees are treated differently under Part 36 depending onthe purpose for which they are appointed. Under articles 31and 43 of the Civil Practice Laws and Rules, referees, sometimescalled “special masters”, are often used in a quasi-judicialcapacity to supervise discovery or conduct trials in civil actionsor proceedings. No matter what their title, if referees are usedto perform a judicial function, they are exempt from Part 36 (§36.1 [a][9]). Referees appointed for all other purposes are gov-erned by the rules. These appointments are usually for the pur-pose of performing an act outside of court, e.g., conducting thesale of real property in a mortgage foreclosure action or super-vising a labor union election.Referees to compute the value of, and sell, real property in theordinary mortgage foreclosure action, and who receive com-pensation of $750 or less, are subject to all of the provisions ofPart 36 preliminary to appointment, including the disqualifica-tion provisions of section 36.2 (c), the limitations based oncompensation of section 36.2 (d), and list enrollment undersection 36.3. Upon appointment, however, these referees arenot required to file the notice of appointment or certificationof compliance that all other Part 36 appointees must file (§36.4 [d]). They and the court are also excepted from filing astatement of approval of compensation pursuant to JudiciaryLaw § 35-a (1) (a) and 22 NYCRR § 26.1 (a) (see section 5. B. infra),
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because the $750 total compensation results from two sepa-rate appointments which are below the statutory threshold of$500 for each appointment (up to $250 for computation; $500for sale).
h. Secondary Appointments Of Guardians AndReceivers: Counsel, Accountants, Appraisers,Auctioneers, Property Managers, Real EstateBrokersWhen a guardian or receiver subject to the provisions of Part36 seeks to retain counsel, or an accountant, appraiser, auc-tioneer, property manager or real estate broker, the retainedprofessional becomes a Part 36 appointee (§ 36.1[a][10]). Theguardian or receiver must request that the judge appoint sucha professional (§ 36.2 [a]), and the professional must complywith all the provisions of Part 36, including those governing listenrollment (§ 36.3), disqualification and limitation based oncompensation (§ 36.2), and all filing requirements (§ 36.4).
i. Public Administrator And Counsel To PublicAdministratorCertain sections of Part 36 apply to the appointment of aPublic Administrator within the City of New York and for thecounties of Westchester, Onondaga, Erie, Monroe, Suffolk andNassau and counsel to the public administrator. Those sectionsinclude the disqualifications due to family relationship,employment, former employment, political party office or judi-cial campaign office found in section 36.2 (c) and the approvalof compensation reporting requirements found in section36.4(e).
2. APPROVED LISTS: APPLICATION, ENROLLMENT, USEAll persons or entities whose appointments are governed byPart 36 (§ 36.1 [a][1]–[10]), and who are not exempt under sec-tion 36.1 (b), must be enrolled on an approved list establishedby the Chief Administrator of the Courts (§ 36.3 [c]) from whichall names for appointment must be selected (§ 36.2 [b][1]),except when good cause exists to appoint outside the list (§36.2 [b][2]). In those exceptional circumstances, the court mustmake a finding of good cause, in writing, and file its findingwith the fiduciary clerk, who has the duty of supervising thefiling of all papers in the Part 36 appointment process (see §§36.2 [b][2]; 36.4 [a][1], [b][1]-[3]). A copy of the finding also willbe sent to the Chief Administrator of the Courts (§ 36.2[b][2]).A person or entity not appointed from an appropriate list stillmust comply with all the other provisions of Part 36, e.g., theappointee must not be disqualified from appointment undersection 36.2(c) or (d) and must file all Part 36 forms pursuant tosection 36.4, but any education and training requirementsmay be waived (§ 36.2 [b][3]). At no time may a court appoint aperson or entity removed from a list for cause (§ 36.2 [b][2]).(See § 36.3 [e] for the procedure for removal upon the ChiefAdministrator’s determination of unsatisfactory performanceor conduct incompatible with appointment from a list.) To enroll on a list maintained by the Chief Administrator of theCourts, an applicant must have completed the required train-ing for each category of appointment for which enrollment isrequested (§ 36.3 [b]). Once all required training is completed,an application must be submitted on the application formpromulgated by the Chief Administrator (UCS-870) (§ 36.3 [a]).Court examiners for proceedings under article 81 of the MentalHygiene Law and privately paid law guardians in domesticrelations actions first must be approved by the AppellateDivision before being eligible for placement on a list.Section 36.3 (d) provides for biennial re-registration, which willpermit the Chief Administrator to keep all lists current.
3. DISQUALIFICATIONSThe following persons are disqualified from appointment(§ 36.2[c]):a. a judge or housing judge of the Unified Court System, or a
relative of, or a person related by marriage to, a judge orhousing judge of the Unified Court System within thefourth degree of relationship;
b. a judicial hearing officer in a court in a county in which heor she serves as a judicial hearing officer;
c. a full-time or part-time employee of the Unified CourtSystem;
d. the spouse, brother/sister, parent or child of a full-time orpart-time employee of the Unified Court System at orabove salary grade JG24, or its equivalent: 1) employed in ajudicial district where the relative is applying for appoint-ment or 2) with statewide responsibilities;
e. a person who currently serves, or has served within the lasttwo years (commencing January 1, 2003), as chair, execu-tive director, or the equivalent, of a state or county politicalparty; the spouse, brother/sister, parent or child of suchpolitical party official; or a member, associate, counsel oremployee of a law firm or entity with which such politicalparty official is currently associated;
f. a former judge or housing judge of the Unified CourtSystem who left office within the last two years (com-mencing January 1, 2003) and who is applying for appoint-ment within the jurisdiction of prior judicial service, asdefined by section 36.2(c)(5) of the Rules of the ChiefJudge; or the spouse, brother/sister, parent or child of suchformer judge;
g. an attorney currently disbarred or suspended from thepractice of law by any jurisdiction;
h. a person convicted of a felony for which no certificate ofrelief from disabilities has been received;
i. a person convicted of a misdemeanor for which sentencewas imposed within the last five years and for which nocertificate of relief from disabilities, or waiver by the ChiefAdministrator of the Courts, has been received; or
j. a person who has been removed from an appointment listof the Chief Administrator of the Courts for unsatisfactoryperformance or conduct incompatible with appointment.
The disqualifications for disbarred or suspended attorneys (seeparagraph [g], supra) and convicted criminals (see paragraphs[h] and [i], supra) apply to any appointments under section 36.1(a), even if otherwise exempted under the rules pursuant tosection 36.1 (b).Additionally, there are three disqualifications that do not limitlist enrollment, but may render an enrollee disqualified fromappointment due to the circumstances of a particular case.These disqualifications are: 1) receivers or guardians, or personsassociated with the law firm of a receiver or guardian, are pro-hibited from being appointed counsel to the receiver orguardian (§ 36.2 [c][8]); 2) counsel to alleged incapacitated per-sons in Mental Hygiene Law article 81 proceedings are prohib-ited from being appointed guardian, or counsel to theguardian, for an incapacitated person they have represented (§36.2 [c][9]); and 3) court evaluators in Mental Hygiene Law arti-cle 81 proceedings are prohibited from being appointedguardian for an incapacitated person in a proceeding in whichthey served as court evaluator (§ 36.2 [c][10]). In the first andthird of these disqualifications, exceptions may be made. Ifthere is a compelling reason, such as savings to the estate ofthe receivership or guardianship, the receiver or guardian may
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be appointed counsel. Similarly, if there are extenuating cir-cumstances, such as the unavailability of others to be appoint-ed guardian and a familiarity and trust developed betweencourt evaluator and incapacitated person, a court evaluatormay be appointed guardian upon a written finding by thecourt of extenuating circumstances.There is also a disqualification relating to judicial campaignactivity. This does not prevent list enrollment, but limitsappointment by a judge for whom the enrollee acted as cam-paign chair, coordinator, manager, treasurer or finance chair ina campaign for a judicial election that took place less than twoyears prior to the proposed appointment (§ 36.2 [c][4][ii]). If thecandidate is a sitting judge, the disqualification also applies toa person who assumes any of the above roles during the cam-paign for judicial office. Included in this disqualification are thespouse, brother/sister, parent or child of the campaign official,or anyone associated with the campaign official’s law firm.
4. LIMITATIONS ON APPOINTMENTS BASED UPON COMPENSATIONSubdivision (d) of section 36.2 establishes two additional dis-qualifications from appointment, not related to list eligibility,but based upon anticipated or previously awarded compensa-tion. These restrictions do not limit compensation per se, butuse compensation as a basis for determining availability forfuture appointment. There are no exceptions to the applica-tion of these limitations, unless the court determines theappointment is necessary to maintain continuity of represen-tation of the same person or entity in further or subsequentproceedings.
a. The $15,000 RuleSection 36.2 (d)(1) prohibits appointees from receiving morethan one appointment in the same calendar year (i.e., January1 to December 31) for which compensation in excess of $15,000is awarded in that calendar year or anticipated to be awardedin any calendar year. Two examples illustrate the rule. 1) Ifappointed as attorney for an alleged incapacitated person in2003, and compensation of, for example, $20,000 for thatappointment is awarded or anticipated to be awarded in thatsame year, then the appointee is precluded from receivinganother appointment in 2003 for which compensation inexcess of $15,000 is anticipated either in 2003 or in any singlefuture year. 2) If appointed as guardian in 2003, for which anannual commission of, for example, $20,000 is anticipated tobe awarded in the following year (2004), the appointee is pre-cluded from receiving another appointment in 2003 for whichcompensation in excess of $15,000 is anticipated to be award-ed either in 2003 or in any single future year.
b. The $75,000 RuleSection 36.2 (d) (2) establishes a limitation on appointmentsbased on an annual, aggregate amount of compensation. Forcalendar year 2007 and thereafter, if compensation is awardedin an aggregate amount of more than $75,000 during any calendar year (no matter what year the appointment wasmade), the appointee will be ineligible for any compensatedappointments during the next calendar year. It is the year ofthe award of compensation, and not the year of its actualreceipt, that activates the application of the rule. Like its$15,000 counterpart, the $75,000 rule is a limitation onappointments, and not on compensation; nothing in the$75,000 rule prevents a court’s award, or an appointee’sreceipt, of total compensation exceeding $75,000 in any calen-dar year. Excess compensation in one year simply preventscompensated appointments in the following year.
5. PROCEDURE AFTER APPOINTMENTa. Combined Notice Of Appointment And Certification
Of CompliancePart 36 appointees must complete and file with the fiduciaryclerk within 30 days of appointment a two-part form contain-ing a notice of appointment and certification of compliance (§36.4 [a][1]), which will be sent to the appointee by the courtimmediately after appointment. If the appointee cannot certi-fy qualification for appointment in the certification of compli-ance section of the combined form, or cannot accept appoint-ment for any other reason, the appointee must immediatelynotify the court (§ 36.4 [a][4]).The notice of appointment contains the date and nature of theappointment (§ 36.4 [a][2]), and the certification of compliancecertifies that the appointee is not disqualified from serviceand is not otherwise precluded by any limitation based oncompensation (§ 36.4 [a][3][i]; see § 36.2 [c], [d]). The appointeemust list all appointments received during the current calen-dar year (§ 36.4 [a][3][ii]), report the amount of compensationawarded for each (§ 36.4 [a][3][ii][B]), or, if not awarded, thetotal amount of compensation anticipated for each (§ 36.4(a)(3)(ii)(C)(i)), and separately identify appointments for whichcompensation is anticipated to exceed $15,000 in any calendaryear (§ 36.4 [a][3][ii][C][ii]). The appointee must also list allappointments for which compensation was awarded in theyear immediately preceding the current calendar year (§ 36.4[a][3][ii]) and report the amount awarded for each (§ 36.4[a][3][ii][B]). For all appointments, the name of the appointingjudge must be given (§ 36.4 [a][3][ii][A]).There are two exceptions to this procedure. Although exemptfrom the application of Part 36 (see § 36.1 [b][3]), uncompen-sated appointees must still file the combined notice and certi-fication form, but need only complete the notice of appoint-ment section of the form (§ 36.4 [a][1]). This will allow uncom-pensated fiduciary activity to be recorded and appropriatelyrecognized. The other exception applies to referees to computethe value of, and sell, real property. Although subject to theapplication and list process of Part 36 (see § 36.1 [a][9]), refer-ees to compute and sell are relieved from the obligation to filethe combined notice and certification form for appointmentswhere total compensation is not anticipated to exceed $750 (§36.4 [d]).
b. Approval Of CompensationJudges who approve compensation of more than $500 arerequired to file a statement of approval of compensation withthe Office of Court Administration pursuant to Judiciary Law §35-a (1)(a) and 22 NYCRR Part 26. Whenever a court is request-ed to approve compensation in excess of $500 for a Part 36appointee, a statement of approval of compensation on a formpromulgated by the Chief Administrator of the Courts must besubmitted for signature to the approving judge. The statementmust contain a confirmation signed by the fiduciary clerk thatthe combined notice of appointment and certification of com-pliance form was filed (§ 36.4 [b][1]). No judge may approvecompensation of more than $500 without this statement andthe signed confirmation of the fiduciary clerk (§ 36.4 [b][2]).Additionally, every approval of compensation in excess of$5000 must contain the judge’s written statement of the reasons for such approval (§ 36.4 [b][3]). After signing the orderawarding compensation and the statement of approval ofcompensation, the judge must file a copy of the order and theoriginal statement with the fiduciary clerk. The fiduciary clerkwill then forward the statement of approval of compensationto the Office of Court Administration for entry of the amountof compensation in its database under the name of the
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appointee. This will keep the database current for periodicpublication under section 36.5.The rules cite the standard for judicial approval of compensa-tion, viz., fair value for all services rendered that are necessaryto the performance of the appointee’s duties (§ 36.4 [b][4]).This determination remains in the sound discretion of thecourt and depends on the factual circumstances of each case.
6. REPORTING LAW FIRM COMPENSATIONSection 36.4 (c) obligates law firms to report, in writing, to theChief Administrator of the Courts whenever total compensa-tion in a single calendar year is $50,000 or more for Part 36appointments of law firm members, associates or employees.The report of compensation received by law firms is to be filedon form UCS-876 on or before March 31st following the calendar year reported.
The reporting of law firm compensation is for informationalpurposes only. Limitations based on compensation apply onlyto the individual appointee, not the firm, and the appointmentand compensation of one person in the firm are only consid-ered in certifying the availability of that individual for appoint-ment and do not affect the availability for appointment of anyother person in the firm.
7. PUBLICATIONThe notice of appointment and certification of compliance,statement of approval of compensation, and report of com-pensation received by law firms, filed pursuant to section 36.4,are public records, and the names of appointees and ofappointing judges, and the amounts of approved compensa-tion, are subject to periodic publication by the ChiefAdministrator of the Courts (§36.5).
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Instructions To Amend The UCS 870Application for Appointment Pursuant to Part 36
TO AMEND THE CATEGORIES OR COUNTIES OF ENROLLMENT:
• Send an e-mail to [email protected]
• Send a fax to (212) 428-2819or
• Write to OCA at the address listed below.
Include the foilowing information:
• Your full name• Your Fiduciary ID Number (FID#)• The first five digits of your Social Security Number
A link to (or copy of) your application will be sent to you by returne-mail (or fax or mail) along with a copy of your receipt. Pleaseprint both and make the changes, additions or deletions in ink onthe appiication and receipt. Sign and date each, attach anyrequired documentation (e.g. resume), and mail to:
Office of Court AdministrationP.O. Box 3171Church Street StationNew York, NY 10008
TO AMEND YOUR NAME, ADDRESS OR OTHER CONTACT INFORMATION:
• Send an e-mail to [email protected] with your changes,or
• Send a fax to (212) 428-2819 with your changes
Include the following information:
• Your fuil name• Your Fiduciary ID Number (FID#)• The first five digits of your Sociai Security Number
You may also mail a copy of your receipt with the changes marked in ink to:
Office of Court AdministrationP.O. Box 3171Church Street StationNew York, NY 10008
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(Mark "X" in appropriate boxes and provide all requested information.)
SUPREME COURT OF THE STATE OF NEW YORK
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Title of Action
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EX PARTE APPLICATION
for
APPROVAL OF SECONDARY APPOINTMENT(Pursuant to 22 NYCRR § 36.1(a)(10)
INDEX NO. / No. Yr.
APPROVAL of the following SECONDARY APPOINTEE is respectfully requested (attach one page
resume):
Name:
Address;
Phone/FAX/Email
The secondary appointee will serve as: G COUNSEL G ACCOUNTANT G APPRAISER
G AUCTIONEER G REAL ESTATE BROKER G PROPERTY MANAGER.
The secondary appointee G is on the list established by the Chief Administrator of the
Courts for the category of appointment requested.
G is NOT on the list established by the Chief Administrator of the
Courts for the category of appointment requested, but is otherwise
qualified for appointment pursuant to Part 36 of the Rules of the
Chief Judge.
The reasons for the request are as follows (If a NON-LIST appointment is requested, include
explanation of good cause for the appointment; if the Guardian or Receiver requests that he/she, or a person
associated with his/her law firm, be appointed counsel, include an explanation of the compelling reason for
the appointment.):
.
DATED: Signature:
Print Name:
Sworn to before me this day G GUARDIAN G RECEIVERof . 200 .
Address:
Notary Public
Phone
FAX
28
(Mark "X" in appropriate boxes and provide all requested information.)
2. (Choose (a) or (b) by marking “X” in appropriate box.)
a. G The appointee is on the list established by the Chief Administrator of the Courts for the category of appointment requested;
OR
b. G The appointee is NOT on the list established by the Chief Administrator of the Courts for the category of appointment requested,
but is otherwise qualified for appointment pursuant to Part 36 of the Rules of the Chief Judge, and the Court is filing with the fiduciaryclerk form UCS 872.5 (STATEMENT OF REASONS FOR NON-LIST APPOINTMENT (§ 36.2(b)(2));
3. (If this is an appointment of Guardian or Receiver, or person associated with his/her law firm, as COUNSEL, mark “X” infollowing box and provide compelling reason.)
G The compelling reason for appointment of the Guardian or Receiver, or a person associated with his/her law firm, as counsel is
as follows: ;
SUPREME COURT OF THE STATE OF NEW YORK
County: COUNTY
------------------------------------------------------------------------X
Title of Action
---------------------------------------------------------------------X
DECISION AND ORDER
APPROVING
EX PARTE APPLICATION
for
SECONDARY APPOINTMENT(Pursuant to 22 NYCRR § 36.1(a)(10)
INDEX NO. / No. Yr.
Name of Judge:
Upon ex parte application of , asName
G GUARDIAN G RECEIVER , dated , for approval of a Secondary Appointment,
it is determined that
1. A Secondary Appointment is necessary and
Name:
Address;
Phone/FAX/Email
is appropriate for appointment as: G COUNSEL G ACCOUNTANT G APPRAISER
G AUCTIONEER G REAL ESTATE BROKER G PROPERTY MANAGER;
1
29
Title of Action: Index No. / No. Yr.
ACCORDINGLY, it is
ORDERED that this application for approval of a secondary appointment as
G COUNSEL G ACCOUNTANT G APPRAISER G AUCTIONEER
G REAL ESTATE BROKER G PROPERTY MANAGER is GRANTED.
ORDERED that the secondary appointee shall immediately
Name of Secondary Appointee
file form UCS 872;
ORDERED that compensation for the secondary appointee is subject to PRIOR court approval upon
submission of an application showing experience/expertise, services rendered, time expended, prevailing rate in
the community, rate charged, challenges presented and results achieved;
ORDERED that the applicant shall serve a copy of this order upon the secondary appointee and all
persons entitled to notice in this action/proceeding by certified mail.
DATED: Signature:
File copy of this order with the Fiduciary Clerk
2
30
UCS - 876 - Effective January 1, 2004
3. Name of Law Firm:
Street ZipCity/Town/Village State
Phone Fax E-Mail
$
REPORT OF COMPENSATION RECEIVED BY LAW FIRMS FORAPPOINTMENTS PURSUANT TO PART 36 OF THE RULES OF THECHIEF JUDGE (§ 36.4(c))
(Complete if total compensation from appointment of law firm’s members, associates and employees pursuant to Part 36 of the
Rules of the Chief Judge exceeds $50,000 in a single calendar year (January 1 to December 31). File by March 31 following thest
calendar year reported.)
1. Calendar Year Reported: 2. Law Firm Tax ID Number
Year GGGG TID# GG-GGGGGGG
4. Address/Phone/FAX/ E-mail:
5. List the names and Fiduciary Identification Numbers of the members, associates and employees of the law firm for whom
compensation from appointments has been approved during the calendar year reported, and enter for each the total
compensation approved during that year. For a member, associate or employee with no Fiduciary Identification Number
(FID#), enter “Non-List” and his/her Social Security Number in space provided for FID#, (attach additional sheets as needed).
NAME FIDUCIARY IDENTIFICATIONNUMBER
TOTAL APPROVEDCOMPENSATION IN CALENDAR
YEAR REPORTED
$
$
$
$
$
$
$
6. Total of all compensation entered in item 5:
Date: Signature:
Print Name:
Title:
(e.g., managing attorney, member)
Mail to: OCA, Appointment Processing Unit, 25 Beaver Street, Room 840, New York NY 1000431
Attorney for the Alleged Incapacitated Person 3 Peachetta deFreitas, Esq. Law Offices of Alfreda B. Kenny
BIOGRAPHY
Peachetta S. deFreitas, Esq., a graduate of New York Law School, is an associate in the
Law Office of Alfreida B. Kenny, 11 Park Place, New York, New York. Ms. deFreitas has been
admitted to the bar of the State of New York since 1994 and is admitted to the bars of the State
of New Jersey and the United States Supreme Court.
Ms. deFreitas practices in the areas of adult guardianships under Article 81 of the Mental
Hygiene Law, elder law, trusts and estates, and real estate transactions. In addition to
representing petitioners and objectants in Article 81 proceedings, and guardians appointed in
Article 81 proceedings, Ms. deFreitas has been appointed by the Supreme Court of the State of
New York as, and has served as, Court Evaluator, Guardian of the Person, and Guardian of the
Property in Article 81 proceedings. Ms. deFreitas represents clients in the Surrogate’s Court of
the State of New York and has been appointed and as, and has served as, guardian ad litem in the
Supreme Court and the Surrogate’s Court.
Ms. deFreitas has participated as a faculty member for training programs on adult
guardianships under Article 81 of the Mental Hygiene Law, approved by the Office of Court
Administration, offered by the New York County Lawyers’ Association and the New York City
Bar.
Ms. deFreitas is a past Chairperson of the Committee on Legal Problems of the Aging of
the New York City Bar.
S:\pdf\Documents\Miscellaneous\Seminars\PSD bio-April,2011.wpd
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Alfreida B. Kenny, Esq.11 Park Place, 10 Fl.th
New York, New York 10007(212( 809-27000
CONSIDERATIONS FOR COUNSEL FOR THE ALLEGED INCAPACITATEDPERSON IN AN ARTICLE 81 GUARDIANSHIP PROCEEDING.
November 30, 2010
I. THE ROLE OF COUNSEL
� A lawyer is to “abide by a client’s decisions concerning the objectives ofrepresentation and, as required by Rule 1.4 shall consult with the client as to themeans by which they are to be pursued”. 22 NYCRR, Part 1200, Rule 1.3.
� It is the role of counsel to advocate the wishes of the client even if counselbelieves that the client’s judgment is not good, what the client wants is not in thebest interest of the client, or what the client wants could prove to be detrimental tothe client over the course of time.
� It is the role of counsel to counsel client, make recommendations to the client,attempt to persuade the client to pursue the recommendations that counsel hasmade to the client. Ultimately, the client makes the decision and counsel mustfollow the directions of the client.
� Poor judgment and bad decisions are not tantamount to diminished capacity.
� If the client has diminished capacity, counsel must determine whether the clienthas sufficient capacity to direct counsel. 22 NYCRR, Part 1200, Rule 1.14 states,“When a client’s capacity to make adequately considered decisions in connectionwith a representation is diminished, whether because of minority, mentalimpairment or for some other reason, the lawyer shall, as far as reasonablypossible, maintain a conventional relationship with the client.
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II. RETAINED COUNSEL
� Initial Meeting with the AIP and Subsequent meetings.
� Introduce yourself to the AIP and explain why you are meeting with theAIP.
� Inform the AIP who asked you to meet with the AIP and why.
� Explain to the AIP the petition, who is involved, the petitioner, as well asother family members and/or friends, and how these people are involved inthe Article 81 guardianship proceeding.
� Meet with the AIP frequently in your office, as well as at the AIP’sresidence. Meet with the AIP alone, and at other times with those whomthe AIP chooses.
� Explain to the AIP that it sometimes is important to meet with theAIP alone and not in the presence of others to protect lawyer-clientprivilege, as well as to ascertain what the AIP recalls without theassistance of others.
� Counsel also should meet alone with the AIP separately to elicitinformation that the AIP may not be comfortable relating tocounsel if others are present, including those individuals whom theAIP fears or those individuals who may be exerting undueinfluence upon the AIP.
� On each occasion that counsel meets with the AIP, review with the AIPwhat was discussed when counsel last met with the AIP or spoke with theAIP during a telephone discussion.
� Make the best possible assessment of the AIP’s abilities or lack thereofregarding short-term memory and long-term memory.
� It is important to meet with the AIP frequently to avoid the AIP forgettingcounsel’s name, who counsel is, why counsel is meeting with the AIP, andthe fact that the AIP has retained counsel.
� Objectants, including the court evaluator, may suspect that so-called retained counsel was not retained by the AIP because theAIP allegedly does not have the capacity to enter into a contract.
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Although difficult, counsel who represents a family member of an AIP may be able to1
fashion least restrictive alternatives to guardianship. If counsel represents family members,counsel should advise the Court whom counsel represents. It is my experience that in mostcases, the Court will allow counsel for family members to participate in the hearing and to worktoward a settlement. The Court will understand without anyone making a statement that counselhas determined that the AIP cannot direct counsel but that counsel will work for the best interestsof the AIP. However, if counsel’s actions demonstrate to the Court that counsel is in factrepresenting the interests of the family member rather than the AIP, the Court will not be soinviting to counsel.
� If the court evaluator or others advise the Court of the possibilitythat the AIP does not have capacity to retain counsel, the Courtgenerally will conduct a hearing solely for the purpose ofdetermining whether the AIP had or has capacity to retain counsel.
� Mental Hyg. Law § 81.10(a) provides that the AIP has the right tochoose and engage legal counsel. The Court is to determinewhether “retained counsel has been chosen freely andindependently by the alleged incapacitated person”.
� Counsel risks that the Court will determine that counsel was not“freely and independently” chosen by the AIP. In such an event,counsel cannot be paid from the funds of the AIP if a guardian isappointed.
� Counsel should determine, if possible, prior to be being retainedwhether the AIP can direct counsel in counsel’s representation ofthe AIP. If retained counsel concludes that the AIP cannot directcounsel, then counsel cannot represent the AIP, and therebyadvocate for the wishes of the AIP. However, counsel canrepresent family members, such as spouse and children, and byrepresenting those individuals proceed to work for the best interestof the AIP.1
� If counsel is retained and paid by family members to represent theAIP, the Court must make a determination that the AIP freely andindependently has chosen counsel to represent the AIP. Adetermination that the AIP acted freely becomes more difficult forthe Court to make when the facts likely will show that prior to thecommencement of the proceeding, the AIP did not know counsel,counsel is a friend of a member of the AIP’s family, or counselrepresents a member of the AIP’s family. It will becomeincreasingly difficult, but not impossible, for the Court to make a
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determination that the AIP acted freely if family members or othersare paying the legal fees incurred in connection with counselrepresenting the AIP.
� If counsel is retained by family members to represent theAIP, there likely will be a conflict between what the familymembers want counsel to do and what the AIP wantscounsel to do. Counsel’s loyalty and duties are owed to theAIP and not to those paying the bills. If family membersare paying the legal fees, the retainer agreement shouldexpressly state that notwithstanding that the familymembers are paying the legal fees, counsel is bound torepresent the AIP in accordance with the wishes of, and theinstructions given by, the AIP and as directed by the AIP,even if such representation is contrary to the wishes of thepayer of the bills.
� The family members may want counsel to represent the AIPin a fashion that is in the best interest of the AIP, while theAIP may want counsel to represent the AIP in a manner thatis not in the best interest of the AIP but is what the AIPwishes. For example, counsel may be able to resolve theArticle 81 proceeding with a settlement by having his clientagree to relocate to an assisted-living facility and give apower of attorney to #1 Son. The members of the AIP’sfamily agree that this is the perfect solution; it avoids theappointment of a guardian, #1 Son, who is an accountant,will handle Mom’s financial affairs, the legal fees will bereduced because there will not be a long and drawn-outhearing, and Mom will not have to listen to the testimonyof friends and family members when they relate to theCourt how she is forgetful and wanders if she is notaccompanied by someone. Mom says to all of them, Go tohell”. I am not leaving my residence of 50 years. I am notforgetful; I am quite capable of handling my own affairs,and I don’t need my children handling my money, even if#1 Son is an accountant. I can handle my own moneybetter than he can handle my money.” The AIP directscounsel not to settle, to represent her at the hearing, andargue to the Court that she does not have any functionallimitations that impair her ability to provide for herpersonal or property management and that she does notneed a guardian of any sort. Clearly, counsel must advocate
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what his client, the AIP, asks. No doubt, no matter howmany times counsel explains to the family memberscounsel’s ethical obligations, the family members will notunderstand why counsel will advocate for a position thatcounsel knows is not in the best interests of his client, theAIP.
� When the bills are paid by one other than the client, ethicalissues are likely to arise.
III. COURT-APPOINTED COUNSEL
� Court-appointed, as retained counsel, must abide by the wishes and directions ofthe client. If court-appointed counsel believes that the capacity of the AIP is sodiminished that the AIP cannot reason or direct counsel, counsel should considerwhether it may be more appropriate for the Court to appoint a guardian ad litem.
� However, if counsel is appointed because Article 81 mandates the appointment ofcounsel, counsel may be compelled to only represent the AIP in connection withprotecting the due process rights and other rights of the AIP, rather thanadvocating a frivolous position. 22 NYCRR, Part 1200, Rule 1.16.
IV. PREPARATORY WORK PRIOR TO THE HEARING
� Communicating with the Court Evaluator
� Contact the Court Evaluator as soon as possible after counsel believes thatcounsel understands the facts and the AIP’s position. Give the CourtEvaluator the facts that will help your client. Counsel also should give tothe Court Evaluator facts that are not so helpful that counsel knows thatthe Court Evaluator will learn from other sources. Elicit from the CourtEvaluator what the Court Evaluator has learned from others.
� Ask the Court Evaluator when the Court Evaluator would like to meetwith the AIP.
� Prepare the AIP for the meeting with, and interview by, the CourtEvaluator.
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� Be present at the meeting between the AIP and the CourtEvaluator.
� If your client, the AIP, is forgetful, find a way to handle theforgetfulness without interfering with the Court Evaluator’sinterview of the AIP.
� You may want to tell the AIP not to worry if she cannot remembereverything and advise the AIP to tell the Court Evaluator when shecannot remember and that whatever it is that she has forgotten, sheis sure that she will remember before the Court Evaluator leaves.
� Do not interfere with the Court Evaluator interviewing the AIP. Beprepared for the Court Evaluator to ask the AIP tough questions,which sometimes may seem to be insensitive. Counsel’sinterference with the Court Evaluator could result in doing moredamage to the AIP than allowing the AIP to answer the CourtEvaluator’s questions, even if incorrectly.
� Begin early on discussing with the Court Evaluator why your client doesnot need a guardian and/or the least restrictive alternatives to aguardianship.
� As you learn facts that will assist your client, give those facts to the CourtEvaluator. If you have documents that demonstrate that an individual whoseeks to be a guardian is unfit, furnish those documents to the CourtEvaluator. For example, Son #2 was the agent under a power of attorneyand you have bank statements showing that he used Mom’s money to payhis bookie in New Jersey. You also have receipts showing that Son #2used Mom’s money to purchase expensive jewelry for Son #2's mistress. Deliver copies of these documents to the Court Evaluator.
� Provide the Court Evaluator, if appropriate, with the AIP’s family history,information regarding family discord, and information regarding the assetsof the AIP.
� Investigate the Facts.
� After having met with the AIP, at least once, meet with or speakwith friends or family members whom counsel believes will givethe facts.
� Do not rely solely upon what the AIP tells you. Talk with family
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members, home aides, friends, and religious leaders. It is fromthese sources that counsel will learn many of the weaknesses of theAIP’s position.
� When counsel believes that counsel has the facts, counsel shouldengage the AIP in a straight-forward discussion of the facts thatlikely will be presented at a hearing. Listen to the AIP’s responsesand if the responses are not complete or rational, let the AIP knowthat the AIP’s responses will not serve her well at a hearing. Donot sugarcoat what the AIP likely will encounter during the Article81 proceeding, including, but not limited to, family members lying.
� If counsel believes that the petitioner likely will meet petitioner’sburden by proving by clear and convincing evidence that (1) theAIP has functional limitations (2) those functional limitationsimpair the AIP’s ability to provide for her personal needs andproperty management, (3) the AIP lacks understanding orappreciation of the nature and consequences of the AIP’sfunctional limitations, and (4) the appointment of a guardian isnecessary to prevent harm to the AIP, counsel should advise theAIP of counsel’s beliefs and the basis of counsel’s beliefs.
� After having had a straightforward discussion with the AIP,counsel should make every attempt to persuade the AIP to accept asettlement that would provide the least restrictive alternatives to aguardianship.
V. THE HEARING
� Work toward having the hearing as soon as possible. If your client is an elderlyperson, the longer the hearing is delayed, the more likely the AIP will lose his/herability to remember. It is likely that with delay, the AIP will becomeprogressively worse.
� Up to the date of the hearing, counsel would have had frequent visits withthe AIP, to be assured that the AIP remembers who counsel is, rememberswhat the Court proceeding concerns, and how the AIP is to conducthimself/herself in the Court.
� If counsel has told the AIP what to expect during the hearing, thatoftentimes reduces some of the AIP’s nervousness.
� In most instances, the AIP should not testify. However, if the AIP does
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not suffer from cognitive limitations, can explain her thoughts well,understands her limitations, can explain how she has addressed herlimitations or intends to address her limitations, does not get flustered,then the AIP may be a decent witness. If the AIP rambles, do not permitthe AIP to testify.
� If the AIP is to testify, you must prepare the AIP for cross-examination. Inaddition to cross-examination, the presiding Justice is likely to ask the AIPa number of questions.
� If counsel discerns that the AIP is intimidated by family members or homecare attendants, or friends who have cared for the AIP, ask the Court topermit the AIP to testify, on the record, in camera.
� Object to any medical facts or evidence that are protected by physician-patient privilege or was not obtained in accordance with Mental Hyg. Law§ 81.09(d)
� Jury trials are rare in Article 81 proceedings. The AIP has a right to a jurytrial. If the AIP intends to exercise the AIP’s right to a jury trial thedemand for a jury trial must be made on or before the return datedesignated in the order to show cause. Mental Hyg. Law § 81.11(f). Failure to timely demand a jury trial will be deemed a waiver of the rightto trial by jury.
� A jury trial may be difficult for the AIP. Counsel must assess the AIP’sstamina, emotional and psychological we–being, ability to hear unpleasantfacts, ability to sit still and attentive for long periods of time, ability tomaintain the appropriate demeanor throughout the trial as the juryobserves every movement that the AIP makes.
� In most cases, it generally is best to avoid a full hearing. Counsel shoulduse all of counsel’s resources to devise creative solutions that would be theleast restrictive alternatives to guardianship.
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Rafferty & Redlisky, LLP 800 Westchester Ave S-608 Rye Brook, NY 10573 914.813.1376 [email protected]
Ms. Redlisky is a partner with the firm of Rafferty & Redlisky, LLP where she concentrates on health care law, guardianship matters and Medicaid recoveries on behalf of health care facilities. She is routinely appointed to serve as Court Evaluator, Guardian and Counsel to the Alleged Incapacitated Person in complex matters, that include the prosecution of surcharge proceedings against suspended or removed fiduciaries. Prior to becoming a partner with Rafferty & Redlisky, Ms. Redlisky was a senior associate at the law firm of Wolf Haldenstein Adler Freeman & Herz LLP in New York, New York. While with Wolf Haldenstein, she represented nursing homes and health care organizations while also practicing general civil and commercial litigation in state and federal courts.
Ms. Redlisky, a 1992 graduate of the Albany Law School of Union University, chaired and was the recipient of the Gabrielli National Family Law Competition scholarship. She also was a member of the National Environmental Moot Court Team and a participant in the Domenick L. Gabrielli Appellate Advocacy Moot Court Competition. Ms. Redlisky earned her under graduate degree from the State University of New York at Binghamton, where she graduated with a Bachelor of Arts degree with Honors in 1989. Ms. Redlisky is a member of the Westchester Women’s Bar Association, New York State Bar Association, its Health Care Law Section and Committee on Women in the Law, the New Rochelle Bar Association and the Columbian Lawyers Association of Westchester County. She enjoys volunteering to judge moot court competitions, rock-climbing and hiking with her family.
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Mental Hygiene Law 81.09
(a) At the time of the issuance of the order to show cause, the court shall appoint a court evaluator. (b) 1. The court may appoint as court evaluator any person including, but not limited to, the mental hygiene legal service in the judicial department where the person resides, a not-for-profit corporation, an attorney-at-law, physician, psychologist, accountant, social worker, or nurse, with knowledge of property management, personal care skills, the problems associated with disabilities, and the private and public resources available for the type of limitations the person is alleged to have. The name of the court evaluator shall be drawn from a list maintained by the office of court administration; 2. if the court appoints the mental hygiene legal service as the evaluator and upon investigation in accordance with section 81.10 of this article it appears to the mental hygiene legal service that the mental hygiene legal service represents the person alleged to be incapacitated as counsel, or that counsel should otherwise be appointed in accordance with section 81.10 of this article for the person alleged to be incapacitated, the mental hygiene legal service shall so report to the court. The mental hygiene legal service shall be relieved of its appointment as court evaluator whenever the mental hygiene legal service represents as counsel, or is assigned to represent as counsel, the person alleged to be incapacitated. (c) The duties of the court evaluator shall include the following: 1. meeting, interviewing, and consulting with the person alleged to be incapacitated regarding the proceeding. 2. determining whether the alleged incapacitated person understands English or only another language, and explaining to the person alleged to be incapacitated, in a manner which the person can reasonably be expected to understand, the nature and possible consequences of the proceeding, the general powers and duties of a guardian, available resources, and the rights to which the person is entitled, including the right to counsel. 3. determining whether the person alleged to be incapacitated wishes legal counsel of his or her own choice to be appointed and otherwise evaluating whether legal counsel should be appointed in accordance with section 81.10 of this article.
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4. interviewing the petitioner, or, if the petitioner is a facility or government agency, a person within the facility or agency fully familiar with the person's condition, affairs and situation. 5. investigating and making a written report and recommendations to the court; the report and recommendations shall include the court evaluator's personal observations as to the person alleged to be incapacitated and his or her condition, affairs and situation, as well as information in response to the following questions: (i) does the person alleged to be incapacitated agree to the appointment of the proposed guardian and to the powers proposed for the guardian; (ii) does the person wish legal counsel of his or her own choice to be appointed or is the appointment of counsel in accordance with section 81.10 of this article otherwise appropriate; (iii) can the person alleged to be incapacitated come to the courthouse for the hearing; (iv) if the person alleged to be incapacitated cannot come to the courthouse, is the person completely unable to participate in the hearing; (v) if the person alleged to be incapacitated cannot come to the courthouse, would any meaningful participation result from the person's presence at the hearing; (vi) are available resources sufficient and reliable to provide for personal needs or property management without the appointment of a guardian; (vii) how is the person alleged to be incapacitated functioning with respect to the activities of daily living and what is the prognosis and reversibility of any physical and mental disabilities, alcoholism or substance dependence? The response to this question shall be based on the evaluator's own assessment of the person alleged to be incapacitated to the extent possible, and where necessary, on the examination of assessments by third parties, including records of medical, psychological and/or psychiatric examinations obtained pursuant to subdivision (d) of this section. As part of this review, the court evaluator shall consider the diagnostic and assessment procedures used to determine the prognosis and reversibility of any disability and the necessity, efficacy, and dose of each prescribed medication;
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(viii) what is the person's understanding and appreciation of the nature and consequences of any inability to manage the activities of daily living; (ix) what is the approximate value and nature of the financial resources of the person alleged to be incapacitated; (x) what are the person's preferences, wishes, and values with regard to managing the activities of daily living; (xi) has the person alleged to be incapacitated made any appointment or delegation pursuant to section 5-1501, 5-1505, or 5-1506 of the general obligations law, section two thousand nine hundred sixty-five or two thousand nine hundred eighty-one of the public health law, or a living will; (xii) what would be the least restrictive form of intervention consistent with the person's functional level and the powers proposed for the guardian; (xiii) what assistance is necessary for those who are financially dependent upon the person alleged to be incapacitated; (xiv) is the choice of proposed guardian appropriate, including a guardian nominated by the allegedly incapacitated person pursuant to section 81.17 or subdivision (c) of section 81.19 of this article; and what steps has the proposed guardian taken or does the proposed guardian intend to take to identify and meet the current and emerging needs of the person alleged to be incapacitated unless that information has been provided to the court by the local department of social services when the proposed guardian is a community guardian program operating pursuant to the provisions of title three of article nine-B of the social services law; (xv) what potential conflicts of interest, if any, exist between or among family members and/or other interested parties regarding the proposed guardian or the proposed relief; (xvi) what potential conflicts of interest, if any, exist involving the person alleged to be incapacitated, the petitioner, and the proposed guardian; and (xvii) are there any additional persons who should be given notice and an opportunity to be heard.
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In addition, the report and recommendations shall include any information required under subdivision (e) of this section, and any additional information required by the court. 6. interviewing or consulting with professionals having specialized knowledge in the area of the person's alleged incapacity including but not limited to mental retardation, developmental disabilities, alcohol and substance abuse, and geriatrics. 7. retaining an independent medical expert where the court finds it is appropriate, the cost of which is to be charged to the estate of the allegedly incapacitated person unless the person is indigent. 8. conducting any other investigations or making recommendations with respect to other subjects as the court deems appropriate. 9. attending all court proceedings and conferences. (d) The court evaluator may apply to the court for permission to inspect records of medical, psychological and/or psychiatric examinations of the person alleged to be incapacitated; except as otherwise provided by federal or state law, if the court determines that such records are likely to contain information which will assist the court evaluator in completing his or her report to the court, the court may order the disclosure of such records to the court evaluator, notwithstanding the physician/patient privilege, the psychologist/patient privilege, or the social worker/client privilege as set forth in sections four thousand five hundred four, four thousand five hundred seven, and four thousand five hundred eight of the civil practice law and rules; if the court orders that such records be disclosed to the court evaluator, the court may, upon the court's own motion, at the request of the court evaluator, or upon the application of counsel for the person alleged to be incapacitated, or the petitioner, also direct such further disclosure of such records as the court deems proper. (e) The court evaluator shall have the authority to take the steps necessary to preserve the property of the person alleged to be incapacitated pending the hearing in the event the property is in danger of waste, misappropriation, or loss; if the court evaluator exercises authority under this subdivision, the court evaluator shall immediately advise the court of the actions taken and include in his or her report to the court an explanation of the actions the court evaluator has taken and the reasons for such actions.
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(f) When judgment grants a petition, the court may award a reasonable compensation to a court evaluator, including the mental hygiene legal service, payable by the estate of the allegedly incapacitated person. When a judgment denies or dismisses a petition, the court may award a reasonable allowance to a court evaluator, including the mental hygiene legal service, payable by the petitioner or by the person alleged to be incapacitated, or both in such proportions as the court may deem just. When the person alleged to be incapacitated dies before the determination is made in the proceeding, the court may award a reasonable allowance to a court evaluator, payable by the petitioner or by the estate of the decedent, or by both in such proportions as the court may deem just.
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SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK ______________________________________________ Index No. In the Matter of the Application of
REPORT OF COURT EVALUATOR Petitioner,
For the Appointment of a Guardian for the Property Management and Personal Needs of
JANE DOE
A Person Alleged to be Incapacitated
Respondent,
_____________________________________________
LINDA A. REDLISKY, an attorney at law duly admitted to practice in the State of New York, affirms the truth of the following under penalty of perjury:
APPOINTMENT, JURISDICTION, VENUE
1. On the 14th day of December, 2011 an Order by Justice
appointed me to investigate the claims made in the Petition, explain this proceeding to JANE
DOE (or,‟Ms.Doe”) and report to the Court pursuant to MHL §81.09. I subsequently filed the
Notice of Appointment and Certificate of Compliance required to qualify as Court Evaluator.
2. JANE DOE currently resides in Room ____of the _______ Nursing Home (“ “), a
skilled nursing and rehabilitation center, located at New York, N.Y. The Petitioner is the
executive director of the residence where Ms. Doe currently resides and thus has standing under
MHL §81.06 (a) (7) to commence this proceeding. Venue is properly set in New York County,
and the Court will have jurisdiction over the parties affected once affidavits of service indicating
service in accordance with the court’s order are submitted and they are accepted by the court.
OVERVIEW, BACKGROUND AND GENERAL DESCRIPTION OF CIRCUMSTANCES
3. This Article 81 proceeding was brought by Order to Show Cause signed
Ms. Doe is represented by court appointed counsel, Esq., and the petitioner is
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represented by Linda Redlisky, Esq., both of whom provided considerable assistance during the
course of this investigation.
4. JANE DOE is ___ years old, having been born on or about ___________ . She is
alleged to be confused, have poor insight and judgment, have a diagnosis of , and
an inability to negotiate with third parties, all of which are alleged to render her unable to
provide for her property management. (Verified Petition ¶ 15) The petition further alleges that
Ms. Doe’s diagnosis of requires that a guardian also have personal needs powers.
(Verified Petition ¶ 17).
5. Although she can speak English and is occasionally briefly and minimally responsive to
questions, I believe that Ms. Doe cannot participate in these proceedings in any meaningful
fashion. I also believe that her participation would not be useful to the Court in making a
determination in this matter. Based upon my observation of Ms. Doe, she is likely to become
anxious, tearful, agitated and disruptive to the Court’s proceeding. As a result, I respectfully
recommend that her presence at a hearing be waived. I have discussed this issue with Ms. Doe’s
court-appointed counsel, who agrees that she could not participate in these proceedings in any
meaningful fashion.
6. JANE DOE has resided at Nursing Home since on or about DATE. She was transferred
there from New York Hospital where she was treated for a right hip fracture which apparently
required a surgical procedure to repair. Prior to her hospitalization at New York Hospital, she
was reported to have cared for herself while living in the community at .
7. A review of Ms. Doe’s medical records at (conducted jointly with her court-
appointed counsel) shows that her current significant diagnoses are:
8. According to her medical records, Ms. Doe’s current medications are:
9. There is no evidence that Ms. Doe ever married; nor does it appear that she had any
children. None of her known relatives live in the United States. She does have living relatives,
mostly in England. Ms. Doe is believed to have worked as a __ .
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SOURCES OF INFORMATION
10. Information and observations in this report are based on material in the Petition and its
extensive exhibits, and on information that was obtained from the following sources:
a. Personal interview of Ms. Doe at NURSING HOME on DATE.
b. Personal interview of Ms. Doe’s social worker at NURSING HOME on DATE.
c. Various telephone and electronic communications with Linda Redlisky, Esq., counsel
for petitioner, and _______, Esq., counsel for Ms. Doe;
d. Telephone communications with and faxed material from the pension fund
_____________;
e. Information received from various banks and financial institutions as noted in the
petition, as discovered during my investigation of Ms. Doe’s assets, and as reported by her court-
appointed counsel pursuant to his investigation;
f. Review of medical records maintained by NURSING HOME related to Ms. Doe;
g. E-mail communication with NAME, the RELATION of Ms. Doe.
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STATUTORY QUESTIONS
11. The following information is provided in specific response to the 17 questions set forth in
Mental Hygiene Law §2181.09 (c) (5):
(i) AIP’s Position: STATE WHETHER OR NOT THE AIP WAS ABLE TO
ARTICULATE A POSITION OR NOT AND IF SO, WHAT WAS HER POSITION.
(ii) Desire for Counsel: STATE WHETHER OR NOT THE AIP REQUESTED
COUNSEL. (IF YES, THE COURT SHOULD HAVE BEEN NOTIFIED IN ADVANCE OF
THIS REPORT)
(iii) Ability to Come to Courthouse:
(iv) Ability to Participate: STATE YOUR OPINION AS TO WHETHER OR NOT
THE AIP UNDERSTANDS AND CAN PARTICIPATE.
(v) Meaningful Participation: For the reasons articulated in section “iv” above, I do OR
do not believe that Ms. Doe would be able to meaningfully participate in the proceedings…
(vi) Available Resources: THIS QUESTION REQUESTS WHAT TYPE OF
FAMILY OR FRIEND SUPPORT THE AIP HAS AVAILABLE TO HER, AS WELL AS HER
CONNECTION WITH WHOMEVER SHE RESIDES (EITHER IN THE COMMUNITY OR
AT A NURSING HOME, ETC) . YOU ALSO SHOULD LIST WHETHER OR NOT THE AIP
HAS A WILL, POA, AND HEALTH CARE PROXY.
(vii) Activities of Daily Living: BASED ON YOUR OBSERVATION OF THE AIP
AND REVIEW OF MEDICAL RECORDS LET THE COURT KNOW WHAT ADL’S THE
AIP CAN OR CANNOT DO.
(viii) Understanding of Abilities: I DO OR DO NOT believe that Ms. Doe understands or
appreciates her inability to conduct activities of daily living with respect to either personal affairs
or property management. She cannot appreciate the extent or nature of her deficits or the
consequences of her decisions.
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(xi) Financial Resources: Ms. Doe receives Social Security in the amount of $____ ; she
receives a monthly pension of $_____ which is directly deposited into her account at _________
Bank.
Known Assets Apparent Apparent Value Comments as of (Date) Current Status Beneficiary________________________
Transferred to Annuity ITT Hartford which is now Putnam: Marine Midland Upon information checking account # and belief, now (Bank) Current Balance
Republic Bank Upon information of Savings and belief may be Account # HSBC account #
Property located Several items Salvation in apartment of jewelry held Army Greater at residence; New York remainder missing, Division may have been (Article IV destroyed of Will)
_________________________________________________________________________ Pension from Active: was $ monthly (UNION) being direct deposited into Bank X _________________________________________________________________________ Social Security Active $986 received by NH
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(x) Preferences for Daily Living:
(xi) Powers of Attorney:
(xii) Least Restrictive Form of Intervention: It is my opinion that the least restrictive form
of intervention would be____________________.
(xiii) Others Financially Dependent: I did not become aware of any individuals
financially dependent upon Ms. Doe.
(xiv) Proposed Steps: It is proposed that the Court appoint a guardian of the person and
property and that unless subsequent application is made to the Court that Ms. Doe continue to
reside at NURSING HOME.
(xv) Potential Conflicts of Interest among Family Members: No overt conflict of interest
was discovered during the course of my investigation and her family does not play a significant
day-to-day role in her life.
(xvi) Conflicts of Interest with Possible Guardians: No guardian has been proposed and
so no potential conflict was discovered.
(xii) Additional Persons to be Notified: I became aware of no additional persons to be
notified of this proceeding.
INTERVIEWS
12. I engaged in the following interviews from which I obtained the following relevant
information:
a. Personal Interview of Ms. Doe on (DATE)
b. Telephone Interview with Retirement Services Clerk, (UNION NAME)
I had various communications with and received written information from representatives
of (UNION NAME). These indicate that Ms. Doe receives a monthly pension of $____ which
until (DATE) was electronically deposited in Bank account #___________________.
c. E-mail Communication with (NAME OF RELATIVE) of JANE DOE.
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ADMINISTRATIVE MATTERS
13. I duly filed with this Court a Notice of Appointment and Certification of Compliance,
together with a Consent and Qualifying Affidavit.
14. I received a copy of the Order to Show Cause, the Petition and associated papers in a
timely manner.
15. The information in the Petition, signed by APPROPRIATE OFFICER, and the interviews
and other sources of information described in this report provide an adequate basis for this Court
to inquire into whether a guardianship is necessary.
16. The Court therefore will have jurisdiction over all the necessary parties, provided that
sufficient proofs of service are submitted and are accepted by the Court
RECOMMENDATIONS
17. In light of the circumstances described in this report and in the Petition, I respectfully
recommend that the Court:
a. Waive Ms. Doe’s presence at the hearing:
b. Find that Ms. Doe is incapacitated, likely to suffer harm because she cannot provide
for her personal and property management, and that she does not appreciate the nature and
consequence of this inability;
c. Appoint a suitable person or organization to act in the capacity of guardian of the
person and property who can manage her person and property needs, continue to investigate and
marshal her assets, spend-down to maintain Ms. Doe’s eligibility for public benefits AND ANY
OTHER RECOMMENDATIONS.
RESPECTFULLY SUBMITTED,
____________________________
Dated: Certified Pursuant to NYCRR 130.1-1
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1NY:15201650.1
New York’s 2010 Family Health Care Decisions Act
Major step forward or a Modest One?
Palliative Care Information Act (2011)Palliative Care Access Act (2011)
Peter J. Strauss, Esq. (212) 351-4746
Epstein Becker & Green, P.C.250 Park Avenue
New York, New York [email protected]
Distinguished Adjunct Professor of LawThe New York Law School
185 W. BroadwayNew York, New York
2
The Foundation of the Legal Debate
The doctrine of informed consent was established by the case of Schloendorff v. Society of New York Hospital, 211 N.Y. 1 25 (1914) where Justice Benjamin Cardozo, then on the New York Court of appeals, wrote:“Every human being of adult years and sound mind has a right to determine what shall be done with his own body; and a surgeon who performs an operation without his patient’s consent commits an assault, for which he is liable in damages.”
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• See also Cruzan v. Director, Mo. Dept. of Health, 497 U.S. 261 (1990)
• “The common-law doctrine of informed consent is viewed as generally encompassing the right of a competent individual to refuse medical treatment”
• “...the principle that a competent person has a constitutionally protected liberty interest in refusing unwanted medical treatment may be viewed from our prior decisions”
• This right exists even where the decision to decline treatment will result in death.
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Does the Liberty Interest Right to Refuse Extend to Incapacitated Persons?
• In general, yes. Matter of Quinlan, 70 N.J. 10 (1976)
• But, states have the right to limit how that right may be exercised. Cruzan v. Director, Mo. Dept. of Health, supra.
• Historically, New York has adopted a conservative approach to the right to refuse by requiring clear and convincing evidence of the patient’s wishes before life-sustaining treatment can be withheld or withdrawn.
• Matter of Storar, 52 N.Y.2d 363 (1980)• Eichner v. Dillon, 73 A.D.2d 431 (1980),
modified sub. nom. Matter of Storar, 52 N.Y.2d 363 (1980)
• Matter of Westchester County Medical Center (O’Connor), 72 N.Y.2d 517 (1988)
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• The clear and convincing evidence test can be met by oral testimony but the best evidence is a written document. Matter of Westchester County Medical Center (O ‘Connor), supra; Delia v., Westchester County Medical Center, 120 A.D.2d 1 (1987)
• Where the clear and convincing evidence test is not met health care providers have been required to use all available medical treatment and procedures
• Most other states have adopted a “substituted judgment” or “best interests” approach
• As a result of the “clear and convincing evidence” rule, in New York the “never competent” or the “formerly competent” person whose wishes could not be proved by clear and convincing evidence did not have the same constitutional right as other residents of the other states to refuse life-sustaining treatment
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Exceptions to the “Clear and Convincing” Rule
Over the years, New York carved out some limited exceptions to its clear and convincing evidence rule
The first step:
Do Not Resuscitate Orders (“DNR”) - Public Health Law Article 29B, effective August 7, 1987
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• When the patient is incapable of making the decision about resuscitation personally the decision is delegated, in this order, to:– The surrogate designated by the patient;– His or her guardian (although it is not required
that a guardian be appointed to make the DNR decision);
– The patient’s spouse;– The patient’s adult offspring;– A parent;– An adult sibling; and– A “close friend” defined as a person over 18 who
provides an affidavit to the attending physician, stating that he or she knows the patient well is familiar with his health care and religious beliefs.
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The Second Exception – The Health Care Proxy
Public Health Law Article 29CEffective January 18, 1991.
• Allows a person to designate a surrogate - the health care agent - by executing a health care proxy.
• A competent adult may appoint a health care agent. (Note the use of the word “competency” rather than “capacity” the more appropriate term used in Article 81 of the Mental Hygiene Law). Every adult is presumed competent “unless …adjudged incompetent or otherwise adjudged not competent to appoint a health care agent, or unless a committee or guardian of the person has been appointed….” (PHL Section 2981).
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The Health Care Proxy (cont.)
• The agent’s authority to act begins when the attending physician determines that the patient lacks capacity to make health care decisions. (PHL Section 2983). “For a decision to withdraw or withhold life-sustaining treatment, the attending physician who make the determination that a principal lacks capacity to make health care decisions must consult with another physician to confirm such determination” (PHL Section 2983).
• A health care provider shall comply with health care decisions made by an agent in good faith under a health care proxy to the same extent as if such decisions had been made by the principal, subject to any limitations in the health care proxy and pursuant to the provisions of subdivision five of Section 2983(5) . PHL §2984.
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The Health Care Proxy (cont.)
• The 1990 compromise with the opposing religious groups.
• A health care agent may not refuse or withdraw artificial nutrition and hydration unless the agent has knowledge of the patient’s wishes.
• Borenstein v. Simonson, 8 Misc.3d 481, 797 N.Y.S.2d 818 (Sup. Ct. Queens Co. 2005).
• Suggested language to add to the recommended form: “my agent is aware of my wishes, including my wishes regarding the furnishing of artificial nutrition and hydration”
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The “Living Will”
• Perhaps better called a “Health Care Declaration” - a document whereby a person expresses his or her wishes as to the kind of care and treatment he or she would want or refuse in the event of incapacity.
• At the present time New York does not have a living will statute, but living wills are recognized by case law. Matter of O‘Connor, supra.
• The Living Will will usually satisfy the “clear and convincing” evidence requirement
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Exception 3: Surrogate Decision Making for Mentally Retarded Persons and
Developmentally Disabled Persons In order to overcome the harsh rule of the Storar decision, Surrogate’s Court Procedure Act section 1750-b was enacted
• Effective March 17, 2003 and amended effective December 30, 2007.
• SCPA enacted by the legislature in 2002 (L 2002, Chapter 500, effective March 16, 2003) established a procedure for surrogate decision making by a guardian appointed pursuant to SCPA section 1750 for a mentally retarded person consistent with “what such person could make if such person had capacity.”
• “Such decisions may include decisions to withhold or withdraw life-sustaining treatment, as defined in subdivision(e) of section 81.29 of the mental hygiene law….” SCPA sec. 1750-b (1)
• “…When used in this article, life sustaining treatment means medical treatment which is sustaining life functions and without which, according to reasonable medical judgment, that patient will die within a relatively short period of time.” MHL 81.29(e)
• “The guardian shall base all advocacy and health care decision-making solely and exclusively on the best interests of the mentally retarded person and, when reasonably known or ascertainable with reasonable diligence, on the mentally retarded person’s wishes.” SCPA sec. 1750-b 2(a).
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• The mentally retarded person must be determined by the attending physician with the concurrence of another physician “to a reasonable degree of medical certainty” to:
– Have a terminal condition as defined in Public Health Law 2961 subdivision 23:
“ Terminal condition means an illness or injury from which there is no recovery, and which reasonably can be expected to cause death within one year”
– Be permanently unconscious– Have a medical condition, other than the mental
retardation, which requires life sustaining treatment, is irreversible and which will continue indefinitely and which treatment “would impose an extraordinary burden on such person”
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• A decision to withdraw or withhold artificially provided nutrition or hydration can be made only where
• there is no reasonable hope of maintaining life
• The artificially provided nutrition and hydration poses an extraordinary burden
• While the passage of SCPA 1750-b was a major a step forward, it provided limited relief because of its applicability to only persons with mental retardation and the limited situations in which it is applicable.
• The constitutionality of the section was upheld by Surrogate Peckham in Matter of Baby Boy W, 3 Misc.3d 656, 773 N.Y.S.2d 255 (Surr. Ct. Broome Co. 2004).
• The statute was held to be retroactive by the Court of Appeals in Matter of M.B., 6 N.Y.3d 437 (2006)
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Because the statute did not apply to persons with developmental disabilities (see also Matter of Darnell Anthony H, N.Y.L.J. March 18, 2005 p. 26, col. 1 (Surr. Ct. Bronx Co.) the legislature passed the 2007 amendments (L 2007, chapter 105) effective December 30, 2007, which make the following significant changes:
• End of life decisions can now be made by a guardian of a person with developmental disabilities as defined by section 1.03(22) of the Mental Hygiene Law.
• In cases where no guardian has been appointed, the term “guardian” includes a family member who has a “significant and ongoing involvement in a person’s life so as to have sufficient knowledge of their needs and, when reasonably known or ascertainable, the person’s wishes, including moral and religious beliefs.”
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The 2007 amendments significantly broadened the authority of a family member to make end of life decisions for the person with a developmental disability, even without the need to be appointed guardian by the court, provided the condition falls within the definition of Mental Hygiene Law section 103 (22), which includes a requirement that the disability must have “originated’ before the person attained 22 years of age.
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The Family Health Care Decisions Act “FHCDA” - Legislative History
The clamor for reform led the New York Task Force on Life and the law in 1992 to issue a report, “When Others Must Choose: Deciding for Patients Without Capacity,” called for a law that would allow for surrogate decision making by family members. Opposition was voiced by various groups that prevented passage until 2010.
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2010 – FHCDA Passes
On March 16, 2010, Governor Paterson signed Chapter 8 of the Laws of 2010 which was passed by the legislature after 17 years of debate.
FHCDA became effective June 1, 2010
The Governor said “After nearly twenty years of negotiations,New Yorkers now have the right to make health care decisions on behalf of family members who cannot direct their own care.”
Well, almost…
The Family Health Care Decisions Act adopts the concept of substituted judgment decision making - existing in all other states – to New York for patients who• lack capacity to give informed consent• did not leave clear and convincing instructions or evidence of
their wishes (for example: in a living will or a MOLST document)• or did not execute a health care proxy
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Key Purposes
The FHCDA establishes a system for decisions making in order to
• Provide consent to medical treatment
• Allow for decision making at the end of life for withholding or withdrawal of treatment
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Applicability of FHCDAThe law applies to decisions for adult patients who are in general hospitals or residential health care facilities (skilled nursing homes) and to hospice programs (2011 amendment)Note: the statute uses the term “hospital” to refer to both types of facilities
FHCDA does not apply to persons
• who have appointed a health care agent• who have a guardians appointed under SCPA 1750-b with
powers to make life-sustaining treatment or family members who have such powers under 1750-b
• for whom treatment decisions can be made pursuant to OMHor OPWDD (Office of Persons with Developmental Disabilities) regulations (PHL section 2994-b(3)(c))
OPWDD was formerly OMRDD
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Determination of Incapacity
The FHCDA establishes procedures for determining when a patient lacks capacity
• Presumption of capacity, unless there is a court determination of incapacity or an Art. 81 guardians “is authorized to decide about health care”• Initial determination by attending physician• Concurring determination when required: In a nursing home In a general hospital if the surrogate’s decision involves
withdrawal or withholding of life sustaining treatment•Special credentials are required for professionals who make the determination in the case of persons with mental retardation or mental illness•The patient and the named surrogate must receive notice of the determination•There are additional notification requirements for persons in mental hygiene facilities•If the patient objects to the finding of incapacity or the choice of the surrogate the objection prevails unless there is a court confirmation of incapacity or concludes there is some other basis for overriding the patient’s objection
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Who Can Make the Decision -The Surrogate
FHCDA sets forth a list of persons, in order of priority, who may act as the surrogate to make decisions for an incapacitated patient
• “A guardian authorized to decide about health care pursuant to article 81 of the mental hygiene law” PHL 2994-(d)
Note: although not clear, it appears that the guardian should be designated as the surrogate in the order of appointment (see section 25 of Chapter 8, laws of 2010, amending MHL section 81.22) (See slide 39)
• The spouse or domestic partner (as defined in FHCDA)
• An adult child
• A parent
• A brother or sister, or
• A close friend
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DOMESTIC PARTNER“Domestic Partner” means a person who, with respect to another person:
(a) is formally a party in a domestic partnership or similar relationship with the other person, entered into pursuant to the laws of the United States or of any state, local or foreign jurisdiction, or registered as the domestic partner of the other person with any registry maintained by the employer of either party or any state, municipality, or foreign jurisdiction; or
(b) is formally recognized as a beneficiary or covered person under the other person’s employment benefits or health insurance; or
(c) is dependent or mutually interdependent on the other person for support, as evidenced by the totality of the circumstances indicating a mutual intent to be domestic partners including but not limited to: common ownership or joint leasing of real or personal property; common householding, shared income or shared expenses; children in common; signs of intent to marry or become domestic partners under paragraph (a) or (b) of this subdivision; or the length of the personal relationship of the persons.
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The Extent of the Surrogate’s Authority
A surrogate may make all health care decisions for the patient that the patient could have made if he or she had capacity
Treatment decisions can be made without the consent of a surrogate if the patient had previously expressed a decision, orally or in writing, including with respect to a decision about life sustaining treatment (such a decision would need to have been made orally before two witnesses)
The surrogate’s decisions must be based on the patient’s wishes, including his or her religious or moral beliefs. If the patient’s wishes are not reasonably known and cannnot be ascertained with reasonable diligence the surrogate must decide in the patient’s best interests. PHL section 2994-d(4)
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INFORMED DECISION MAKING
Health care providers shall provide and the surrogate shall seek information necessary to make an informed decision, including information about the patient’s diagnosis, prognosis, the nature and consequences of proposed health care, and the benefits and risks of and alternative to proposed health care.
PHL, Article 29 CC, section 2994-d3(c)
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Decisions to Withhold or Withdraw Life-Sustaining Treatment
There are two provisions that authorize the surrogate to make decisions about life-sustaining treatment:
1. Life-sustaining treatment can be withheld or withdrawn if
– The treatment “would be an extraordinary burden to the patient” and
– The attending physician and another physician determine that
the patient is terminally ill, i.e., is suffering from an illness or injury that can be expected to cause death within six months whether or not treatment is provided or
is permanently unconscious
2. Life-sustaining treatment can be withheld or withdrawn if
“The provision of treatment would involve such pain, suffering or other burden that it would reasonably be deemed inhumane or excessively burdensome under the circumstances and the patient has an irreversible or incurable condition, as determined by an attending physician with the independent concurrence of another physician to a reasonable degree of medical certainty and in accordance with accepted medical standards”
PHL 2994-d (5)
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QUESTIONS
• Who decides if the treatment “would be” an extraordinary burden?
• Who decides if the treatment is “inhumane?”Consensus is that it is the surrogate. See the New York State Bar Association’s web site (www.nysba.org) : Family Health Care Decisions Act Information Center, FAQs, Question 4
Note that the statute states that “providing nutrition and hydration, without reliance on medical treatment, is not health care under this article and is not subject to this article”
Thus, provision of food and water to a patient who has the ability to be fed and can swallow can not be refused
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The FHCDA Is Flawed with Respect to End of Life Decisions
Does the statute solve the problem of New York’s restrictive history?
Some patients will not fall within the standards set forth for making end of life decisions
It appears that the clear and convincing evidence rule is still extant for such patients
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George’s Case
George is 79 years of age and suffers from advanced ALS (Lou Gehrig's disease). He can no longer move any muscles, can no longer speak or communicate via the computer technology he could formerly use to express his wishes and needs. He can no longer nod, blink or exert pressure on someone’s hand to signal his wishes or consent. He is being fed through a PEG tube which was inserted in his stomach in 2007. The physicians do not believe he is permanently unconscious nor can they state with certainty that he will die within 6 months.
He is a widower and now resides in a nursing home. George never signed a health care proxy or living will.
George’s daughter, Susan, has discussed with George’s treating physician whether she could, acting as the surrogate under the FHCDA, direct withdrawal of the PEG.
Will Susan prevail?
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Decisions for Minor Patients
FHCDA allows a parent or guardian of a minor to make end-of-life decisions for a minor child using the same standards set forth for adult patients
The statute did not need to address all health care decisions for minors since parents already had decision making rights in this respect
With respect to end of life decisions, the standards for adults apply
If the physician determines the minor has capacity the minor's consent to withholding or withdrawing treatment is required.
An emancipated minor does not need parent consent but the ethics committee must approve the decisions
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Adult Patients Without Surrogates
The new law wisely deals with the case of a patient with no family member or friend who can act as surrogate
• For routine medical treatment, the attending physician is authorized to make decisions for patient’s without a surrogate
• For major medical treatment, the attending physician must consult with other health care professionals and a second physician must concur with the attending’s decision
• Decisions with respect to life-sustaining treatment, however, require (1) a court decision in accordance with FHCDA decision making standards or (2) treatment can be withheld or withdrawn if the attending physician and a second physician determine the treatment provides no medical benefit and the treatment would violate accepted medical standards
The doctrine of the requirement of informed consent has been modified!
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Ethics Review Committees
Hospitals and nursing homes must establish an ethics review committee (ERC) with diverse membership.
The ERC is charged with dispute resolution and provide advisory opinions, except ERC approval is required 1. for decisions to withhold or withdraw life-sustaining treatment in nursing homes2. for decisions by an emancipated minor to forego life-sustaining treatment
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Moral or Religious Conscious Objections
FHCDA allows private hospitals and other providers to refuse to honor a decision made by a surrogate for moral or religious reasons, if:
• Notice is given to the patient of the facility's policy prior to admission
• The facility or physician transfers the patient to another facility or physician willing to honor the decision
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Other Provisions
• Good faith actions of surrogates, health care providers and ERC committee members are protected from civil and criminal liability
• Providers that refuse to honor a valid decision of a surrogate are not entitled to compensation for treatment provided, except
Where the refusal was based on a conscious or moral objection
Where the matter is being reviewed by the ERC Where there is a dispute between the surrogate and another
individual on the surrogate list Where the provider prevails in litigation concerning the
decisions
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DNR Issues
PHL Article 29-B has been effectively rescinded for most patients by bringing DNR decisions under the standards and procedures established for surrogates under the FHCDA.
PHL Article 29-B has been re-named Orders Not to Resuscitate for Residents of Mental Hygiene Facilities in order to preserve DNR rules for patients in mental hygiene facilities
Chapter 8 creates a new PHL Article 29-CCC to incorporate and continue the provisions regarding non-hospital DNR orders.
Article 29-CCC requires home health agency employees and hospice staff to honor non-hospital DNR orders
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Dispute between Surrogate and Physician:the “MEDICAL FUTILITY” Issue
Where the surrogate directs provision of life-sustaining treatment and a hospital or physician that does not wish to provide the treatment, Section 2994-f of the FHDA provides
“…if a surrogate directs the provision of life-sustaining treatment, the denial of which in reasonable medical judgment would be likely to result in the death of a patient, a hospital or individual health care provider that does not wish to provide such treatment shall nonetheless comply with the surrogate’s decision pending either transfer of the patient to a willing hospital or individual health care provider, or judicial review …”
The surrogate trumps the provider! Is this the New York standard in “medical futility” cases?
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“FUTILITY” and the Health Care Agent
Section 23 of Chapter 8 amends the health care proxy statute - PHL Article 29-C - in several respects, including adding a provision (section 5) that requires the hospital or physician to provide treatment requested by the health care agent even where the provider does not wish to provide the treatment pending a transfer or a court resolution of the dispute
The TEXAS ApproachThe Texas 1999 Advance Directives Act provides that after
notice to the family and an ethics committee process the hospital may seek to transfer the patient to another hospital but if that cannot be done treatment that the physician deems inappropriate may be unilaterally withdrawn
Ch. 166, Texas Health & Safety Code, Sec. 166.046
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Article 81 Guardianship Law Changes
Section 25 of Chapter 8 amends 81.22 (8), which lists the powers that can be granted to a personal needs guardian, to read as follows:
8 (i) for decisions in hospitals as defined by subdivision eighteen of section twenty-nine hundred ninety-four-a of the public health law, act as the patient’s surrogate pursuant to and subject to article twenty-nine-CC of the public health law, and
(ii) in all other circumstances, to consent to or refuse generally accepted routine or major medical or dental treatment, subject to the decision-making standard in subdivision four of section twenty-nine hundred ninety-four-d of the public health law
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Some Questions
Should all future orders appointing a guardian designate the personal needs guardian to be the “surrogate” under FHCDA?
Recommended language for the Order & Judgment:"The personal needs guardian appointed herein is hereby designated as the incapacitated person's surrogate for decisions in hospitals as defined by subdivision eighteen of section twenty-nine hundred-four-a of the public health law (said definition includes nursing homes), subject to article twenty-nine-CC of the public health law, and in all other circumstances, to consent to or refuse generally accepted routine or major medical or dental treatment, subject to the decision-making standard in subdivision four of section twenty-nine hundred ninety-four-d of the public health law"
What about guardians previously appointed? Will they be considered to be the “surrogate”?Note that new PHL 2994-a (definitions) section 11 states
“Guardian of a minor” or “guardian” means a health care guardian or a legal guardian of the person of a minor”
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Article 81 Section 81.29(e) Repealed
Section 26 of chapter 8 repeals this section which had provided
“Nothing in the article shall be construed either to prohibit a court from granting, or to authorize a court to grant, to any person the power to give consent for the withholding or withdrawal of life sustaining treatment, including artificial nutrition and hydration…”
FHCDA gives guardians the right to make end-of-life decisions subject to the standards set forth in the new law
41
Recommended Resources
• “The Family Health Care Decisions Act: A Summary of key Provisions’ Robert Swidler, NYSBA Health Law Journal, Spring 2010, Vol. 15, No.1
• “New York’s Family Health Care decisions Act,” Robert Swidler, NYSBA Journal June 2010
• www.nysba.orgUnder “For the Community” click on“Family Health Care Decisions Act Resource Center”
42
PALLIATIVE CARE INFORMATION ACT
Public Health Law section 2997-c effective February 9, 2011 requires the "attending health care practitioner" to offer patients with a terminal illness with information and counseling regarding palliative care and end-of-life options appropriate to the patient’s needs, including:
• Prognosis• Options appropriate to the patient;• Risks and benefits of various options;• Patient's "legal rights to comprehensive pain and
symptom management at the end of life."
12/3/2012
15
43
• The information and counseling may be given orally or in writing
• The attending health care practitioner may arrange for information and counseling under this section to be provided by another professionally qualified individual.
• If the attending health care practitioner is "not willing to comply with the law " he/she must "arrange for another physician or nurse practitioner to do so," or must "refer or transfer the patient to another physician or nurse practitioner."
• When the patient lacks medical decision-making capacity, information and counseling must be provided to the person who has authority to make health care decisions for the patient (the health care agent or surrogate).
44
DEFINITIONS
• Appropriate means consistent with applicable legal, health and professional standards; the patient's clinical and other circumstances; and the patient's reasonably known wishes and beliefs.
• Attending health care practitioner means a physician or nurse practitioner who has primary responsibility for the care and treatment of the patient. Where more than one physician or nurse practitioner share that responsibility, each of them has responsibility under this section, unless they agree to assign that responsibility to one of them.
• Palliative care means health care treatment, including interdisciplinary end-of-life care, and consultation with patients and family members, to prevent or relieve pain and suffering and to enhance the patient's quality of life, including hospice care under article 40 of the Public Health Law.
• Terminal illness or condition means an illness or condition which can reasonably be expected to cause death within six months, whether or not treatment is provided.
45
PALLIATIVE CARE ACCESS ACT (PCAA)
PCAA expands the requirements of PCIA
• Applies to health care facilities, home care agencies, enhanced assisted living facilities and special needs ALFs, as well as individual practitioners
• Applies to patients “with advanced life-limiting illnesses who may benefit from palliative care,” not just persons who are terminally ill
• Requires that information and counseling be offered and that the provider “facilitate access to appropriate palliative care consultation and services, including pain management consultations and services.”
Public health law section 2997-d, effective September 27, 2011
12/3/2012
16
46
Like the PCIA, the PCAA is intended to ensure that patients are fully informed of the options available to them when they are faced with a serious illness or condition, so that they are empowered to make choices consistent with their goals for care, and wishes and beliefs, and to optimize their quality of life. The law is not intended to limit the options available to patients. Nor is it intended to discourage conversations about palliative care with patients who have distressing symptoms and serious conditions, but do not technically fall within the law's requirements. Patients and providers should recognize that palliative care and disease-modifying therapies are not mutually exclusive. Patients may opt to pursue palliative care while also pursuing aggressive treatment. Palliative care may be provided together with life-prolonging or curative care or as the main focus of care.
47
Honoring Patient Choice
• Compliance with patient advance directives is an issue
• Matter of Zornow, 31 Misc. 3d 450, 919 N.Y.S.2d 273 (Sup. Ct. Monroe Co. 2012)
• Compliance with Advance Directives: Wrongful Living and Tort Incentives, Lynch, Fernandez and Sawicki, 8:8 Am. J. Bioethics 33 (2008)
48
BIOGRAPHY OF PETER J. STRAUSS
• Peter J. Strauss, Distinguished Adjunct Professor of Law at the New York Law School, where he teaches Elder Law and is co-director of the Guardianship Clinic, is also Senior Counsel of Epstein Becker & Green, P.C., a national law firm, based in its New York office. He has practiced trusts and estate law since 1961 and has special expertise in the legal problems of aging and persons with disabilities and is a frequent lecturer on those issues.
• Mr. Strauss is a prolific author and has written articles for various publications including the New York Law Journal and Bottom Line Personal and has addressed many national professional and consumer organizations. He is co-author of “Aging and the Law” a treatise for professionals published by Commerce Clearing House, Inc. and a consumer book, “The Complete Retirement Survival Guide: Everything You Need to Know To Safeguard Your Money, Your Health and Your Independence,” (Facts-on-File, Inc.) Professor Strauss has taught Elder Law at New York Law School he since 1990 and is co-director of the Elder Law Clinic which he founded in 2003. He is a founding member (1988) and a Fellow of the National Academy of Elder Law Attorneys. He serves on the Center for Medicaid and Medicare Services’ Transitions of Care workgroup – an outcome of the Leaders Roundtable on Caregiving (2008)
• Mr. Strauss has special interest in issues involving capacity for the execution of legal documents and the legal issues and rights of persons with respect to health care treatment at the end of life. He is a member of the board of Directors of the New York Chapter of Compassion & Choices. Mr. Strauss also handles guardianship matters and is known for his work concerning special needs trusts for persons with disabilities.
• Among the accolades Mr. Strauss has received are his designation from 2007 to 2011 as one of the New York Metropolitan area’s “Super Lawyers” and “Best Lawyers.” He has been named as the best Elder Law Attorney for 2012 by “Best Lawyers.” In 2009 he was honored by Selfhelp Community Services’ Evelyn Frank Legal Resources Program for his vigorous advocacy of older persons and people with disabilities in planning for incapacity, protecting rights in guardianship, and securing public insurance for long-term chronic care costs.
Advance Directives Act - Wikipedia, the free encyclopedia Page 1 of5
Advance Directives ActFrom Wikipedia, the free encyclopedia
The Texas Advance Directives Act (1999), also known as the Texas Futile Care Law, describes certain
provisions that are now Chapter 166 of the Texas Health & Safety Code. Controversy over these provisions
mainly centers on Section 166.046, Subsection (e),1 which allows a health care facility to discontinue life-sustaining treatment ten days after giving written notice if the continuation of life-sustaining treatment is
considered futile care by the treating medicalteam.
Although it is often stated that the act is offìcially named as the 'Futile CareLaw'or the 'Futile Care Act', that is
in fact incorrect and the statute has never legally had that title.
Contents
r I The statuter 2 Casesr 3 Support¡ 4 Criticismr 5 Repeal Effortsr 6 See alsor 7 Notesr 8 External links
The statute
For the hospital personnel to take advantage of legal immunity from prosecution for this the following process
must be followed:
¡ The family must be given written information concerning hospital policy on the ethics consultationprocess.
r The family must be given 48 hours'notice and be invited to participate in the ethics consultation process.
Family members may consult their own medical specialists and legal advisors if they wish.r The ethics consultation process must provide a written report to the family of the findings of the ethics
review process.¡ If the ethics consultation process fails to resolve the dispute, the hospital, working with the family, must
try to arrange transfer to another provider physician and institution who are willing to give the treatment
requested by the family and refused by the current treatment team.r If after l0 days, no such provider can be found, the hospital and physician may unilaterally withhold or
withdraw the therapy that has been determined to be futile.r The party who disagrees may appeal to the relevant state court and ask the judge to grant an extension of
time before treatment is withdrawn. This extension is to be granted only if the judge determines that
there is a reasonable likelihood of finding a willing provider of the disputed treatment if more time isgranted.
r If either the family does not seek an extension or the judge fails to grant one, futile treatment may be
unilaterally withdrawn by the treatment team with immunity from civil or criminal prosecution. 2
http://en.wikipedia.org/wiki/Advance Directives Act 1U2612012
Advance Directives Act - V/ikipedia, the free encyclopedia Page2 of 5
The bill was signed into law while George W. Bush was Governor of Texas. Prior to the passage of this law, no
protections or "grace period" existed.tll Critics have compared this law and its effects with Bush's response to
Terri Schiavo's situation, in particular his stated intent to sign the proposed Incapacitated Person's Legal
Protection Act. 3
Similar legislation, modeled on the Texas law, was proposed in Idaho ln2009,but was defeated.Í'itotion neededl
Cases
Sun Hudson: On March 15,2005, six-month-old infant Sun Hudson, who had a lethal congenital
malformation, was one of the first children to have care withdrawn under the Texas Futile Treatment Law.[2]
Doctors demonstrated in the ethics committee reviews that keeping the infant on a respirator would only delay
his inevitable death.
Tirhas Habtegiris: In December 2005, Tirhas Habtegiris, a young woman and legal immigrant from Africa,was removed from a respirator. Habtegiris died from complications of incurable and untreatable cancer that
had spread to her lungs.
Andrea Clark: In April 2006, relatives of 53-year old Andrea Clark were given the lO-day notice under this
¿s1.t3Jtal She had reportedly signed a statement she did not wish to die and was cognizant, although having
difficulties communicating while under heavy medication and after her brain was damaged by internal bleeding
and the effects of heart disease. After publicity from both right and left political groups, St. Luke's hospital in
Houston agreed to review the case again, eventually retracting the original decision this further review. Clark
ultimately died on May 8, 2006 after an infection.
EmÍlio Lee Gonzales: In March 2007, Children's Hospital of Austin gave the mother of 16 month old EmilioLee Gonzales the l0 day notice under this act, This child suffered from Leigh's disease, a uniformly fatal,
progressive illness which eventually destroys all nerve function and thereby prevents breathing, swallowing,
coughing, or any intentional or reflex movement. Joshua Carden, an attorney for the Gonzales family, reported
that the family had made a "unified decision" to keep the child alive through artifìcial means, which at the time
of the court dispute included constant use of a ventilator machine, pumping food and water into his body, and
frequent suctioning fluids out of his lungs, even though the family was aware that the child would not recover.tsl
On March 12,2007 the hospital ethics committee set a date of March 23 for removing Emilio from his
respirator. Lawyers representing Emilio's mother Catarina filed for a restraining order on March 20 to allow the
family more time to locate another facility willing to accept Emilio. Later that evening, the hospital agreed to
postpone removal of the respirator until April 10. On April4,lawyers for Ms. Gonzales challenged the
constitutionality of the ADA in Federal court, saying that it violated Emilio's 1st and l4th Amendment rights,t6l
However, on April 6, federal judge Sam Sparks declined to intervene and sent the matter back to state court.[7]
As of April 9, over 30 hospitals nationwide had refused to accept Emilio as a transfer patient.tsl On April 10,
Travis County Probate Judge Guy Herman issued an emergency restraining order to prevent the hospital from
removing Emilio from his respirator. A hearing was scheduled for April lg.tsl He died at the hospital from the
disease on Saturday, May 19,2007 at the age of l9 months. He spent a total of five months on a mechanical
respirator at the hospital before his death.
Other cases: Although there is much press about these cases, due to the lack of a reporting clause in the
current statute, there is lifile information on how often these cases occur. Dr. Robert Fine, director of the Officeof Clinical Ethics for the Baylor Health Care System says he collected five years'worth of information from11 large hospitals in Texas and two years' worth of data from fìve other large hospitals in the state. According
http://en.wikipedia.org/wiki/Advance Directives Act 11t26120t2
Advance Directives Act - V/ikipedia, the free encyclopedia Page 3 of5
to Fine's data,the hospitals surveyed held2,922 ethics committee consultations,9T4 of which concerned
medical futility cases. From those 974 consultations, the hospitals issued 65 letters stating agreement with the
attending physicians that treatment should be withdrawn, Fine says. But he says the hospitals actually withdrew
treatment in only 27 of thecases, while22patients died receiving treatment as they awaited transfers. a
Support
Before the Act, a hospital could obtain a court injunction to withdraw treatment \¡/ithout giving the family any
time to arrange a transfer.
Unlike many previous policies, the Act does not take money into an account. A poor person has the same rights
under the Act as a wealthy person.
Bioethicst and practicing MD Beverly B. Nuckols has argued: "There are no futile patients... there is only futilemedicine and technology. If my patient suffers organ failure after organ failure, some medicines and
technology can become harmful -- sometimes by causing side effects and more organ failure, often by
prolonging the patient's dying. "tsl
Criticism
The major criticisms of the Act involve the period of time allowed to transfer, and the ability of the ethics
committee to make the final decision on whether continued care is considered futile.
The current Act only provides a 1O-day period for the patient's family either to find another facility to accept
the patient or to obtain a court injunction to extend the time period. If no other facility will accept the patient
within the period of time and the family is unable to obtain a couft injunction, then the hospital is legally
permitted to withdraw life sustaining-treatment from the patient, and to allow the disease process(es) to bring
about patient's death. Very few facilities are willing to dedicate their life-saving resources to prolonging the lifeof a dying patient, even when accepting the patient would be highly profitable for them, and consequently very
few families have been able to find a willing facility to accept transfer within ten days.
Furthermore, the ethics committee is essentially the final decision maker in determining whether a patient's
care will continue or be terminated, The committee can decide to cease care even when l) the patient has the
financial ability (via insurance or other means) to continue to pay for care and/or 2) the patient has executed a
living will or other written advance directive stating a desire to continue treatment.
Repeal Efforts
State Senator Bob Deuell (R-Greenville), who is also a practicing family physician, introduced Senate Bill 439.tr0l SB 439 is also known as the "Patient and Family Treatment Choice Rights Act of 2007" and would amend
the applicable provisions of the Advance Directives Act to "ensure that, when an attending physician is
unwilling to respect a patient's advance directive or a patient's or family's decision to choose the treatment
necessary to prevent the patient's death, life-sustaining medical treatment will be provided until the patient can
be transferred to a health care provider willing to honor the directive or treatment decision." SB 439 was
referred to the Senate Health and Human Services Committee on February 21,2007 . A hearing is scheduled forApril12,2007.
State Representative Bryan Hughes (R-Mineola) introduced an identicalbill, HB 1094 with 59 co-sponsors. Itwas referred to the House Public Health Committee on February 22,2007.
htþ ://en.wikipedia.org/wiki/Advance Directives Act rU2612012
Advance Directives Act - V/ikipedia, the free encyclopedia Page 4 of 5
Media coverage of the Emilio Gonzales case has brought debate over SB 439 andHB 1094 to the forefront.[ll]
The attempt to change this law did not make it through the 2007 legislative session. It died in the House after
the Senate had passed a version of it. Supporters have stated they intend to work toward acceptance of changes
in the next session.
See also
r Spiro Nikolouzosr Terri Schiavor Right to Lifer Right to dier Culture of life/culture of deathr Futile medical carer Euthanasiar Health care reform debate in the United States
r Jacob M. Appel
Notes
r ^1 Chapter 166 of the Texas Health & Safety Code
(http ://codes. lp.fi ndlaw.com/txstatuteslHSl2lHl | 66lB I | 66.046)r ^2 Robert L. Fine, M.D.'s detailings of futile care statutes and processes from Baylor Health System
(http://www.baylorhealth.edu/proceed ings/ 1 3-2l I 3-2-frne.htm l)r ^3 White House Press Briefing 2005-03 -21 (http:llgeorgewbush-
whitehouse.arch ives. gov/news/releases/200 5/0 3 I 200 5 0321-2.html)
r ^4 As discussed in the 312107 issue of "Texas Lawyer" (http://www.law.com/jsp/tlPubArticleTXjsp?id:l172829796788)
1.)J.
4.
5.
6.
7.8.9.
0.1.
I1
http ://www.texasri ghttol i fe. com/li fels sues-euthanasia-bush. php
http://lawprofessors.typepad.com/trealthlawprolblo gl2005l03llifesupport-sto.htmlhttp ://blogs. chron.com/texassparkl e/200 6 I 0 4 I what v alue i s I i fe'htmlhttp://www.nationalrev iew.com/smithw/smith20060427 1 406.aspo b I-ttp/ lwww.dallasnews.com/sharedcontenlAPStories/stories/D8OD95K80,htmlhttp ://www.courthousenews,com/Life%o20S uppofi 'pdfhttp://www.lifeissues.net/news,php?newslD:000 I 83 3 7&topic:http://edition.cnn.com/2007 lL AW 104 I 1 O/baby .care.ap/
http://www.lifeethics,org/www.lifeethi cs.orgl2007l02ltheres-still-no-futile-care-act-in.htmlhttp ://www.tafp, orgA.{ews/stori es/attachments/S 843 9. pdfhttp ://www. chron.com/disp/story,mpl/ap I lxl 464802 1 .hrml
External tinks
r 60 Minutes: The Cost of Dying(http://www.cbsnews.com/stories/20 09lllll9l60minutes/main571 l689.shtml)
r T.M. Pope, Medical Futility Statutes: No Safe Harbor to Unilaterally Refuse Life-Sustaining Treatment,
75 Tennessee Law Review l-81 (2007) (http://papers.ssrn.com/so13/papers.cfm?abstract-id:989662)
¡ Slate: Do the Poor Deserve Life Support? (http://www.paulwilczynski.com/2006/01/slate-do-poor-deserve-life-support.htm l)
http://en.wikipedia.org/wiki/Advance Directives Act 1U2612012
Advance Directives Act - Wikipedia, the free encyclopedia Page 5 of5
r Culture of Life: Pullthe plug on conscious patients - W's law(http://www.dailykos.com/storyonly 12005 / l2l I 4 I I 5 1930 I 63)
r President Bush and Texas Law (http://www.texasrighttolife.com/lifelssues_euthanasia_bush.php)¡ Woman's death highlights health insurance crisis
(http://www.wfaa.com/sharedcontent/dws/wfaa/latestnews/stories/wfaaO 51214_lj_african.bb0eT6d.html)r Life-Support Stopped for 6-Month-Old in Houston
(http://lawprofessors.typepad.com/healthlawprolblog/2005/03/lifesupport_sto.html)r Andrea Clark Will Live ! (http://www.texasrighttolife.com/andrea.php)r Disability Advocates: Texas "Futile Care" Law Should Be Euthanized
(http://www.notdeadyet.org/docs/TXfutilecarelawPR05 06.html)r Andrea Clark and Texas futile care
(http://www.raggededgemagazine.com/blogs/edgecentric/archives/2006l05landrea_clark_an.html)r TEXAS STATUTES HEALTH & SAFETY CODE, CHAPTER 166. ADVANCE DIRECTIVES
(http://www.capitol.state.tx.us/statutes/docs/HS/content/htm/hs.002.00.000166.00.htm), section 166,046
r Texas Patient Rights- A website opposing the Texas law (http://www.texaspatientrights.org)r Foreign Policy: The Truth About Death Panels: NPR (http://www.npr.orgltemplates/story/story.php?
storyld:1 12705969)
Retrieved from "http://en.wikipedi a.orglwlindex.php?title:Advance Directives Act&oldid:505597781"Categories: Texas law I Euthanasia in the United States J Death in Texas , 1999 in law | 1999 in Texas
r This page was last modified on 3 August 2012 at 16:14.r Text is available under the Creative Commons Attribution-ShareAlike License; additional terms may
apply. See Terms of Use for details.Wikipedia@ is a registered trademark of the Wikimedia Foundation, Inc., a non-profit organization.
http://en.wikipedia.org/wiki/Advance Directives Act t1t2612012
Matter of Zornow, 31 Misc. 3d 450 - NY: Supreme Court, Monroe 2010 - Google Scholar Page I of 22
3l Misc.3d 450 (2010)
919 N.Y.S.2d 273
ln the Matter of GAROLE ZORNOW, Petitioner, Pursuant to Article 81 of the Mental Hygiene
Law for the Appointment of a Guardian of JOAN M. ZORNOW, an Alleged lncapacitated
Person.
1017263
Supreme Court, Monroe CountY.
Decided December 23, 2010.
45 1 *451 Robeft W. Dapelo, P.C., Patchogue (Joseph S. Gulino, Jr., of counsel), for petitioner'
Harter, Secrest & Emery, LLP, Rochester Jennifer N. Weidner of counsel), for Douglas Zornow. Mental Hygiene Legal
Service, Rochester (Kevin C. O'Connell of counsel), for Joan M. Zornow.
OPINION OF THE COURT
WLLIAM P, POLITO, J.
Background
452
On or about May 18, 2010 the petitioner, Carole Zornow, applied to the court to be appointed guardian for her mother,
Joan M. Zornow, under the Mental Hygiene Law, primarily to make end of life decisions. Her mother is 93 years old,
suffering from advanced Alzheimer's, and residing in a nursing home. There was a dispute between her and the other
six siblings, mainly involving previously enacted MOLSTs (medical orders on life-sustaining treatments). The primary
dispute was a blanket directive denying her mother food and water if it could not be administered orally (hereafter
referred to as añif cial feeding). Also, it was fuÍher directed that she be denied hospitalization for future medical
conditions. On the return date of July 13, 2010, after review of the submissions, and discussion with counsel, the court
approved by agreement the petitioner and her brother Douglas Zornow as temporary coguardians, and advised that
should the need arise in the interim in which an imminent decision needed to be made fortheir mother, upon which
they could not agree, immediate application could be made to the coutl for resolution. The court in the best interests of
the patient also temporarily revoked all of the MOLSTs, except the DNR, as it could not identify any statutory authority
or immediate basis for such directives. (Order dated Aug. 25,2010, Matter of Nimqn. 1,,5AD3d 978 [4th Dept 2005].)
The court also issued a separate letter order dated August 25,2010 identifying the issues to be resolved, and
requested prior submissions to determine the existence of any factual disputes returnable September 21 , 2010. fheattorney for Douglas Zornow failed to submit any statutory authority for the prior MOLSTs, and, although
acknowledging no health care proxy orwritten directives *452 were enacted by his mother, contended that his mother
verbally indicated to him and the other siblings that artificial feeding be denied her if she were unable to take food and
water orally. The petitioner denied such directions were given, stated that her mother had indicated the contrary by
affirmatively requesting artificial feeding, and further, while lucid, her mother had also repeated such direction to her
nurse, who recorded it in the nursing home health care records. The court then by letter dated November 3, 2010
scheduled a hearing date for November 23,2010 and identifìed specific issues to be addressed. The court invited
additional evidentiary submissions prior to the hearing date to which the parties complied. The petitioner's siblings then
elected not to participate in the hearing or to attend the same, although they did agree to the sole appointment of
Catholic Family Center, and would abide in that organization's future decision, but relied on their papers submitted
regarding the current dispute on artificial feeding. They opposed the appointment of their sister. At the hearing, the
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Matter of Zornow, 3 1 Misc. 3d 450 - NY: Supreme Court, Monroe 2010 - Google Scholar Page 2 of 22
court determined that even if the other siblings had testified as indicated in their affidavit regarding their mother's
wishes it was too vague, too general, not related to, and prior to any specific condition, and, therefore, did not comply
with the "clear and convincing" standards required by the Court of Appeals in MAtJç.f .eL.W.es,!Phç.çtçí.9gAnV.Med".Çt1,.
/O,Col¿pd_í2lY-æj1ZJ!€.ggD. ln addition, the court found that based on the affidavit of the petitioner and the
undisputed documented hospital or nursing home records of the mother, that her request underthose specific
conditions did show by clear and convincing evidence that she wished to receive artificial feeding. Accordingly, the
prior directives and MOLSTs, except for the DNR, were permanently revoked. The court made the necessary findings
under the Mental Hygiene Law regarding the need for appointment of a guardian for the incompetent person, and
appointed the petitioner and Catholic Family Center as coguardians. The court appointed the petitioner as she was the
person with whom her mother resided for the past several years during her early illness, had cared for her, had been
extremely solicitous of her mother's care and best interests, and had been gifted the house by her mother 16 years
earlier. Since the brother and other siblings refused appointment, but did agree to an appointment of Catholic Family
Center, that co-appointment was made to allow all the siblings to have an opportunity for a say in the future decisions,
and to protect their right to see their mother out of the presence of the petitioner. Also, any idiosyncrasies of the sister
4S3 as alleged could be balanced by Catholic Family Center, which would still give the '453 mother the benefit of all her
children at the nursing home, and the petitioner's more solicitous efforts. Fudher, the court determined that the
applicable principles to be applied to Mrs. Zornow's end of life decision were those of her Roman Catholic religious
belief. The court advised that it would review those principles to determine their application especially to the particular
area of dispute, viz., under what condition should artificial feeding continue and when should it terminate, and would
submit a written decision thereon, as well as the parameters of the coguardian's authority. No objection was made to
the process. (See Borensfein v Simonson, I Misc 3d 481 [Sup Ct, Queens County, Martin E. Ritholtz, J., 2005] [where
the fact-fìnding court used the same process on the identical issue underthe Mental Hygiene Law and a health cary
proxy on behalf of an Orthodox Jewish person, and arrived at a similar resolutionl; Mental Hygiene Law $ 81 ' 1 2 [b];
State Administrative Procedure Act S 306 [1].)
Decision
Mrs. Joan Zornow, a Roman Catholic, is obligated by her religious beliefs to continue to receive artificially
administered food and water under each of the three statutory conditions, absent the particular and specific restrictive
medical conditions hereafter stated. Therefore, any purported authorization and enactment of a general MOLST, or
any directive for Mrs. Zornow by her guardians as surrogate decision makers, which would deprive her of artificially
administered food and water, when the medical conditions allowed for such withdrawal by the patient's Catholic
religion and moral beliefs are not in existence, particularly, an imminent death, and an inability of the food and water
"to accomplish its proper finality, which is the hydration and nourishment of the patient" (Attachment 1, United States
Conference of Catholic Bishops, Commentary on Nutrition and Hydration), would be a violation of the statutory law,
and invalid.
Further, blanket directives are not readily amenable to Catholic end of life determinations as they are for intentional
terminations of life based on a "quality of life" ethic, which is morally prohibited to Catholics. Therefore, MOLSTS and
blanket directives should not be used on behalf of Mrs. Zornow, as was improperly done here, unless particularized to
the specific principles applicable to the specific medical conditions actually encountered orto be encountered' The
454 latter method of specifìcity without a MOLST (except for DNR) will also allow consultation *454 opportunity with the
family, and their input, before choosing to receive or forgo further care or treatment, where allowable, when the actual
medical condition occurs.
The coguardians in making decisions shall consult with each other and the siblings. lf the decision is one which
requires a determination of forgoing end of life care ortreatment, they shall also consultwith and obtain the advice of a
priest or someone well trained in Catholic moral theology, as is recommended for Catholics in A Catholic Guide to End
-of-Life Decisions by the National Catholic Bioethics Centet.
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Matter of Zornow, 3l Misc. 3d 450 - NY: Supreme Court, Monroe 2010 - Google Scholar Page3 of 22
lssue Raised
The main dispute between the siblings is whether their mother should be deprived of food and water which requires
artifìcial administration. The statute provides that where the patient can take or be administered food and water orally it
is considered ordinary care, and is explicitly excluded from the statute's application (Public Health Law S 2994-d [5]
ld]). That statute further provides that where, as here, an incompetent person, prior to incompetency, has not
appointed a health care proxy, and has not consented to denial or withdrawal of artifìcially administered food and
water, it may be still withdrawn if one of three conditions or standards exist, even though not requested. (Public Health
Law g 2994-d tSl tal.) Further, even if any of the three conditions exist, the statute also requires and directs that the
religious and moral beliefs of the patient be determined and, if inconsistent therewith, take precedence, and must be
followed. (Public Health Law S 2994-d [4] tal til, tiil; tbl.)Although none of the three conditions presently exist, the
likelihood that one of the three conditions may occur, coupled with the siblings'continued dispute, and a lawwhich
allows the present issuance of blanket medical directives to cover future medical conditions, when and if they should
occur, requires the court to presently identify the incapacitated person's religious belief for end of life care applicable to
her present and future medical conditions where presently disputed, and to provide guidelines or parameters of
authority for the coguardians for determining other end of life decisions, which may occur in the future.
Applicable Law
The court and the coguardians appointed under the Mental Hygiene Law are obligated to decide the dispute in
455 accordance .455 with the standards of the statute, which became effective June 1, 2010. (Matter qt M.B-6 N.Y.. d 437
f2006ì.)
FHCDA Sh¡ft in Ethic and Burden
The Family Health Care Decisions Act (FHCDA) (Public Health Law art 29-CC) reflects a major departure in who and
under vyhaf standard life sustaining treatment may be terminated for a mentally incompetent person. The FHCDA
reflects a major change from the prior "presumption" of lite. (M,effef",çl'F4fie M,å.?,19"W¡S ?ClþJ'þ71,,.Þ99 ¡'lW?d-
Í95--æ1a199ZL ceft denied sub nom. Spahn v Wittman,522 US 951 [1997].) Previously, absent indication from the
principal to the contrary, a "presumption of life" applied. Here, absent such indication, a "presumption of termination"
applies, especially by deprivation of artificially administered food and water. (See Borensfern. 8 ![iseld¡149-3.)lronically, nowwhen a principal selects a person whom he or she trusts in a health care proxy to make decisions on
his or her behalf, the law of that proxy is that, absent an indication to the contrary, that person must provide food and
water (Borenstein a|494495, citing Public Health Law $ 2982 [2]), while someone designated by statute, in whom the
patient may have no trust whatsoever, can terminate his or her life earlier than his or her natural death by such
deprivation of food and water, despite the principal never having indicated a desire forsuch earliertermination. Under
the statute, the "quality of life ethic" has become the automatic main ethic while the "sanctity of life ethic" is given the
affirmative burden to "opt out." Further, the grant of immunity to those implementing the decision for ordinary tort
liability and accountability reinforces that shift in ethic.
Application of Roman Gatholic Religious Beliefs
Accordingly, the court will set forth the basis of its fìndings and analysis in resolving the disputed care, i.e., deprivation
of artificial feeding, including its difficulties in finding the authoritative Catholic position. Additionally, the court will
define its limits, which are also the same limitations applicable to the coguardians regarding theirdetermination of
other end of life issues which may arise.
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A Gatholic
Relevant to the proper application of the statute are the patient's religious beliefs. Mrs. Joan Zornow is a practicing
456 *456 Catholic. Her attorney advises that prior to her illness she was a daily communicant at mass. Her attorney also
asserts that food and water directives and other treatment be made in accordance with her Catholic religious beliefs'
Advanced Alzheimer's
Also relevant is Mrs. Zornow's medical condition. She is 93 years old. She has advanced Alzheimer's, which is a
continuing brain degeneration disorder. While the condition can result in death when the brain damage becomes so
advanced that it affects the brain's ability to control breathing, such Alzheimer's death is rare. The reason is that before
that level of brain degeneration occurs, the patient as a result of the progression of the condition experiences
difficulties of an inability to swallow, incontinence, and/or secondary infections of the lungs, or bladder, which then
cause death by pneumonia, or other deadly infection. (Emily Yoffe, How Does Alzheimer's Kill, Slate, Apr. 30, 2001
[with assistance of Dr. Peter J. Whitehouse of Case Western Reserve University School of Medicine, Dr. Harry
Rosenberg of the National Center for Health Statistics, and Danny Chun of the Alzheimer's Associationl; Alzheimeis
Association, 2010 Alzheimer's Disease Facts and Figures, at 18 [Mortality-Deaths from Alzheimer's Disease],)
Law and Rationale
First Condition of the Statute
lf the providing of food and water is considered an extraordinary burden (in the opinion of the surrogate) for a
permanently unconscious patient, even where death is not occurring, the statute allows the deprivation of food and
water by artificial means. This condition is often referred to as a coma. ln such case, if the cause of death is starvation
or dehydration and not the patient's underlying condition it constitutes euthanasia (Black's Law Dictionary 575 [7th ed
1 esel).
Gatholic Position
The Catholic Church does not define or consider artificial administration of food and water as extraordinary or even
medical "treatment," but is always defined as ordinary care. Further, it does not allow the termination of food and water
despite a vegetative state or an advanced Alzheimer's condition where the patient is not dying, or if dying, the death is
457 not so imminent, n457 such that the cause of death becomes the starvation or dehydration, rather than the imminent
underlying condition.
Application
The patient is currently not suffering from this medical condition as she is not unconscious. However, if she were to
become permanently unconscious, and not in the actual process of dying from the underlying condition, the
administration of food and water, which her religion believes is always to be considered comfort or basic care, even if
administered artificially, is obligatory.
Second Condition of the Statute
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lf the providing of food and water is considered an extraordinary burden (in the opinion of the surrogate) for a patient
with a life expectancy of less than six months (as opined by two doctors) and unable to take food and water orally, the
patient may be deprived of food and water.
Gatholic Position
The Catholic Church, in addition to considering artificial administration of food and water as never extraordinary or
even medical "treatment," as aforesaid, also does not allow the termination based upon a six-month "quality of life,"
where, again, the cause of death is by starvation ordehydration, ratherthan the imminent underlying condition.
Application
The second condition is also not applicable because the patient here is not dying, nor is her life expectancy less than
six months. Even if the six-month diagnosis is given, food and water may not be withheld until death is "imminent," and
the limited exceptions occur.
Third Gondition of the Statute
lf the providing of food and water would cause inhumane pain, suffering, or other burden, under circumstances in
which itwould be considered extraordinarily burdensome to a patientwho (in the opinion of the surrogate) has an
irreversible condition, the patient may be deprived of food and water.
Gatholic Position
The existence of an irreversible condition is not in itself a valid or particularly helpful criterion for the Catholic Church,
458 *458 unless death is imminent coupled with a futility to administer food and water either due to emerging complications
of the inability of the person's system to assimilate the food and water, or"in some rare cases [where] artifìcial
nourishment and hydration may be excessively burdensome for the patient or may cause significant discomfort, for
example resulting from complications in the use of the means employed." (See attachment 1 , Commentary on Nutrition
and Hydration, approved by the Cardinal and Bishop members of the Congregation forthe Doctrine of the Faith
released on September 15,2007.) However, here, since pain can be medically regulated, and the patient's body can
assimilate the food and water, despite the existence of an irreversible condition from which the patient is not
imminently dying, ordinary comfort care, including artificially administered food and water, is obligatory if she were to
become unable to swallow due to the often occurring symptoms of Alzheimer's. The significant distinctions from the
statute's allowances are the lack of the imminence of death from the underlying condition coupled with the lack of one
of the aforesaid extremely rare situations, for which the Catholic Church allows the removal of the comfort care of food
and water.
Application
While the patient here is suffering an irreversible condition, she is able to take food orally and, therefore the statute is
not applicable to her present condition. However, if the administration of food and water cannot be administered orally
dueto an often expected progression of Alzheimer's in causing swallowing difficulties, the artificial administration of
food and water would not in a medical sense ordinarily cause inhumane pain, be unable to be assimilated, or be
extraordinarily burdensome to administer, and in the absence of the onset of imminent death, the providing of food and
water is always considered ordinary care and obligatory for Catholics.
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The Gatholic Position on Forgoing Food and Water
On August 1,2007, the Catholic Church resolved for its members, including its Bishops and clergy, the moral debate
among its theologians, including dissident theologians, and various organizations as to whether the natural or artificial
administration of food and water to a person in a persistent vegetative state was extraordinary or disproportionate
45S treatment and not morally obligatory, or whether it was an ordinary *459 or proportionate means of preserving life and
morally required (see William E. May [Professor of Moral Theology, The Catholic University of America], Caring for
Persons in the "Persistent Vegetative Sfafe" and John Paul ll's March 20 2004 Address "On Life-Sustaining
Treatments and the Vegetative Sfafe", chapter 3 in Artificial Nutrition and Hydration [Christopher Tollefsen ed], volume
5 of Catholic Studies in Bioethics in the series Philosophy and Medicine [Dordrecht/Boston/London: KluwerAcademic
Publishers 20081).
The Catholic Church through the Universal Magisterium clearly resolved the issue in favor of the latter. The decision
was in accordance with and mirrored Pope John Paul ll's moral theology as advanced prior thereto in his March 20,
2004 Address in the exercise of his ordinary authority to a world congress of the most advanced medical, scientific,
and theological persons in light of the most current medicine and science addressed to this area of expertise (Address
of Pope John Paul ll to the Participants in the lnternational Congress on "Life-Sustaining Treatments and Vegetative
State: Scientific Advances and Ethical Dilemmas"). The Church's Magisterium resolved the issue as follows:
.,CONGREGATION FOR THE DOCTRINE OF THE FAITH RESPONSES TO CERTAIN QUESTIONS
OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS CONCERNING ARTIFICIAL
NUTRITION AND HYDRATION
"First question: ls the administration of food and water (whether by natural or artificial means) to a
patient in a vegetative state morally obligatory except when they cannot be assimilated by the patient's
body or cannot be administered to the patient without causing significant physical discomfort?
"Response: Yes. The administration of food and watereven by artificial means is, in principle, an
ordinary and proporlionate means of preserving life. lt is therefore obligatory to the extent to which, and
for as long as, it is shown to accomplish its proper finality, which is the hydration and nourishment of
the patient. ln this way suffering and death by starvation and dehydration are prevented.
460
"Second question: When nutrition and hydration are being supplied by artifìcial means to a patient in a'permanent vegetative state', may they be discontinued *460 when competent physicians judge with
moral certainty that the patient will never recover consciousness?
"Response: No. A patient in a 'permanent vegetative state' is a person with fundamental human dignity
and must, therefore, receive ordinary and proport¡onate care which includes, in principle, the
administration of water and food even by artificial means.
"The Supreme Pontiff Benedict XVl, at the Audience granted to the undersigned Cardinal Prefect of the
Congregation for the Doctrine of the Faith, approved these Responses, adopted in the Ordinary
Session of the Congregation, and ordered their publication.
"Rome, from the Offices of the Congregation forthe Doctrine of the Faith, August 1,2007.
"William Cardinal Levada
" Prefect
"Angelo Amata, S.D.B.
"Titular Archbishop of Sila
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"Secretary
Artificially Administered Food and Water Must Ordinarily Always be
Given
Artificially administered food and water is always a natural means of preserving life and not a medical act. For
Catholics in a persistent vegetative state or a coma it is obligatory in almost all situations. The Congregation's
declaration for the most extreme condition of persistent vegetative state or coma for patients whose condition itself
does not place them in imminent danger of death, and with food and water will live for many years, is applicable to
others in similar nonterminal conditions, including advanced Alzheimer's. A commentary was also issued at the same
time as the declaration on nutrition and hydration approved by the Cardinal and Bishop members of the Congregation
clarifying the directive:
461
"Patients in a 'vegetative state' breathe spontaneously, digest food naturally, carry on other metabolic
functions, and are in a stable situation. But they are not able to feed themselves. lf they are not
provided artificially with food and liquids, they will die, and the cause of their death wlll be neither an
illness nor the 'vegetative state' itself, but solely starvation *461 and dehydration ...
"What may become a notable burden is when the 'vegetative state' of a family member is prolonged
over time. lt is a burden like that of caring for a quadriplegic, someone with serious mental illness, with
advanced Alzheimer's dlsease, and so on ...
"'lt [artifìcially administered food and water] is therefore obligatory, to the extent to which, and for as
long as, it is shown to accomplish its proper finality, which is the hydration and nourishment of the
patient'. lt is made clear, secondly, that this ordinary means of sustaining life is to be provided also to
those in a 'permanent vegetative state', since these are persons with their fundamental human
dignity." (Attachment 1, United States Conference of Catholic Bishops, Commentary on Nutrition and
Hydration, quoting Congregation forthe Doctrine of the Faith Responses, supra [emphasis added].)
"[T]he artificial administration of water and food generally does not impose a heavy burden either on the
patient or on his or her relatives. lt does not involve excessive expense; it is within the capacity of an
average health-care system, does not of itself require hospitalization, and is proportionate to
accomplishing its purpose, which is to keep the patient from dying of starvation and dehydration. lt is
not, nor is it meant to be, a treatment that cures the patient, but is rather ordinary care aimed at the
preservation of life. (/d.)
462
"(l)n the ordinary circumstances of life in our society today, it is not morally right, nor ought it to be
legally permissible, to withhold or withdraw nutrition and hydration provided by artificial means to the
permanently unconscious or other categories of seriously debilitated but nonterminal persons. Rather,
food and fluids are universally needed for the preservation of life, and can generally be provided without
the burdens and expense of more aggressive means of supporting life." (William E. May and Msgr.
William Smith et al., Feeding and Hydrating the Permanently Unconscious and Other Vulnerable
Persons, 3 lssues L & Med 2o3,211 [winter 1987]; a/so see Caring for Persons in the "Persistent
Vegetative State" and Pope John Paul ll's March 2004 Address, at 69 [the declaration -462 applies to
others in similar condition, "e.9. those suffering from advanced dementia, severe stroke, advanced
metastases, quadruple amputees, etc."l.)
Exceptional Cases Allowing Catholics to Forgo Food and Water
"When stating that the administration of food and water is morally obligatory in principle,lhe
Congregation forthe Doctrine of the Faith does not exclude the possibility that, in very remote places or
in situations of extreme poverty, the artificial provision of food and water may be physically impossible,
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463
464
and then ad impossibitia nemo tenetur. However, the obligation to offer the minimal treatments that are
available remains in place, as well as that of obtaining, if possible, the means necessary for an
adequate support of life. Nor is the possibility excluded that, due to emerging complications, a patient
may be unable to assimilate food and liquids, so that their provision becomes altogether useless.
Finally, the possibility is not absolutely excluded that, in some rare cases, artificial nourishment and
hydration may be excessively burdensome for the patient or may cause significant physical discomfort,
for example resulting from complications in the use of the means employed.
"These exceptional cases, however, take nothing away from the general ethical criterion, according to
which the provision of water and food, even by artificial means, always represents a natural meansior
preserving life, and are not atherapeutictreatment. lts use should therefore be considered ordinary and
proportionate, even when the'vegetative state' is prolonged. (Commentary on Nutrition and Hydration,
Attachment 1.)
"His IPope John Paul ll's] teaching in no way requires that tubally assisted feeding or hydration be
maintained at all costs, but only when the benefits such asslsfance provides are present and no
excessiye burdens are imposed. lf in particular instances such feeding/hydration would not effectively
preserve life or alleviate suffering it would lack its beneficial effect and would be futile." (William E' May,
Caring for Persons in the "Persistent Vegetative State" and John Paul ll's March 20 2004 Address *463
"On Llfe-Susfa ining Treatments and the Vegetative Slafe'i )
When the food and water administered cannot accomplish its purpose of providing nourishment to the body, and
cannot be assimilated by the patient's body due to the underlying condition, it may morally be withdrawn or denied'
Also when the artificial administration of food and water is not alleviating suffering, that is, the providing of such care
itself is causing such suffering so as to constitute an excessive burden, it may be forgone. However, "the insertion of a
feeding tube, particularly through enteral and not perienteral means, is neither futile nor burdensome in almost all
cases." (/d,) Further, "adequate interventions exist to control pain in 90 to 99% of patients," (See Burke J. Balch, J.D.
and David Waters, Why We Shoutdn't Legalize Assislrng Suicide, Pa¡t tl: Pain Conlrol [with cited medical authorities].)
The cost of tubally assisted feeding is not a basis for denying food and water administered by artifcial means in the
United States. (See attachment 2, Q & A from the USCCB Committee on Doctrine and Committee on Pro-Life
Activities regarding The Holy See's Responses on Nutrition and Hydration for Patients in a "Vegetative State".)
"At present, the cost fortaking care of PVS patients is usually covered in great part by insurance or
other programs. But one cannot legitimately avoid excessive expense (if this does become an issue) by
abandoning care for the person and by intentionally bringing his death about by starvation. There are
morally legitimate ways to reduce the cost of care. Persons put into the situation of caring for a loved
one in the PVS state or other conditions are not obliged to have them cared for in highly expensive
hospitals or nursing homes (if insurance and governmental help are inadequate). They can remove
them from these costly institutions, take them home and do the best they can with the help of such
services as hospice care, volunteers from the parish or neighborhood, etc. The high standards of care
possible in expensive institutions might not be possible, but one can still maintain solidarity with the
person doing what one can, including providing food and nourishment by tubal means (not too difficult
to do once begun, even at home). One does not have to endure undue financial burden" (William E.
May, -464 Caring for Persons in the "Persistent Vegetative State" and John Paul ll's March 20 2004
Address "On Life-Susfa ining Treatments and the Vegetative SfaÚe')'
"But simply providing the permanently unconscious with food and water does not impose burdens on
families or other care-givers, just as the feeding of those paralyzed from the neck down or suffering loss
of all limbs does not impose excessive burdens on care-givers. The burden they carry is not caused by
the feeding but rather by the seriously debilitating condition of those for whom they care. But this is a
burden that must in justice be accepted by others. Would those opposing John Paul ll claim that we
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should stop feeding the demented, the paralyzed, quadruple amputees, and individuals who are simply
'not w1h it'? Withholding or withdrawing tubally provided food and water would not eliminate the burden
of care-givers; only the deafh of those cared for would end the burden." (ld. al 19-20; see a/so March
20,2OO4 Address of Pope John Paul ll part 6 [as to the obligation for others to give support to these
familiesl; Attachment 2, questions 7, 8.)
The Magisterium and Gatholic Authority
46s
The statement of the Congregation for the Doctrine of the Faith is the expression of the highest teaching authority of
the Catholic Church on matters of faith and morals, its Magisterium. All the Church's members are to adhere to its
pronouncement on matters of faith or morals, including Bishops. Cardinal Raymond Burke, formerly of St. Louis,
Missouri, is the head or Prefect of the Church's supreme court, called the "supreme Tribunal of the Apostolic
Signatura." He recently reminded Catholics and Bishops of the authority of the Magisterium and the source of its
authority:
"The Magisterium, in obedience to Christ and by the power of the particular grace of the Holy Spirit,
interprets the Word of God, contained in the Sacred Scriptures and Tradition, in matters of both faith
and morals. The Roman Pontiff and the Bishops in communion with him define the dogmas of the faith,
that is, the truths contained in the deposit of faith and 'truths having a necessary connection with
these"' (Obedie nce to The Magisterîum and the Responsibility of the Bishop Toward the Laity, quoting
"465 Magisterium of the Church, Catechism of the Catholic Church no. 88 [2d ed]).
"With regard to morals, the Magisterium presents faithfully the Decalogue and the requirements of the
life of the virtues. The teaching offìce would fail in its God-given mission, if it did not apply the living
Tradition to the circumstances of daily life in Christ. The Venerable Pope John Paul ll exhorted Bishops
to exercise the Magisterium regarding the moral life ...
"The response of both Bishop and the faithful to the exercise of the teaching authority of Christ is
obedience ...
"The obedience of faith obliges us in all situations of life, also in situations in which it is most difficult to
do what God asks of us. Ultimately, the obedience of faith could require martyrdom. ln his Encyclical
Letter Venlafis splendor, 'Regarding Certain Fundamental Questions of the Church's Moral Teaching'
ofAugust 6, 1993, our late and most beloved Holy Father Pope John Paul ll taught us that there can be
no compromise in the obedience to the moral teaching of the Magisterium:
"'Even in the most difficult situations man must respect the norm of morality so that he can be obedient
to God's holy commandments and consistent with his own dignity as a person. Certainly, maintaining a
harmony between freedom and truth occasionally demands uncommon sacrifices, and must be won at
a high price: lt can even involve martyrdom (n. 102a)'." (/d.; a/so see Catechism of the Catholic Church
nos. 85, 93, 1OO [requiring adherence], 2036 [Catholics required to observe natural law],2037 [duty to
observe the Catholic Constitute and decrees conveyed by the legitimate authority of the Churchl, 2052
[Church has right to announce moral principles, including those pertaining to the social order to the
extent that they are required by the fundamental rights of the human personl.)
Gonfusion of Authoritative Catholic Religious Beliefs
Underthis statute the finders of fact and surrogates, in ascertaining the Catholic's beliefs as applicable to a particular
medical condition, may encounter, and should be alerted to, various groups or persons improperly contesting the
466 authority .466 of the Magisterium, or the Catholic Church's offìcial position or its doctrines, and claiming a right to
declare principles in opposition to or inconsistent therewith:
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,'Often the lack of obedience to the Magisterium is not total but selective. Our culture teaches us to
believe what is convenient and to reject what is difficult for us or challenges us. Thus, we can easily fall
into'cafeteria Catholicism,' a practice of the faith, which picks and chooses what part of the deposit of
faith to believe and practice. A most tragic example of the lack of obedience of faith, also on the part of
certain Bishops, was the response of many to the Encyclical Letter Humanae vitae of Pope Paul Vl,
published on July 25, 1968. The confusion which resulted has led many Catholics into habits of sin in
what pertains to the procreation and education of human life." (Cardinal Burke, Obedlence to The
Magisterium and the Responsibitity of the Bishop Toward the Laity; see a/so William E. May et al.,
Charles E. Curran's Gross/y lnaccurate Attack on the Moral Theology of John Paul lllJune 14, 20051.)
It is noted that one of the children here, after consultation with a priest, believed that the blanket directive to prohibit
food and water from his mother when she became unable to take food orally regardless of her medical condition was
consistent with Catholic principles. (Transcript of Sept. 2,2010 colloquy.) lt is not clear whether he misunderstood,
misapplied, orwas misadvised. Nevertheless, it points outthe need forthe guardian/surrogate underthe statute for
vigilance to search out proper authority well trained in Catholic moral theology in determining their charge's religious
beliefs to be applied to the applicable medical situation. Also the failure of the "medical and social team" here to
consider, and not even mention, the patient's statement to her nurse that if she became unable to take food orally, she
wished to receive artificially administered food and water, may reflect the bias in parts of the medical community
against the previous presumption of life and in favor of the quality of life ethic noted by some writers. (See Burke J.
Balch citations herein.) One of the most prominent advocates locally of the MOLST and the quality of life ethic as
promoted in the living will is employed by a health care insurance provider, suggesting a conflict of interest in cost
motivation, and anotheris a known advocate. ln Vacco v. Qu//521 US 793 t19971), the Supreme Court ruled thatthe
4ç7 challenged New York *467 statute prohibiting physician-assisted suicide was valid, and physicians may not so cause,
hasten, or aid a patient's death. ln contrast to the standard living will, which is being widely promoted, the Catholic
Church has developed its own directives and a Catholic living will for Catholics and those whose religious beliefs are
consistent with the Church's view of the natural law application to end of life care and treatment.
Based on Natural Law
The Magisterium's determinations are based on the natural law: "'no one can arbitrarily choose whether to live or to
die; the absolute master of such a decision is the Creator alone' (n. a7)." (May, Caring for Persons in the 'Perslsfenf
Vegetative State" and John Paul lt's March 20 2OO4 Address "On Life-Susfaining Treatments and the Vegetative
Sfafe", quoting Evangelium vitaeby Pope John Paul ll.)
"As Pope John Paul ll reminded the Bishops, ... the Magisterium includes also the precepts of the
natural law written by God upon the human heart, the requirements of conduct inherent in man's very
nature and the order of the world, God's creation. Obedience to the demands of the natural law is
necessary for salvation, and, therefore, the teaching of the natural law is within the authority of the
Magisterium and part of its solemn responsibility.'ln recalling the prescriptions of the natural law, the
Magisterium of the Church exercises an essential part of its prophetic office of proclaiming to men who
they truly are and reminding them of what they should be before God' ([Catechism of the Catholic
Church no.l 2036)." (Cardinal Burke, Obedre nce to The Magìsterium and the Responsibility of the
Bishop Toward the LaitY.)
"'The rules that the Church sets forth reflect the divine Commandments, which find their crown and
synthesis in the Gospel command of love. The end to which every divine rule tends is the greater good
of human beings ... Nor must we forget that the Ten Commandments have a frm foundation in human
nature itself, and thus the values which they defend have universal validity. This is particularly true of
values such as human life, which must be defended from conception until its end in natural death; the
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freedom of individuals and of nations, socialjustice and the structures needed to achieve it.' (Paslores
gregis, n. 291." (ld.)
468 *468 "We must be wary of those who are too willing to end the lives of the elderly and the ill. lf we ever
decide that a poor quality of life justifies ending that life, we have taken a step down a slippery slope
that places all of us in danger. There is a difference between allowing nature to take its Òourse and
actively assisting death. The call for euthanasia sudaces in our society periodically, as it is doing now
under the guise of 'death with dignity' or assisted suicide. Euthanasia is a concept, it seems to me, that
is in direct conflict with a religious and ethical tradition in which the human race is presented with 'a
blessing and a curse, life and death,'and we are instructed'... therefore, to choose life.'lbelieve'euthanasia' lies outside the commonly held life-centered values of the West and cannot be allowed
without incurring great social and personal tragedy. This is not merely an intellectual conundrum. This
issue involves actual human beings at risk" (C. Everett Koop, M.D., Koop, The Memoirs of America's
Family Doctor [Random House, 1991]; see a/so Manhattan Declaration: A Call of Christian Conscience
[drafted Oct., 20, 2009]; Catechism of the Catholic Church, part 3, $ 1, ch 3 ["God's Salvation: Law and
Grace"l, art 1 ["The Natural Moral Law"] nos. 1954-1960; $ 2, ch 2, art 5 ["The Fifth Commandment"],
"lntentional homicide" at nos. 2268-2269, "Euthanasia" at nos. 2276-2279, "Suicide" atnos.2280-2283i
"ln Brief' at nos. 231 8-2321, 2324-2325\.
Likewise, Pope John Paul ll, who lived to see firsthand the extension of the arrogant assumption of authority to
terminate "lives not worthy to be lived," for compassionate purposes in the German Republic extended to the eugenic
purpose of the "Master race" and "the final solution by the Nazi regime, warned in his March 20,2004 Address:
"Moreover, to admit that decisions regarding man's life can be based on the external acknowledgment
of its quality, is the same as acknowledging that increasing and decreasing levels of quality of life, and
therefore of human dignity, can be attributed from an external perspective to any subject, thus
introducing into social relations a discriminatory and eugenic principle'" (Part 5.)
46e .4ös Food and Water is Basic or Gomfort Care and Differs from "Medical
Treatment"
The Catholic Church considers food and water administered by artifìcial means to be basic health care mandated for
sick people, even those in a vegetative state, including advanced Alzheimers, and as aforesaid, food taken orally is so
recognized in the statute and excluded from the statute's reach. The obligation to provide basic health care according
to Catholic religious beliefs was stated by Pope John Paul ll in his March 20,2004 Address:
"The sick person in a vegetative state, awaiting recovery or a natural end, still has the right to basic
health care (nutrition, hydration, cleanliness, warmth, etc.), and to the prevention of complications
related to his confinement to bed. He also has the right to appropriate rehabilitative care and to be
monitored for clinical signs of eventual recovery.
"l should like parlicularly to underline how the administration of water and food, even when provided by
artificial means, always represents a natural means of preserving life, not a medicalacf. lts use,
furthermore, should be considered, in principle, ordinary and proporlionate, and as such morally
obligatory, insofar as and until it is seen to have attained its proper finality, which in the present case
consists in providing nourishment to the patient and alleviation of his suffering." (Part 4.)
Medical Treatment
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Providing food and water, even artificially, is distinguished from "treatment," such as resuscitation, respirator, dialysis'
antibiotics, painkillers, etc. Different principles and medical conditions apply in which Catholics may not morally forgo
ordinary care as opposed to "treatment." The distinction is that the underlying condition, rather than the treatment, is
causing the person to die, and the forgoing of the treatment is not the cause of death except for painkillers. (The
application of the ordinary and extraordinary definitions of medical treatment for Catholics, and where they may be
appropriately applied to avoid suicide for oneself or others, as well as the use of painkillers even though it results in
one's death, is governed by Declaration on Euthanasia promulgated by the Sacred Congregation for the Doctrine of
470 the Faith on May 5, 1980; painkillers are dealtwith in parts ll ["Euthanasia"] and lll ["The Meaning of Suffering '470'lor
Christians and the Use of Painkillers"l [signed by Franjo Cardinal Seper, as Prefect, and Jerome Hamer, O.P', Tit.
Archbishop of Lorium, as Secretaryl.)
Caring Not Killing
The most important distinction of the Catholic Church from the statute's standards for forgoing food and water is that
the Catholic Church and other like-minded churches and pro-life organizations refuse to decouple food and water from
the underlying condition. They believe that such decoupling constitutes a quality of life ethic, causing death by
starvation and not by the underlying condition, i.e., not in spite of the "treatment" but because of it' The Catholic
Church fears such decoupling from a condition of imminent death and death administering omission of food and water
will open this euthanasia door even wider for "Mercy Killing" and assisted suicide, despite statutory language and
protestations in the statute to the contrary (A/so see ÂzþlJer-qrE-d4ail.F*.?1.0-.wLg-æ3L9Ç8-.5-6-9. 583J-\WZd,atÆ.o
["We decline to go down this slippery slope (of euthanasia)"].)
Dangers
Quality of Life Ethic
471
Given the subjective nature of interpreting the statute's generally undefined terms of "extraordinarily burdensome," or
an "extraordinary burden," orthe difficulty in medically prognosticating a six-month life expectancy (which becomes
self-fulfilling), coupled with an "irreversible or incurable condition," or "permanent[ ] unconsciousn[ess]" from which the
patient is not imminently dying lends itself to the great danger and likelihood of a resulting further extended quality of
life ethic. Also, added to that subjective interpretation is the concept of "futile care" by which doctors and or institutions
may override the patient's clear direction for artificially administered food and water, and deny the same. That concern
was expressed by the National Catholic Partnership on Disability Board in its August 22,2008 Statement on "Futile
Care" (available at http:// rnruvw.ncpd.orgipolicy/church/ncpd/statements/futilecare) as follows:
"The use of the term'futile care'generally refers to the claim that'Physicians are not ethically obligated
to deliver care that, in their best professional -471 judgment, will not have a reasonable chance of
benefting their patients.' [footnote 5: 'AMA Opinion E-2.035 "Futile Care," available at
http://www.amaassn.org/amalpub/category/2830.htm1 (last visited Dec. 5, 2007). Though the term
"futile care" generally refers to medical treatment, it has also been used to justify the withdrawal of food
and hydration, whether or not artificially supplied, which official Catholic teaching considers, not a
medical act, but rather ordinary and proportionate care ...']. Unfortunately, there is no agreement within
the medical community as to when such interventions lack sufficient benefit to be judged futile. For
example, [s]ome physicians use "futile" narrowly, considering treatments to þe futile if they would be
physiologically ineffective orwould fail to postpone death,... Many [other] physicians embrace a
broader, more elastic understanding of the term.... [A] treatment might be seen as futile if it does not
offer what [these] physicians consider an acceptable quality of life.' [footnote 6: "'Will Your Advance
Directive Be Followed?", Robert Powell Center for Medical Ethics of the National Right to Life
Committee, 5 (May 20,2OO7) (quoting the New York State Task Force on Life and the Law, "When
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472
473
Others Must Choose: Deciding for Patients Without Capacity" (New York: n.p., 1992, pp. 196-97),
available at http:/iwww.nrlc.org/euthanasia/ AdvanceDirectives/ReportRevised200T.pdf (last visited
Nov. 5, 2007)'; see a/so footnote 68: 'See "Concerns about Decisions Related to \Mthholding/
Withdrawing Life-sustaining Treatment and Futility for Persons with Disabilities" (literature review
concluding that "futile care" may prove a greater threat to disabled people than the legalization of
assisted suicide), supra note 65 ("Furthermore, providers may share the negative attitudes pervasive in
society about the quality of disabled people's lives that in turn can influence their decisions whether to
withdraw life support. See generally, Werth, James L., Jr., 'Concerns about Decisions Related to
Withholdingm/ithdrawing Life-sustaining Treatment and Futility for Persons with Disabilities,' Journal of
Disability Policy Studies [16:1, June 22,2005]. Cf. Stith, Marah, 'The Semblance of Autonomy:
Treatment of Persons with Disabilities *472 under the Uniform Health-Decisions Act,' 22 lssues L. &
Med. 39, 60-61 [Summer, 2006]")'1."
ln Mrs. Zornow's case the "team" agreed to and enacted a MOLST directive, without authority, which was in violation
of her religious belief and her 2002 statement, in which she requested artificially administered nourishment. The
MOLST further declared: "no hospitalization unless pain or severe symptoms cannot be othenruise controlled," signed
September 15 and September 18,2009. The "team" directive also stated "no hospitalization," and numberS stated,
"No appropriate decision maker is available. (Go to sec,28: Medical Futility). Dated Sept 5, 2009." (Exhibit C attached
to Jennifer N. Weidner, Esq.'s affidavit sworn to on September 14' 2010.1
Blanket Directives Not Practical for Gatholics
This difference in definitions of words such as ordinary, extraordinary, burden, treatment versus care etc., as well as its
different defìnition in different medical conditions between the statute and Catholic doctrine does not lend itself to
blanket directives without creating serious difflculties, and should be avoided in lieu of detailed specification to the
exact condition to be addressed and the Catholic principles applicable to that particular situation. The second problem
is that when a medical situation arises or circumstances occur where the family may elect to forgo the treatment or
care, orto continue it, they are deprived of that opportunity because the medical directive MOLST directs the result
without any prior consultations built in.
"Make certain that your Advance Directive forbids any action that the Catholic faith considers to be
immoral, such as euthanasia or physician-assisted suicide....
"The usefulness of an Advance Directive, which gives specific instructions for care, is limited because
of its inflexibility. lf circumstances change signifìcantly between writing the Advance Directive and its
implementation, the instructions may þe of little value to those acting on a patient's behalf, or may even
hindertheirfreedom to make good decisions. There may also be a problem of interpreting the
document when it is not clearly written. An Advance Directive oftentimes does not allow for adequate
informed consent because one must make a decision about a future medical condition which cannot be
*473 known in advance. When drawing up an Advance Directive, therefore, one should focus on
general goals rather than on specific medical procedures." (National Catholic Bioethics Center, A
Catholic Guide to End-oÊLife Decisions [containing also a health care proxy for Catholics as well as an
advance medical directive consistent with Catholic religious and moral beliefs, revised 2005; note these
documents, although apparently consistentwith the 2007 declaration on nutrition and hydration, have
not been updatedl.)
Mercy Killing and Assisted Suicide Proponents
This progression of the statute's "quality of life" ethic is clearly being promoted openly into further mercy killing through
assisted suicide by organizations such as Compassion and Choices (C & C) and Compassion and Choices of New
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York (C & C of NY), stridently pro-euthanasia organizations, formerly known as the Hemlock Society. They have
already embarked on efforts to force Catholics and Catholic health care organizations under the statute's current
standards to participate in the quality of life practice by starvation under sedation in violation of and against Catholics
and others' most serious and grievous religious beliefs, and their rights of conscience and religious freedom. They are
developing a long-term national strategy. (C & C of NY, Consume rs of Catholic healthcare, be aware [spring 2010
newsletterl; C & C, How the opinion of one pope became the rule for all Americans [Jan. 2010]; see a/so C & C,
Cathotic Ethical and Religious Directives lSept. 2010] [suggesting Directives language to counter Catholic beliefs]; C &
C, Cathotic Bishops Enact Plan for 300,000 Terri Schiavos and Council of Catholic Bishops Veto Millions of Advance
Di rective s INov. 2009]. )
lnterestingly, the second condition of the FHCDA allowing termination of food and water to kill patients with a six-
month life expectancy has already been extended, with the applause of the Compassion and Choice groups, including
C & C of NY, into lethal injections: "The (Washington) law allows terminally ill adults who have been told by their
doctors that they have six months or less to live to ask for a prescription for lethal medication." The group and its allied
organizations as a ployto furthertheirassisted suicide efforts rejectthe use of theword "suicide" or"physician
474 assisted suicide" when promoting it, and claim that the doctor-assisted suicides will bring into the r474 open the "back
alley" terminations of life, inferring that such termination of lives is secretly occurring in states where such conduct
violates their medical ethics and the law. (See C & C of NY, autumn 2008 and spring 2010 newsletters; C & C October
2010 newsletter.)
"Denial of food and fluids to people who cannot speak for themselves has been going on for fifteen
years in this country. lt is routine practice in hospitals and nursing homes across the country. And for
over a decade, the law on this, established by numerous court decisions and statutes, has been largely
settled. lf someone who is now incompetentto make health care decisions has not left clear
instructions in a legal document (variously called an 'advance directive,' 'durable power of attorney for
health care,' 'living will,' or the like), then a surrogate decision-maker can legally decide to cut off the
person's food and fluids....
"lt should come as no surprise that, with imporlant exceptions, the prevailing view in the judiciary, as in
the medical profession, is receptive to the quality of life ethic. Judges are often dismissive of our
position that all human beings possess dignity and the right to live, regardless of their age or degree of
disability. When the relative or other individual designated by state law to make health care decisions
for an incompetent person who has left no clear advance directive chooses to cut off food and fluids,
courts are rarely willing to agree with other relatives who seek to overturn that decision.
"lndeed, the current battleground is over efforts by health care personnel to cut off food, fluid and life-
saving treatments from patients they think have a poor quality of life AGAINST THE WISHES of the
patient and family. A large body of medical and ethical opinion holds that even when there is no doubt
that a patient wants to live, or when family members are united in saying the patient should get life-
saving treatment, doctors and hospitals should be able to say no." (Burke J. Balch, J.D. [Director of
Robert Powell Center for Medical Ethicsl, New York State Right to Life Will to Live Project,
Commentary: Case Points up Urgency of Will to Live')
475 .47s Catholic Decision Makers and Those lmplementing lt
The potential question earlier raised, but not reached, is if a Catholic or non-Catholic determines to forgo water and
food administered artificially in situations of legally allowed euthanasia under the statute or law, but morally disallowed
for Catholics, may any Catholic, especially Catholic surrogates and Catholic health care providers etc., make or
implement such decisions? The Sacred Congregation forthe Doctrine of the Faith's Declaration on Euthanasia
adopted May 5, 1980 states:
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476
"EUTHANASIA...
"lt is, thereforer necessary to state clearly in what sense the word [euthanasia] is used in the present
document [i.e. 1980 Declaration on Euthanasia]. By euthanasia is understood an action or an omission
which of itself or by intention causes death, in order that all suffering may in this way be eliminated.
Euthanasia's terms of reference, therefore, are to be found in the intention of the will and in the
methods used. lt is necessary to state firmly once more that nothing and no one can in any way permit
the killing of an innocent human being, whether an infant or an adult, an old person, or one suffering
from an incurable disease, or a person who is dying.... [N]o one is permitted to ask forthis act of killing,
either for himself or herself or for another person entrusted to his or her care, nor can he or she consent
to it, either explicitly or implicitly. Nor can any authority legitimately recommend or permit such an
action. For it is a question of the violation of the divine law, an offense againstthe dignity of the human
person, a crime against life, and an attack on humanity'"
Pope John Paul ll in his March 20,2OO4 Address (part 4) reaffirmed and emphasized that declaration:
"Death by starvation or dehydration is, in fact, the only possible outcome as a result of their [food and
waterl withdrawal. ln this sense it ends up becoming, if done knowingly and willingly, true and proper
euthanasia by omission.
"ln this regard, I recall what lwrote in the Encyclical Evangelium Vifae, making it clearthat'by
euthanasia in the true and proper sense must be understood an action or omission which by its very
nature and intention brings about death, with the purpose -476 of eliminating all pain'; such an act is
always'a serlous violation of the taw of God, since it is the deliberate and morally unacceptable killing
of a human person' (n. 65)."
Use of Authoritative Documents
The court has taken into account the authoritative laws and rules of the Catholic Church on faith and morals
promulgated and made public, including the Code of Canons of the Eastern Churches promulgated by Pope John ll in
1990; the Catechism of the Catholic Church (2d edition), which Latin version was promulgated by Pope John Paul ll on
August 25,1997',Apostolic Constitution Fidei Depositum part lV (Catechism of the Catholic Church nos. 84, 2037);
and Apostolic Letter Laetamur Magnopere. ln the latter document, the Catechism is identified as a sure and authentic
reference text, a genuine presentation of the faith, and a totally reliable way to present Catholic doctrine (at 4-6, no.
10). The Magisterium'steachings on faith and morals are declared and promulgated bythe Sacred Congregation for
the Doctrine of the Faith, to which the court also makes reference, including the 1980 Declaration on Euthanasia, the
August 2007 Responses to Certain Questions of the United States Conference of Catholic Bishops Concerning
Artificial Nutrition and Hydration, and its accompanying commentary approved bythe Cardinal and the Bishops of the
Congregation. Further, many of the documents quoted from or referenced herein often identify these authoritative
sources as the basis of their and the Catholic Church's positions'
Legislation Suggestion
The court would suggest legislative action by revising the FHCDA design to set forth the "sanctity of life" as the main
ethic, and allowing the limited "quality of life" ethic to be specifically limited to those who so personally indicate under
the level of proof required by the O'Connor case, and not beyond the threshold of the Edna M.F. case.
Justice Ritholtz in Borenstein (8 Misc 3.d at 501) warned: "We must never forget that, when the quality of life replaces
the sanctity of life, society has done itself irreparable harm." (Citation and internal quotation marks omitted.)
This court would add the words of John Donne:
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"But who can remove [his hearing] from that bell, which is passing a piece of himself [mankind] out of
this world?
477 *477 "No man is an island, entire of itself ... [A]ny man's death diminishes me, because I am involved in
mankind, and therefore never send to know for whom the bell tolls; it tolls for thee." (Meditation 17.)
Attachment I
United States Conference of Catholic Bishops, Pro-Life Activities, Commentary on Nutrition and
Hydration (approved by the Cardinal and Bishop members of the Congregation for the Doctrine of Faith
released on September 15,2007 [available at
http://www.nccbuscc.org/prolife/tdocsianhcommentary.shtmll ) ("Therefore, the Responses [to Certain
Questions Concerning Artificial Hydration and Nutrition (available at http://
www.usccb.org/prolife/tdocs/anhresponses.shtml)l now given by the Congregation for the Doctrine of
the Faith continue the direction of the documents of the Holy See cited above, and in particular the
Address of John Paul ll of March 20, 2004 [available at
http://www.vatican.va/holy_father/johnpaul-ii/speeches/ 2004lmarchldocuments/hfjp-
ii_spe_2004032O_cong ressfiamc_en. htmll").
"The Congregation for the Doctrine of the Faith has formulated responses to questions presented by
His Excellency the Most Reverend William S. Skylstad, President of the United States Conference of
Catholic Bishops, in a letterof July 11,2005, regarding the nutrition and hydration of patients in the
condition commonly called a 'vegetative state'. The object of the questions was whether the nutrition
and hydration of such patients, especially if provided by artificial means, would constitute an
excessively heavy burden forthe patients, fortheir relatives, orforthe health-care system, to the point
where it could be considered, also in the light of the moral teaching of the Church, a means that is
extraordinary or dispropotlionate and therefore not morally obligatory.
478
"The Address of Pope Pius Xll to a Congress on Anesthesiology, given on November 24, 1957, is often
invoked in favor of the possibility of abandoning the nutrition and hydration of such patients. ln this
address, the Pope restated two general ethical principles. On the one hand, natural reason and
Christian morality teach that, in the case of a grave illness, the patient and those caring for him or her*478 have the right and the duty to provide the care necessary to preserve health and life. On the other
hand, this duty in general includes only the use of those means which, considering all the
circumstances, are ordinary, that is to say, which do not impose an extraordinary burden on the patient
or on others. A more severe obligation would be too burdensome for the majority of persons and would
make it too diffìcult to attain more important goods. Life, health and all temporal activities are
subordinate to spiritual ends. Naturally, one is not forbidden to do more than is strictly obligatory to
preserve life and health, on condition that one does not neglect more important duties,
"One should note, first of all, that the answers given by Pius Xll referred to the use and interruption of
techniques of resuscitation. However, the case in question has nothing to do with such techniques.
Patients in a 'vegetative state' breathe spontaneously, digest food naturally, carry on other metabolic
functions, and are in a stable situation. Butthey are not able to feed themselves. [footnote 1:
'Terminology concerning the different phases and forms of the "vegetative state" continues to be
discussed, but this is not imporlant for the moraljudgment involved.'l lf they are not provided artificially
with food and liquids, they will die, and the cause of their death will be neither an illness nor the'vegetative state' itself, but solely starvation and dehydration. At the same time, the artificial
administration of water and food generally does not impose a heavy burden either on the patient or on
his or her relatives. lt does not involve excessive expense; it is within the capacity of an average
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479
healthcare system, does not of itself require hospitalization, and is proportionate to accomplishing its
purpose, which is to keep the patient from dying of starvation and dehydration. lt is not, nor is it meant
to be, a treatment that cures the patient, but is rather ordinary care aimed at the preservation of life.
"What may become a notable burden is when the 'vegetative state' of a family member is prolonged
over time. lt is a burden like that of caring for a quadriplegic, someone with serious mental illness, with
advanced Alzheimer's disease, and so on. Such persons need continuous assistance for months or*479 even for years. But the principle formulated by Pius Xll cannot, for obvious reasons, be interpreted
as meaning that in such cases those patients, whose ordinary care imposes a real burden on their
families, may licitly be left to take care of themselves and thus abandoned to die. This is not the sense
in which Pius Xll spoke of extraordinary means.
"Everything leads to the conclusion that the first paÉ of the principle enunciated by Pius Xll should be
applied to patients in a'vegetative state': in the case of a serious illness, there is the right and the duty
to provide the care necessary for preserving health and life. The development of the teaching of the
Church's Magisterium, which has closely followed the progress of medicine and the questions which
this has raised, fully confìrms this conclusion.
"fhe Declaration on Euthanasla, published by the Congregation forthe Doctrine of the Faith on May 5,
1980, explained the distinction between proportionate and disproportionate means, and between
therapeutic treatments and the normal care due to the sick person: 'When inevitable death is imminent
in spite of the means used, it is permitted in conscience to take the decision to refuse forms of
treatment that would only secure a precarious and burdensome prolongation of life, so long as the
normal care due to the sick person in similar cases is not interrupted' (Part lV). Still less can one
interrupt the ordinary means of care for patients who are not facing an imminent death, as is generally
the case of those in a'vegetative state'; forthese people, itwould be preciselythe interruption of the
ordinary means of care which would be the cause of their death.
"On June 27, 1981, the Pontifical Council Cor Unum published a document entitled Some Ethical
Quesflons Relating to the Gravely lll and the Dying, in which, among other things, it is stated that'There remains the strict obligation to administer at all costs those means which are called "minimal":
that is, those that normally and in usual conditions are aimed at maintaining life (nourishment, blood
transfusions, injections, etc.). The discontinuation of these minimal measures would mean in effect
willing the end of the patient's life' (no. 2.4.4.).
480 *480 "ln an Address to participants in an international course on forms of human preleukemia on
November 15, 1985, Pope John Paul ll, recallinglhe Declaration on Euthanasla, stated clearly that, in
virtue of the principle of proportionate care, one may not relinquish 'the commitment to valid treatment
for sustaining life nor assistance with the normal means of preserving life', which certainly includes the
administration of food and liquids. The Pope also noted that those omissions are not licit which are
aimed 'at shortening life in order to spare the patient or his family from suffering'.
"ln 1995 the Pontifical Council for Pastoral Assistance to Health Care Workers published the Chafter tor
Health Care Workers, paragraph 120 of which explicitly affìrms: 'The administration of food and liquids,
even artificially, is part of the normal treatment always due to the patient when this is not burdensome
for him or her; their undue interruption can have the meaning of real and true euthanasia'.
"The Address of John Paul ll to a group of Bishops from the United States of America on visit ad limina,
on October2, 1998, is quite explicit: nutrition and hydration are to be considered as normal care and
ordinary means for the preservation of life. lt is not acceptable to interrupt them or to withhold them, if
from that decision the death of the patientwill follow. This would be euthanasia by omission (cf. no.4).
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"ln his Address of March 20,2004, to the participants of an lnternational Congress on 'Life-sustaining
Treatments and the Vegetative State: scientific progress and ethical dilemmas', John Paul ll confirmed
in very clear terms what had been said in the documents cited above, clarifying also their correct
interpretation. The Pope stressed the following points:
481
482
"1. 'The term permanent vegetatìve slafe has been coined to indicate the condition of those patients
whose "vegetative state" continues for over a year. Actually, there is no different diagnosis that
corresponds to such a definition, but only a conventional prognostic judgment, relative to the fact that
the recovery of patients, statistically speaking, is *481 ever more diffìcult as the condition of vegetative
state is prolonged in time' (no. 2).
"2. ln response to those who doubt the 'human quality'of patients in a 'permanent vegetative state', it is
necessary to reaffirm that 'the intrinsic value and personal dignity of every human being do not change,
no matter what the concrete circumstances of his or her life. A man, even if seriously ill or disabled in
the exercise of his highest functions, is and always will be a man, and he will never become a
'vegetable' or an 'animal"' (no. 3).
"3. 'The sick person in a vegetative state, awaiting recovery or a natural end, still has the right to basic
health care (nutrition, hydration, cleanliness, warmth, etc.), and to the prevention of complications
related to his confinement to bed. He also has the right to appropriate rehabilitative care and to be
monitored for clinical signs of possible recovery, I should like particularly to underline how the
administration of water and food, even when provided by artificial meansr always represenls a natural
meanso'f preserving life, not a medical act, lts use, furthermore, should be considered, in principle,
ordinary and proportionate, and as such morally obligatory, to the extent to which, and for as long as, it
is shown to accomplish its proper fìnality, which in the present case consists in providing nourishment
to the patient and alleviation of his suffering' (no. 4).
"4. The preceding documents were taken up and interpreted in this way: 'The obligation to provide the
"normal care due to the sick in such cases" (Congregation forthe Doctrine of the Faith, Declaration on
Euthanasia, p. lV) includes, in fact, the use of nutrition and hydration (cf. Pontifical Council Cor Unum,
Some Ethical Questions RelatÌng to the Gravely lll and the Dying, no.2, 4, 4; Ponlifrcal Council for
Pastoral Assistance to Health Care Workers, Chatter for Health Care Workers, no. 120). The evaluation
of probabilities, founded on waning hopes for recovery when the vegetative state is prolonged beyond a
year, cannot ethically justify the cessation or interruption of minimal care for the patient, including
nutrition and hydration. Death by starvation or dehydration is, in fact, the only *482 possible outcome as
a result of theirwithdrawal. ln this sense it ends up becoming, if done knowingly and willingly, true and
proper euthanasia by omission' (n. 4).
"Therefore, the Responses now given by the Congregation for the Doctrine of the Faith continue the
direction of the documents of the Holy See cited above and in particular the Address of John Paul ll of
March 20, 2004. The basic points are two. lt is stated, first of all, that the provision of water and food,
even by artificial means, is in principle an ordinary and proportionate means of preserving life for
patients in a'vegetative state': 'lt is therefore obligatory, to the extent to which, and for as long as, it is
shown to accomplish its properfinality, which is the hydration and nourishment of the patient'. lt is
made clear, secondly, that this ordinary means of sustaining life is to be provided also to those in a'permanent vegetative state', since these are persons with their fundamental human dignity. "When
stating that the administration of food and water is morally obligatory in principle, the Congregation for
the Doctrine of the Faith does not exclude the possibility that, in very remote places or in situations of
extreme poverty, the artificial provision of food and water may be physically impossible, and then ad
impossibilia nemo tenetur. However, the obligation to offer the minimal treatments that are available
remains in place, as well as that of obtaining, if possible, the means necessary for an adequate support
of life. Nor is the possibility excluded that, due to emerging complications, a patient may be unable to
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assimilate food and liquids, so that their provision becomes altogether useless. Finally, the possibility is
not absolutely excluded that, in some rare cases, artificial nourishment and hydration may be
excessively burdensome for the patient or may cause signifìcant physical discomfort, for example
resulting from complications in the use of the means employed.
483
484
"These exceptional cases, however, take nothing away from the general ethical criterion, according to
which the provision of waterand food, even by artificial means, always represents anatural meansfor
preserving life, and are not a therapeutic treatment. "483 lts use should therefore be considered
ordinary and propotlionale, even when the 'vegetative state' is prolonged."
Attachment 2
Q & A from the USCCB Committee on Doctrine and Committee on Pro-Life Activities regarding The Holy See's
Responses on Nutrition and Hydration for Patients in a "Vegetative State" (issued September 2007) (available at
http://www. u sccb. org/comm/hyd rationq&a.d oc).
"ln July 2005, the United States Conference of Catholic Bishops submitted two questions for
clarification (in the form of a dubium) to the Congregation for the Doctrine of the Faith about the
meaning of the Address (available at
http://www.vatican.valholy-father/johnjaul-ii/speeches/2004lmarchldocuments/hfjp-
ii_spe_20040320_congress-fiamc_en.html) given on March 20, 20A4by Pope John Paul ll to a Rome
conference on patients diagnosed as being in a 'vegetative state;' [footnote 1: 'As noted in the Holy
Father's Address, the term "vegetative state" is commonly used in medical practice but may
unfortunately mislead some to think that patients in this state lack full human dignity; therefore it is cited
in this text only with quotation marks. The Holy Father also noted in2004 that there is confusion and
disagreement among medical experts about the definition of the "vegetative state" and its diagnosis,
and about the parameters for judging when to call such a state "persistent" or "permanent" (with the
formerterm more often used in the United States).'l The Congregation responded to these questions in
September 2007. The Responses (approved by Pope Benedict XVI) and a Commentary (approved by
the Cardinal and Bishop members of the Congregation) will be publicly released on September 15 in
L'Osservatore Romano. Following are questions and answers about these texts.
"1) What do the Responses say?
"They reaffirm two central teachings in Pope John Paul ll's Address of 2004:1) Patients who are in a
'vegetative state' are still living human beings with inherent dignity, deserving the same basic care as
otherpatients; and 2) nutrition and hydration, even *484 when provided with artificial assistance, is
generally part of that normal care owed to patients in this state, along with other basic necessities such
as the provision of warmth and cleanliness.
"2) Does this represent a change in Church teaching?
"No. These Responses reaffirm what was taught by Pope John Paul ll in his 2004 Address, which itself
is in continuity with the Holy See's Declaration on Euthanasia of 1980 and other documents regarding
the right of patients to receive normal or basic care. As the Commentary points out, in developing this
teaching, the Church's Magisterium has paid close attention to 'the progress of medicine and the
questions which this has raised.'
"3) The Church has long taught that one is not obliged to employ extraordinary or disproportionate
means to preserve one's life. Does this traditional form of reasoning not apply in the case of the person
in a persistent'vegetative state'?
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"This form of reasoning does apply. However, for modern societies with advanced medical services the
administration of nutrition and hydration by artificial means to patients in a 'vegetative state'who need
such assistance to survive is generally neither extraordinary nor disproportionate.
"To apply this reasoning correctly we must recognize that all human life, not only a particular kind of life
we mightconsider'normal'or'productive,'is precious and should be preserved. Those in a'vegetative
state' sufferfrom a very severe disability, but they do not lose their human dignity. ln this respect, as
Pope John Paul ll pointed out in his Address, even the term 'vegetative state' is unfortunate and
potentially misleading-a human being must never be dismissed as having the status of a 'vegetable.'
"4) Are there medical situations in which it is moral to withhold nutrition and hydration?
485
"Yes. For example, a patient in the last stages of stomach cancer is already dying from that condition.
Such a dying patient, or others who can speak for the patient, may decide to refuse further feeding
because it causes pain and gives little benefit. The .485 administration of nutrition and hydration in this
case would pose a burden on the stomach cancer patient that is disproportionate to its benefit. By
contrast, the 'vegetative state' is not in itself a case of imminent dying, and the reception of nutrition
and hydration itself does not generally constitute a burden for him or her.
"5) Are there possible cases when it would be moral to withhold or withdraw nutrition and hydration
from the patient in a 'vegetative state'?
"Yes. They could be withheld if the available means for administering nutrition and hydration were not
effective in providing the patient with nourishment (for example, because the patient can no longer
assimilate these), or if the means itself constituted a burden (for example, because the feeding tube is
for some reason causing persistent infections). The Commentary notes that such situations are rare. lt
also notes that the obligation to provide artificially assisted food and fluids may not bind in situations of
extreme poverty or in the absence of a modern health care system, because one is not held to do what
is impossible.
"6) May nutrition and hydration be withheld from patients in a persistent'vegetative state' because
prolonged care for them may involve signifìcant costs?
"No, because in technologically advanced societies the costs directly attributable to the administration
of nutrition and hydration are generally not excessive. To be sure, the costs and other burdens placed
on families by the patient's need for prolonged care may become very significant; However, this real
problem must not be resolved by removing basic care so the patient will die. While one may act to
reduce orremove a burden caused directly bythe administration of nutrition and hydration if the beneft
is not proportionate to the burden, we must not dismiss life itself as a burden even when its helpless
state may call on us for other forms of care. To act to end life because life itself is seen as a burden, or
imposes an obligation of care on others, would be euthanasia.
486 .486 "7) Who should bearthe burdens associated with providing proper care forthose in a persistent
'vegetative state'?
"Pope John Paul ll insisted that families'cannot be left alone with their heavy human, psychological
and financial burden.'He maintained that'society must allot sufficient resources forthe care of this sort
of frailty' and suggested a range of initiatives to provide assistance (see Address, no. 6). The Church
likewise has an obligation to offer what assistance she can, which might involve stepping in where the
support from society falls short, as well as providing the spiritual and pastoral aid that only she can
give. This is an opportunity for the Church to bear witness to her commitment to serve human life from
conception to natural death.
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"8) Could proper care for those in a persistent 'vegetative state' impose signiflcant fìnancial burdens on
Catholic health care facilities?
"Yes, in the case of families who have limited financial means and no or insufficient health insurance.
Catholic health care facilities recognize that at times they are obliged to bear the cost of providing
health care to those who cannot pay for it. ln the loving care that they provide to such persons, with the
assistance of the entire Catholic community, they can provide concrete examples of the Church's
commitment to human life.
"9) Are the Ethical and Religious Directives for Catholic Health Care Services in conformity with this
teaching?
"Directive 58 already speaks of 'a presumption in favor of providing nutrition and hydration to all
patients, including patients who require medically assisted nutrition and hydration.'The Address and
the Responses clarify how this presumption applies to the patient in a 'vegetative state' as to other
patients, and provide further guidance as to how the Directives should be interpreted and
implemented."
Note: as to question 9 aþove Directive 58 in the Ethical and Religious Directives for Catholic Health Care Services was
modifìed in the 2009 fifth edition from a "presumption" to an "obligation" to provide artificially administered food and
water as comfort care in accordance with lhe 2OO7 clarification by the Sacred Congregation for the Doctrine of the
Faith.
487 .4s7 Attachment 3
United States Conference of Catholic Bishops, Pro-Life Activities, Appendix, Technical Aspects of Medically Assisted
Nutrition and Hydration (approved by the Cardinal and Bishop members of the Congregation for the Doctrine of Faith
released on September 15,2007 (available at
http://www. nccbuscc. org/prolife/issues/euthanas/nutend.shtmlhttp://www. nccbuscc.org/prolife/tdocs/anhcommentary.sh
"Procedures for providing nourishment and fluids to patients who cannot swallow food orally are either
'parenteral' (bypassing the digestive tract) or'enteral' (using the digestive tract).
488
"Parenteral or intravenous feeding is generally considered 'more hazardous and more expensive'than
enteral feeding. [Footnote 42: 'David Major, M.D., "The Medical Procedures for Providing Food and
Water: lndications and Effects," in Lynn (ed.),8y No Extraordinary Means (lndiana University Press
1986) (hereinafter "Major"), page 27.'l lt can be subdivided into peripheral intravenous feeding (using a
needle inserted into a peripheral vein) and central intravenous feeding, also known as total parenteral
feeding or hyperalimentation (using a larger needle inserted into a central vein nearthe heart).
Peripheral intravenous lines can provide fluids and electrolytes as well as some nutrients; they can
maintain fluid balance and prevent dehydration, but cannot provide adequate nutrition in the long term.
[Footnote 43: 'Peripheral veins (e.9., those found in the arm or leg) will eventually collapse after a
period of intravenous feeding, and will collapse much faster if complex nutrients such as proteins are
included in the formula. See U.S. Congress, Office of Technology Assessment, Life-Susfatntng
Technologies and the Etderty, 0TA-8A-306 (Washington, D.C.: U.S. Government Printing Office, July
1987) hereinafter "OTA"), pages 283-4,'l Total parenteral feeding can provide a more adequate
nutritional balance, but poses significant risks to the patient and may involve costs an order of
magnitude higherthan othermethods of tube feeding. lt is no longerconsidered experimental, and has
become 'a mainstay for helping critically ill patients to survive acute illnesses where the prognosis had
previously been nearly hopeless,' but its feasibility *4BB for life-long maintenance of patients without a
functioning gastrointestinal tract has been questioned. [Footnote 44: 'Major, pages22,24-5. Also see
OTA, pages 284-6;l
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489
"Because of the limited usefulness of peripheral intravenous feeding and the special burdens of total
parenteral feeding-and because few patients so completely lack a digestive system that they must
depend on these measures for their sole source of nutrition - enteral tube feeding is the focus of the
current debate over medically assisted nutrition and hydration. Such methods are used when a patient
has a functioning digestive system but is unable or unwilling to ingest food orally and/or to swallow' The
most common routes for enteral tube feeding are nasogastric (introducing a thin plastic tube through
the nasal cavity to reach into the stomach), gastrostomy (surgical insertion of a tube through the
abdominal wall into the stomach), and jejunostomy (surgical insertion of a tube through the abdominal
wall into the small intestine). [Footnote 45: 'See Major, pages 22,25-6.'] These methods are the
primary focus of this document.
"Each method of enteral tube feeding has potential side-effects. For example, nasogastric tubes must
be inserted and monitored carefully so they will not introduce food or fluids into the lungs. They may
also irritate sensitive tissues and create discomfort; confused or angry patients may sometimes try to
remove them, and efforls to restrain a patient to prevent this can impose additional discomfort and
other burdens. On the positive side, insertion of these tubes requires no surgery and only a modicum of
training. [Footnote 47: 'Major, page22', OTA, pages 282-3; Rose Laboratories, Tube Feedings: Clinical
Application (1982), pages 28-30.'l
"Gastrostomy and jejunostomy tubes are better tolerated by many patients in need of long-term
feeding. Their most serious physical burdens arise from the fact that their insertion requires surgery
using local or general anesthesia, which involves some risk of infection and other complications. Once
the surgical procedure is completed, these tubes can often be maintained without serious pain or
medical complications, and confused patients do not often *489 aüempt to remove them. [Footnote 48:
'Major, page 22; OTA, page 282. Many ethicists observe that there is no morally signif cant difference
in principle between withdrawing a life-sustaining procedure and failing to initiate it. However, surgically
implanting a feeding tube and maintaining it once implanted may involve a different proportion of benefìt
to burden, because the transient risks of the initial surgical procedure will not continue or recur during
routine maintenance of the tube.'l
"Conclusion Ihttp:i/www.usccb.org/prolife/issues/euthanas/nutconc'shtml]
"Euthanasia Menu Ihttp://www.usccb.org/prolife/issuesieuthanas/index.shtml]."
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Duties, Responsibilities & Ethics of the Guardian of the Person and Property 6 Wendy Sheinberg, Esq. Davidow Davidow Siegel & Stern, LLP
Wendy Hoey Sheinberg, Esq., CELA Wendy Sheinberg, is a partner in the law firm of Davidow, Davidow, Siegel & Stern LLP, she practices in the five boroughs, Nassau and Suffolk counties. Wendy has been practicing law in New York State since 1992. She is one of 36 attorneys on New York presently certified by the National Elder Law Foundation as a Certified Elder Law Attorney. In 2007 Wendy received the National Academy of Elder Law Attorney’s highest honor being named a Fellow of the Academy; this honor has been bestowed on fewer than 80 attorneys nationwide. Wendy’s primary areas of practice are Guardianship, Special Needs Law, Elder Law, Trust and Estate Planning for same and mixed gender couples and Trust and Estate Administration, and she serves as a Part 36 Court Appointee. Wendy has lectured on topics including Guardianship, Special Needs, Elder Law, Estate Planning, Medicaid, Senior Housing and on Probate and Estate Administration. She has lectured for the New York State Bar Association, the National Academy of Elder Law Attorneys, the Nassau County Bar Association, National Elder Law Foundation, National Autism Association of New York, the Mount Sinai School of Medicine- Seaver Autism Center, the Jewish National Fund, United Cerebral Palsy, and many other notable professional civic and religious groups. Wendy has been published in the New York State Bar Association Law Journal, the University of South Dakota Law Review, the NAELA Quarterly, New York Times, West’s New York Elder Law Report, the NAELA News, Newsday, Senior News and the Journal of the Nassau County Bar Association and other notable publications. Wendy has been interviewed on radio and television programs on topics relating to Special Needs Law, Guardianship, Planned Giving, Elder Law, Estate Planning and Public Benefits, and by such notable publications as the New York Times and US News and World Reports. Wendy has been peer reviewed by through Martindale Hubbell and has received an AV Preeminent 5 out of 5 rating. Wendy is a member of the Board of Directors of the National Academy of Elder Law Attorneys. She is a member of the New York State Bar Association, a Member of the Board of Directors of the Long Beach Lawyers Association and is a Member of Nassau County Bar Association. Wendy is a past member of the Association of the Bar of the City of New York and has served on its committee on Legal Problems of the Aging. Wendy is admitted to the Bar in New York State and Connecticut and is admitted to practice in the United States District Courts of the Eastern and Southern Districts. As of 11/21/11
CERTIFIED GUARDIAN, COURT EVALUATOR AND COUNSEL FOR ALLEGED INCAPACITATED PERSON TRAINING
Tuesday, December 13, 2011 ◊ 9:00 A.M. – 5:00 P.M.
Duties, Responsibilities and Ethics of a Guardian of the Person and the Property
Wendy H. Sheinberg, Esq., CELA Davidow, Davidow, Siegel & Stern, LLP
Table of Contents Selections from text of MHL Article 81 Pages 1 to 28 Selections from Guardian Assistance Network Website Kings County Pages 29 to 58 Selections from NY County Supreme Court Website Pages 59 to 74 Sample forms from NY County Supreme Court Website Pages 75 to 119 Selections from Nassau County Supreme Court Website Pages 120 to 122 Sample forms from Nassau County Supreme Court Website Pages 123 to 124 Selections from Bronx County Supreme Court Website Pages 125 to 128 Link for Queens County Supreme Court Website Pages 129 to 129 Copy of Slides Pages 130 to End
NEW YORK MENTAL HYGIENE LAW: ARTICLE 81 This link takes you to a free website with the text of Article 81
http://public.leginfo.state.ny.us/LAWSSEAF.cgi?QUERYTYPE=LAWS+&QUERYDATA=@SLMHY0TEA81+&LIST=LAW+&BROWSER=EXPLORER+&TOKEN=01628865+&TARGET=VIEW
The simple home page is:
http://public.leginfo.state.ny.us/menugetf.cgi?COMMONQUERY=LAWS
Scroll down to MHY Mental Hygiene Law. Click the link.
Scroll down to Article 81. Click the link.
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Mental Hygiene Law Article 81 81.01 - Legislative findings and purpose. 81.02 - Power to appoint a guardian of the person and/or property; standard for appointment. 81.03 - Definitions. 81.04 - Jurisdiction. 81.05 - Venue. 81.06 - Who may commence a proceeding. 81.07 - Notice. 81.08 - Petition. 81.09 - Appointment of court evaluator. 81.10 - Counsel. 81.11 - Hearing. 81.12 - Burden and quantum of proof. 81.13 - Timing of hearing. 81.14 - Record of the proceedings. 81.15 - Findings. 81.16 - Dispositional alternatives. 81.17 - Nomination of guardian. 81.18 - Foreign guardian for a person not present in the state. 81.19 - Eligibility as guardian. 81.20 - Duties of guardian. 81.21 - Powers of guardian; property management. 81.22 - Powers of guardian; personal needs. 81.23 - Provisional remedies. 81.24 - Notice of pendency. 81.25 - Filing of bond by guardian. 81.26 - Designation of clerk to receive process. 81.27 - Commission to guardian. 81.28 - Compensation of guardian. 81.29 - Effect of the appointment on the incapacitated person. 81.30 - Initial report. 81.31 - Annual report. 81.32 - Examination of initial and annual reports. 81.33 - Intermediate and final report. 81.34 - Decree on filing instruments approving accounts. 81.35 - Removal of guardian. 81.36 - Discharge or modification of powers of guardian. 81.37 - Resignation or suspension of powers of guardian. 81.38 - Vacancy in office. 81.39 - Guardian education requirements. 81.40 - Court evaluator education requirements. 81.41 - Court examiner education requirements. 81.42 - Compliance. 81.43 - Proceedings to discover property withheld. 81.44 - Proceedings upon the death of an incapicitated person.
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Laws of New York
§ 81.20 Duties of guardian. (a) Duties of guardian generally. 1. a guardian shall exercise only those powers that the guardian is authorized to exercise by court order; 2. a guardian shall exercise the utmost care and diligence when acting on behalf of the incapacitated person; 3. a guardian shall exhibit the utmost degree of trust, loyalty and fidelity in relation to the incapacitated person; 4. a guardian shall file an initial and annual reports in accordance with sections 81.30 and 81.31 of this article; 5. a guardian shall visit the incapacitated person not less than four times a year or more frequently as specified in the court order; 6. a guardian who is given authority with respect to property management for the incapacitated person shall: (i) afford the incapacitated person the greatest amount of independence and self-determination with respect to property management in light of that person's functional level, understanding and appreciation of his or her functional limitations, and personal wishes, preferences and desires with regard to managing the activities of daily living; (ii) preserve, protect, and account for such property and financial resources faithfully; (iii) determine whether the incapacitated person has executed a will, determine the location of any will, and the appropriate persons to be notified in the event of the death of the incapacitated person and, in the event of the death of the incapacitated person, notify those persons; (iv) use the property and financial resources and income available therefrom to maintain and support the incapacitated person, and to maintain and support those persons dependent upon the incapacitated person; (v) at the termination of the appointment, deliver such property to the person legally entitled to it; (vi) file with the recording officer of the county wherein the incapacitated person is possessed of real property, an acknowledged statement to be recorded and indexed under the name of the incapacitated person identifying the real property possessed by the incapacitated person, and the tax map numbers of the property, and stating the date of adjudication of incapacity of the person regarding property management, and the name, address, and telephone number of the guardian and the guardian's surety; and (vii) perform all other duties required by law. 7. a guardian who is given authority relating to the personal needs of the incapacitated person shall afford the incapacitated person the greatest amount of independence and self-determination with respect to personal needs in light of that person's functional level, understanding and appreciation of that person's functional limitations, and personal wishes, preferences and desires with regard to managing the activities
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Laws of New York
of daily living.
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Laws of New York
§ 81.21 Powers of guardian; property management. (a) Consistent with the functional limitations of the incapacitated person, that person's understanding and appreciation of the harm that he or she is likely to suffer as the result of the inability to manage property and financial affairs, and that person's personal wishes, preferences, and desires with regard to managing the activities of daily living, and the least restrictive form of intervention, the court may authorize the guardian to exercise those powers necessary and sufficient to manage the property and financial affairs of the incapacitated person; to provide for the maintenance and support of the incapacitated person, and those persons depending upon the incapacitated person; to transfer a part of the incapacitated person's assets to or for the benefit of another person on the ground that the incapacitated person would have made the transfer if he or she had the capacity to act. Transfers made pursuant to this article may be in any form that the incapacitated person could have employed if he or she had the requisite capacity, except in the form of a will or codicil. Those powers which may be granted include, but are not limited to, the power to: 1. make gifts; 2. provide support for persons dependent upon the incapacitated person for support, whether or not the incapacitated person is legally obligated to provide that support; 3. convey or release contingent and expectant interests in property, including marital property rights and any right of survivorship incidental to joint tenancy or tenancy by the entirety; 4. exercise or release powers held by the incapacitated person as trustee, personal representative, guardian for minor, guardian, or donee of a power of appointment; 5. enter into contracts; 6. create revocable or irrevocable trusts of property of the estate which may extend beyond the incapacity or life of the incapacitated person; 7. exercise options of the incapacitated person to purchase securities or other property; 8. exercise rights to elect options and change beneficiaries under insurance and annuity policies and to surrender the policies for their cash value; 9. exercise any right to an elective share in the estate of the incapacitated person's deceased spouse; 10. renounce or disclaim any interest by testate or intestate succession or by inter vivos transfer consistent with paragraph (d) of section 2-1.11 of the estates, powers and trusts law; 11. authorize access to or release of confidential records; 12. apply for government and private benefits; 13. marshall assets; 14. pay the funeral expenses of the incapacitated person; 15. pay such bills as may be reasonably necessary to maintain the
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Laws of New York
incapacitated person; 16. invest funds of the incapacitated person as permitted by section 11-2.3 of the estates, powers and trusts law; 17. lease the primary residence for up to three years; 18. retain an accountant; 19. pay bills after the death of the incapacitated person provided the authority existed to pay such bills prior to death until a temporary administrator or executor is appointed; and 20. defend or maintain any judicial action or proceeding to a conclusion until an executor or administrator is appointed.
The guardian may also be granted any power pursuant to this subdivision granted to committees and conservators and guardians by other statutes subject to the limitations, conditions, and responsibilities of the exercise thereof unless the granting of such power is inconsistent with the provisions of this article. (b) If the petitioner or the guardian seeks the authority to exercise a power which involves the transfer of a part of the incapacitated person's assets to or for the benefit of another person, including the petitioner or guardian, the petition shall include the following information: 1. whether any prior proceeding has at any time been commenced by any person seeking such power with respect to the property of the incapacitated person and, if so, a description of the nature of such application and the disposition made of such application; 2. the amount and nature of the financial obligations of the incapacitated person including funds presently and prospectively required to provide for the incapacitated person's own maintenance, support, and well-being and to provide for other persons dependent upon the incapacitated person for support, whether or not the incapacitated person is legally obligated to provide that support; a copy of any court order or written agreement setting forth support obligations of the incapacitated person shall be attached to the petition if available to the petitioner or guardian; 3. the property of the incapacitated person that is the subject of the present application; 4. the proposed disposition of such property and the reasons why such disposition should be made; 5. whether the incapacitated person has sufficient capacity to make the proposed disposition; if the incapacitated person has such capacity, his or her written consent shall be attached to the petition; 6. whether the incapacitated person has previously executed a will or similar instrument and if so, the terms of the most recently executed will together with a statement as to how the terms of the will became known to the petitioner or guardian; for purposes of this article, the term "will" shall have the meaning specified in section 1-2.19 of the estates, powers and trusts law and "similar instrument" shall include a revocable or irrevocable trust:
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(i) if the petitioner or guardian can, with reasonable diligence, obtain a copy, a copy of the most recently executed will or similar instrument shall be attached to the petition; in such case, the petition shall contain a statement as to how the copy was secured and the basis for the petitioner or guardian's belief that such copy is a copy of the incapacitated person's most recently executed will or similar instrument. (ii) if the petitioner or guardian is unable to obtain a copy of the most recently executed will or similar instrument, or if the petitioner or guardian is unable to determine whether the incapacitated person has previously executed a will or similar instrument, what efforts were made by the petitioner or guardian to ascertain such information. (iii) if a copy of the most recently executed will or similar instrument is not otherwise available, the court may direct an attorney or other person who has the original will or similar instrument in his or her possession to turn a photocopy over to the court for its examination, in camera. A photocopy of the will or similar instrument shall then be turned over by the court to the parties in such proceeding unless the court finds that to do so would be contrary to the best interests of the incapacitated person;
7. a description of any significant gifts or patterns of gifts made by the incapacitated person; 8. the names, post-office addresses and relationships of the presumptive distributees of the incapacitated person as that term is defined in subdivision forty-two of section one hundred three of the surrogate's court procedure act and of the beneficiaries under the most recent will or similar instrument executed by the incapacitated person. (c) Notice of a petition seeking relief under this section shall be served upon: (i) the persons entitled to notice in accordance with paragraph one of subdivision (d) of section 81.07 of this article; (ii) if known to the petitioner or guardian, the presumptive distributees of the incapacitated person as that term is defined in subdivision forty-two of section one hundred three of the surrogate's court procedure act unless the court dispenses with such notice; and (iii) if known to the petitioner or guardian, any person designated in the most recent will or similar instrument of the incapacitated person as beneficiary whose rights or interests would be adversely affected by the relief requested in the petition unless the court dispenses with such notice. (d) In determining whether to approve the application, the court shall consider: 1. whether the incapacitated person has sufficient capacity to make the proposed disposition himself or herself, and, if so, whether he or she has consented to the proposed disposition; 2. whether the disability of the incapacitated person is likely to be of sufficiently short duration such that he or she should make the
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determination with respect to the proposed disposition when no longer disabled; 3. whether the needs of the incapacitated person and his or her dependents or other persons depending upon the incapacitated person for support can be met from the remainder of the assets of the incapacitated person after the transfer is made; 4. whether the donees or beneficiaries of the proposed disposition are the natural objects of the bounty of the incapacitated person and whether the proposed disposition is consistent with any known testamentary plan or pattern of gifts he or she has made; 5. whether the proposed disposition will produce estate, gift, income or other tax savings which will significantly benefit the incapacitated person or his or her dependents or other persons for whom the incapacitated person would be concerned; and 6. such other factors as the court deems relevant. (e) The court may grant the application if satisfied by clear and convincing evidence of the following and shall make a record of these findings: 1. the incapacitated person lacks the requisite mental capacity to perform the act or acts for which approval has been sought and is not likely to regain such capacity within a reasonable period of time or, if the incapacitated person has the requisite capacity, that he or she consents to the proposed disposition; 2. a competent, reasonable individual in the position of the incapacitated person would be likely to perform the act or acts under the same circumstances; and 3. the incapacitated person has not manifested an intention inconsistent with the performance of the act or acts for which approval has been sought at some earlier time when he or she had the requisite capacity or, if such intention was manifested, the particular person
would be likely to have changed such intention under the circumstances existing at the time of the filing of the petition. (f) Nothing in this article imposes any duty on the guardian to commence a special proceeding pursuant to this article seeking to transfer a part of the assets of the incapacitated person to or for the benefit of another person and the guardian shall not be liable or accountable to any person for having failed to commence a special proceeding pursuant to this article seeking to transfer a part of the assets of the incapacitated person to or for the benefit of another person.
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Laws of New York
§ 81.22 Powers of guardian; personal needs. (a) Consistent with the functional limitations of the incapacitated person, that person's understanding and appreciation of the harm that he or she is likely to suffer as the result of the inability to provide for personal needs, and that person's personal wishes, preferences, and desires with regard to managing the activities of daily living, and the least restrictive form of intervention, the court may grant to the guardian powers necessary and sufficient to provide for the personal needs of the incapacitated person. Those powers which may be granted include, but are not limited to, the power to: 1. determine who shall provide personal care or assistance; 2. make decisions regarding social environment and other social aspects of the life of the incapacitated person; 3. determine whether the incapacitated person should travel; 4. determine whether the incapacitated person should possess a license to drive; 5. authorize access to or release of confidential records; 6. make decisions regarding education; 7. apply for government and private benefits; 8. (i) for decisions in hospitals as defined by subdivision eighteen of section twenty-nine hundred ninety-four-a of the public health law, act as the patient's surrogate pursuant to and subject to article twenty-nine-CC of the public health law, and (ii) in all other circumstances, to consent to or refuse generally accepted routine or major medical or dental treatment, subject to the decision-making standard in subdivision four of section twenty-nine hundred ninety-four-d of the public health law; 9. choose the place of abode; the choice of abode must be consistent with the findings under section 81.15 of this article, the existence of and availability of family, friends and social services in the community, the care, comfort and maintenance, and where appropriate, rehabilitation of the incapacitated person, the needs of those with whom the incapacitated person resides; placement of the incapacitated person in a nursing home or residential care facility as those terms are defined in section two thousand eight hundred one of the public health law, or other similar facility shall not be authorized without the consent of the incapacitated person so long as it is reasonable under the circumstances to maintain the incapacitated person in the community, preferably in the home of the incapacitated person. (b) No guardian may: 1. consent to the voluntary formal or informal admission of the incapacitated person to a mental hygiene facility under article nine or fifteen of this chapter or to a chemical dependence facility under article twenty-two of this chapter; 2. revoke any appointment or delegation made by the incapacitated person pursuant to sections 5-1501, 5-1601 and 5-1602 of the general obligations law, sections two thousand nine hundred sixty-five and two thousand nine hundred eighty-one of the public health law, or any living
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[10]
Laws of New York
will.
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[11]
Laws of New York
§ 81.28 Compensation of guardian. (a) The court shall establish, and may from time to time modify, a plan for the reasonable compensation of the guardian or guardians. The plan for compensation of such guardian must take into account the specific authority of the guardian or guardians to provide for the personal needs and/or property management for the incapacitated person, and the services provided to the incapacitated person by such guardian. (b) If the court finds that the guardian has failed to discharge his or her duties satisfactorily in any respect, the court may deny or reduce the compensation which would otherwise be allowed.
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[12]
Laws of New York
§ 81.29 Effect of the appointment on the incapacitated person. (a) An incapacitated person for whom a guardian has been appointed retains all powers and rights except those powers and rights which the guardian is granted. (b) Subject to subdivision (a) of this section, the appointment of a guardian shall not be conclusive evidence that the person lacks capacity for any other purpose, including the capacity to dispose of property by will. (c) The title to all property of the incapacitated person shall be in such person and not in the guardian. The property shall be subject to the possession of the guardian and to the control of the court for the purposes of administration, sale or other disposition only to the extent directed by the court order appointing the guardian. (d) If the court determines that the person is incapacitated and appoints a guardian, the court may modify, amend, or revoke any previously executed appointment, power, or delegation under section 5-1501, 5-1505, or 5-1506 of the general obligations law or section two thousand nine hundred sixty-five of the public health law, or section two thousand nine hundred eighty-one of the public health law notwithstanding section two thousand nine hundred ninety-two of the public health law, or any contract, conveyance, or disposition during lifetime or to take effect upon death, made by the incapacitated person prior to the appointment of the guardian if the court finds that the previously executed appointment, power, delegation, contract, conveyance, or disposition during lifetime or to take effect upon death, was made while the person was incapacitated or if the court determines that there has been a breach of fiduciary duty by the previously appointed agent. In such event, the court shall require that the agent account to the guardian. The court shall not, however, invalidate or revoke a will or a codicil of an incapacitated person during the lifetime of such person.
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[13]
Laws of New York
§ 81.30 Initial report. (a) No later than ninety days after the issuance of the commission to the guardian, the guardian shall file with the court that appointed the guardian a report in a form prescribed by the court stating what steps the guardian has taken to fulfill his or her responsibilities. Proof of completion of the guardian education requirements under section 81.39 of this article must be filed with the initial report. (b) To the extent that the guardian has been granted powers with respect to property management, the initial report shall contain a verified and complete inventory of the property and financial resources over which the guardian has control, the location of any will executed by the incapacitated person, the guardian's plan, consistent with the court's order of appointment, for the management of such property and financial resources, and any need for any change in the powers authorized by the court. (c) To the extent that the guardian has been granted powers regarding personal needs, the initial report shall contain a report of the guardian's personal visits with the incapacitated person, and the steps the guardian has taken, consistent with the court's order, to provide for the personal needs of that person, the guardian's plan, consistent with the court's order of appointment, for providing for the personal needs of the incapacitated person, a copy of any directives in accordance with sections two thousand nine hundred sixty-five and two thousand nine hundred eighty-one of the public health law, any living will, and any other advance directive, and any necessary change in the powers authorized by the court. The plan for providing for the personal needs of the incapacitated person shall include the following information: 1. the medical, dental, mental health, or related services that are to be provided for the welfare of the incapacitated person; 2. the social and personal services that are to be provided for the welfare of the incapacitated person; 3. any physical, dental, and mental health examinations necessary to determine the medical, dental, and mental health treatment needs; and 4. the application of health and accident insurance and any other private or government benefits to which the incapacitated person may be entitled to meet any part of the costs of medical, dental, mental health, or related services provided to the incapacitated person. (d) If the initial report sets forth any reasons for a change in the powers authorized by the court, the guardian shall make an application within ten days of the filing of the report on notice to the persons entitled to such notice in accordance with paragraph one of subdivision (d) of section 81.07 of this article for such relief. If the initial report sets forth any reasons for a change in the powers authorized by the court and the guardian fails to act under this subdivision, any person entitled to commence a proceeding under this article may petition the court for a change in such powers on notice to the guardian and the persons entitled to such notice in accordance with paragraph one of
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subdivision (d) of section 81.07 of this article for such relief. (e) The guardian shall send a copy of the initial report to the incapacitated person by mail unless the court orders otherwise pursuant to paragraph seven of subdivision (b) and paragraph nine of subdivision (c) of section 81.15 of this article. (f) The guardian shall send a copy of the initial report to the court evaluator and counsel for the incapacitated person at the time of the guardianship proceeding unless the court orders otherwise pursuant to paragraph seven of subdivision (b) and paragraph nine of subdivision (c) of section 81.15 of this article.
(g) The guardian shall send a copy of the initial report to the court examiner. (h) If the incapacitated person resides in a facility, the guardian shall send a duplicate of such report to the chief executive officer of that facility. (i) If the incapacitated person resides in a mental hygiene facility, the guardian shall send a duplicate of such report to the mental hygiene legal service of the judicial department in which the residence is located.
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[15]
Laws of New York
§ 81.31 Annual report. (a) Filing of annual report. Every guardian shall file a report annually in the month of May, or at any other time upon motion or order of the court. (b) The report shall be in a form prescribed by the court and shall include the following information: 1. the present address and telephone number of the guardian. 2. the present address, and telephone number of the incapacitated person; if the place of residence of the incapacitated person is not his or her personal home, the name, address, and telephone number of the facility or place at which the person resides and the name of the chief executive officer of the facility or person otherwise responsible for the person's care. 3. any major changes in the physical or mental condition of the incapacitated person and any substantial change in medication. 4. the date that the incapacitated person was last examined or otherwise seen by a physician and the purpose of that visit. 5. a statement by a physician, psychologist, nurse clinician, or social worker, or other person that has evaluated or examined the incapacitated person within the three months prior to the filing of the report regarding an evaluation of the incapacitated person's condition and the current functional level of the incapacitated person. 6. to the extent the guardian is charged with providing for the personal needs of the incapacitated person: (i) a statement of whether the current residential setting is best suited to the current needs of the incapacitated person; (ii) a resume of any professional medical treatment given to the ward in the preceding year; (iii) the plan for medical, dental, and mental health treatment, and related services in the coming year; (iv) information concerning the social condition of the incapacitated person, including: the social and personal services currently utilized by the incapacitated person; the social skills of the incapacitated person; and the social needs of the incapacitated person. 7. to the extent the guardian is charged with property management, information required by the provisions of the surrogate's court procedure act prescribing the form of papers to be filed upon the annual accounting of a general guardian of an infant's property. 8. where the guardian has used or employed the services of the incapacitated person or where moneys have been earned by or received on behalf of such incapacitated person an accounting of any moneys earned or derived from such services. 9. a resume of any other activities performed by the guardian on behalf of the incapacitated person. 10. facts indicating the need to terminate the appointment of the guardian, or for any alteration in the powers of the guardian and what specific authority is requested or what specific authority of the guardian will be affected.
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[16]
Laws of New York
11. any other information which the guardian may be required to file by the order of appointment. (c) The guardian shall send a copy of the annual report to the incapacitated person by mail unless the court orders otherwise pursuant to paragraph seven of subdivision (b) and paragraph nine of subdivision (c) of section 81.15 of this article, shall send a copy of the annual report to the court examiner, and shall file a copy of the annual report as provided herein. If the incapacitated person resides in a facility, the guardian shall send a duplicate of such report to the chief executive officer of that facility. If the incapacitated person resides
in a mental hygiene facility, the guardian shall send a duplicate of such report to the mental hygiene legal service of the judicial department in which the residence is located. If mental hygiene legal service was appointed as court evaluator or as counsel for the incapacitated person at the time of the guardianship proceeding, the guardian shall send a duplicate of such report to the mental hygiene legal service of the judicial department where venue of the guardianship proceeding was located if so ordered by the court. (d) The report shall be filed in the office of the clerk of the court which appointed the guardian. (e) If the annual report sets forth any reasons for a change in the powers authorized by the court, the guardian shall make an application within ten days of the filing of the report on notice to the persons entitled to such notice in accordance with paragraph three of subdivision (c) of section 81.16 of this article for such relief. If the annual report sets forth any reasons for a change in the powers authorized by the court, and the guardian fails to act in accordance with this subdivision, any person entitled to commence a proceeding under this article may petition the court for a change in such powers on notice to the guardian and the persons entitled to such notice in accordance with paragraph three of subdivision (c) of section 81.16 of this article for such relief.
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[17]
Laws of New York
§ 81.32 Examination of initial and annual reports. (a) Examination of reports generally. 1. Initial report. Within thirty days of the filing of the initial report, the initial report filed by a guardian under this article shall be examined. 2. Annual examination. Within thirty days after the filing of the annual report of the preceding year, the annual reports filed by guardians under this article shall be examined to determine the condition and care of the incapacitated person, the finances of the incapacitated person, and the manner in which the guardian has carried out his or her duties and exercised his or her powers. (b) Examiners. The presiding justice of the appellate division in each department, or a justice of the supreme court or a special referee designated by a majority of the justices of the appellate division in each department at the request of the presiding justice, shall examine, or cause to be examined by persons designated by the presiding justice or the justices as examiners, all such reports. (c) Failure to report. 1. If a guardian fails to file his or her initial or annual report, the person authorized to examine the report shall demand that the guardian file the report within fifteen days after the service of the demand upon him or her. A copy of the demand shall be served upon the guardian or his or her resident agent by certified mail. 2. Upon failure to comply with such demand, the court, may upon the motion of the court examiner, enter an order requiring compliance with the demand and may deny or reduce the amount of the compensation of the guardian, or remove the guardian pursuant to section 81.35 of this article absent a showing that the guardian has acted in good faith. (d) Incomplete report. 1. If the person authorized to examine the report is of the opinion that a more complete or satisfactory report should be filed, the person authorized to examine the report shall demand that the guardian file a revised report or proof of any item in the report. A copy of the demand shall be served upon the guardian or his or her resident agent by certified mail. 2. Upon failure to comply with such demand, the court, may upon the motion of the court examiner, enter an order requiring compliance with the demand and may deny or reduce the amount of the compensation of the guardian, or remove the guardian pursuant to section 81.35 of this article absent a showing that the guardian has acted in good faith. (e) Duty of examiners. The person examining the report may examine the guardian and other witnesses under oath and reduce their testimony to writing. The person examining the report, on five days notice to the guardian, shall file a report in the form and manner prescribed by the order appointing the examiner. (f) Expenses of examination. The expenses of the examination shall be payable out of the estate of the incapacitated person examined if the estate amounts to five thousand dollars or more, or, if the estate
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amounts to less than this sum, by the county treasurer of the county or, within the city of New York by the comptroller of the city of New York, out of any court funds in his or her hands.
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[19]
Laws of New York
§ 81.33 Intermediate and final report. (a) A guardian may move in the court of his or her appointment for an order permitting him or her to render an intermediate report to the date of the filing thereof in a form prescribed by the court which shall include the same information as is required under section 81.31 of this article provided, however, that if the incapacitated person has died the report need not include information otherwise required in paragraphs five and six of subdivision (b) of section 81.31 of this article. The court may order the report to be filed with the clerk of the court on or before a fixed date. (b) When a guardian dies or is removed, suspended, discharged pursuant to the provisions of this article, or allowed to resign, the court shall order a final report in a form prescribed by the court which shall include the same information as is required under section 81.31 of this article provided, however, that if the incapacitated person has died the report need not include information otherwise required in paragraphs five and six of subdivision (b) of section 81.31 of this article. When such a report has been made in the course of a proceeding to remove a guardian, the court may dispense with a further report. (c) Notice of the filing of a report under this section shall be served upon the persons entitled to notice pursuant to paragraph three of subdivision (c) of section 81.16 of this article. If the incapacitated person is deceased, notice shall also be served upon his or her executor or administrator, if any. (d) The court may appoint counsel for the incapacitated person, if living, for the protection of such person's rights and interests with regard to such report. The court may appoint a referee to hear the matter and report to the court. (e) Upon the motion for a confirmation of the report of the referee, or if the report is made before the court, upon the court's determination, the report shall be judicially approved and filed. The compensation of the referee and of counsel shall be fixed by the court and shall be payable out of the estate of the incapacitated person unless it is determined that the incapacitated person is indigent. (f) If the incapacitated person resides in a facility, a copy of a report under this section shall be served upon the chief executive officer in charge of that facility and upon the mental hygiene legal service of the judicial department in which the residence is located.
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[20]
Laws of New York
§ 81.34 Decree on filing instruments approving accounts. (a) The guardian or the personal representative of the guardian may present to the court a petition showing the names and addresses of all persons entitled to receive notice pursuant to paragraph three of subdivision (c) of section 81.16 of this article and the personal representative of the estate showing that, to the extent the guardian is responsible for the property of the incapacitated person, all taxes have been paid or that no taxes are due and that the petitioner has fully reported and has made full disclosure in writing of all the guardian's actions affecting the property of the incapacitated person to all persons interested and seeking a decree releasing and discharging the petitioner. Upon the death of the incapacitated person, the guardian is authorized to pay the funeral expenses of the incapacitated person and, in the absence of a duly appointed personal representative of the estate, pay estimated estate and income tax charges, as well as other charges of emergent nature. (b) The petitioner shall also show that the incapacitated person has died or that the guardian has died, or has been removed, suspended, or discharged pursuant to the provisions of this article, or allowed to resign. (c) The petitioner shall also file with the petition acknowledged instruments executed by all persons interested or in the case of an infant, or incapacitated person whose claim has been paid, by the guardian, or guardian receiving payment, approving the report of the petitioner and releasing and discharging the petitioner. (d) The court may thereupon make a decree releasing and discharging the petitioner and the sureties on his or her bond, if any, from any further liability to the persons interested.
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[21]
Laws of New York
§ 81.35 Removal of guardian. Upon motion, the court appointing a guardian may remove such guardian when the guardian fails to comply with an order, is guilty of misconduct, or for any other cause which to the court shall appear just. Notice of motion shall be served on the guardian and persons entitled to receive notice pursuant to paragraph three of subdivision (c) of section 81.16 of this article. The motion may be made by the person examining initial and annual reports pursuant to section 81.32 of this article, or by any person entitled to commence a proceeding under this article, including the incapacitated person. The court may fix the compensation of any attorney or person prosecuting the motion. It may compel the guardian to pay personally the costs of the motion if granted.
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[22]
Laws of New York
§ 81.36 Discharge or modification of powers of guardian. (a) The court appointing the guardian shall discharge such guardian, or modify the powers of the guardian where appropriate, if it appears to the satisfaction of the court that: 1. the incapacitated person has become able to exercise some or all of the powers necessary to provide for personal needs or property management which the guardian is authorized to exercise; 2. the incapacitated person has become unable to exercise powers necessary to provide for personal needs or property management which the guardian is not authorized to exercise; 3. the incapacitated person has died; or 4. for some other reason, the appointment of the guardian is no longer necessary for the incapacitated person, or the powers of the guardian should be modified based upon changes in the circumstances of the incapacitated person. (b) The application for relief under this section may be made by the guardian, the incapacitated person, or any person entitled to commence a proceeding under this article. (c) There shall be a hearing on notice to the persons entitled to notice pursuant to paragraph three of subdivision (c) of section 81.16 of this article. The court may for good cause shown dispense with the hearing provided that an order of modification increasing the powers of the guardian shall set forth the factual basis for dispensing with the hearing. If the incapacitated person or his or her counsel raises an issue of fact as to the ability of the incapacitated person to provide for his or her personal needs or property management and demands a jury trial of such issue, the court shall order a trial by jury thereof. (d) To the extent that relief sought under this section would terminate the guardianship or restore certain powers to the incapacitated person, the burden of proof shall be on the person objecting to such relief. To the extent that relief sought under this section would further limit the powers of the incapacitated person, the burden shall be on the person seeking such relief. (e) If the guardian is discharged because the incapacitated person becomes fully able to care for his or her property, the court shall order that there be restored to such person the property remaining in the hands of the guardian. If the incapacitated person dies, the guardian shall provide for such person's burial or other disposition the cost of which shall be borne by the estate of the incapacitated person.
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Laws of New York
§ 81.37 Resignation or suspension of powers of guardian. (a) The court appointing a guardian may allow the guardian to resign or may suspend the powers of the guardian. (b) Where a guardian is engaged in war service as defined in section seven hundred seventeen of the surrogate's court procedure act, the court, upon motion by the guardian or any other person and upon such notice as the court may direct, may suspend the powers of the guardian until further order of the court. If the suspension will leave no other person acting as guardian, the motion shall seek the appointment of a successor. When the suspended guardian becomes able to serve, he or she may be reinstated by the court upon motion and such notice as the court may direct. If the suspended guardian is reinstated, the court shall thereupon discharge his or her successor, who may be required to account, and make any other order as justice requires.
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Laws of New York
§ 81.43 Proceedings to discover property withheld. (a) To the extent that it is consistent with the authority otherwise granted by the court a guardian may commence a proceeding in the court which appointed the guardian to discover property withheld. The petition shall contain knowledge, or information and belief of any facts tending to show that any interest in real property or money or other personal property, or the proceeds or value thereof, which should be delivered and paid to the guardian, is in the possession, under the control, or within the knowledge or information of respondent who withholds the same from the guardian, whether such possession or control was obtained before or after the appointment of the guardian, or that the respondent refuses to disclose knowledge or information which such person may have concerning the same or which will aid the guardian in making discovery of such property. The petition shall request that respondent be ordered to attend an inquiry and be examined accordingly and deliver property of the incapacitated person if it is within his or her control. The petition may be accompanied by an affidavit or other written evidence, tending to support the allegations thereof. If the court is satisfied on the papers so presented that there are reasonable grounds for the inquiry, it must make an order accordingly, which may be returnable forthwith, or at a future time fixed by the court, and may be served at any time before the hearing. If it shall appear from the petition or from the answer interposed thereto, or in the course of the inquiry made pursuant to the order that a person other than the respondent in the proceeding claims an interest in the property or the proceeds or the value thereof, the court may by the original order or by supplemental order, direct such additional party to attend and be examined in the proceeding in respect of his or her adverse claim, and deliver the property if in his or her control or the proceeds or value thereof. Service of such an order must be made by delivery of a certified copy thereof to the person or persons named therein and the payment or tender, to each of the sum required by law to be paid or tendered to a witness who is subpoenaed to attend a trial in such court. (b) If the person directed to appear submits an answer denying any knowledge concerning or the possession of any property which belongs to the incapacitated person or should be delivered to the guardian, or shall make default in answer, he or she shall be sworn to answer truly all questions put to him or her regarding the inquiry requested in the petition. Any claim of title to or right to the possession of any property of the incapacitated person must be made by verified answer in writing. If such answer is interposed, the issues raised thereby shall be tried according to the usual practice of the court as a litigated issue but the interposition of such answer shall not limit the right of the guardian to proceed with the inquiry in respect of property not so claimed by the verified answer. If possession of the property is denied, proof on that issue may be presented to the court by either party. The court may in an appropriate case make interim decrees directing the delivery of property not claimed by verified answer and may continue the
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Laws of New York
proceeding for determination of any litigated issue. If it appears that the guardian is entitled to the possession of the property, the decree shall direct delivery thereof to the guardian or if the property shall have been diverted or disposed of, the decree may direct payment of the proceeds or the value of such property or may impress a trust upon said proceeds or make any determination which a court of equity might decree in following trust property funds. In any case in which a verified answer is served and the court after a trial or hearing determines the issue, the court may in its discretion award costs not exceeding fifty dollars and disbursements to be paid by the unsuccessful party.
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Laws of New York
§ 81.44 Proceedings upon the death of an incapacitated person. (a) When used in this section: 1. "Statement of death" means a statement, in writing and acknowledged, containing the caption and index number of the guardianship proceeding, and the name and address of the last residence of the deceased incapacitated person, the date and place of death, and the names and last known addresses of all persons entitled to notice of further guardianship proceedings pursuant to paragraph three of subdivision (c) of section 81.16 of this article including the nominated and/or appointed personal representative, if any, of the deceased incapacitated person's estate. 2. "Personal representative" means a fiduciary as defined by subdivision twenty-one of section 103 of the surrogate's court procedure act to whom letters have been issued and who is authorized to marshal the assets of the decedent's estate. 3. "Public administrator" means a public administrator within or without the city of New York, as established by articles eleven and twelve of the surrogate's court procedure act, or the chief fiscal officer of a county eligible to be appointed an administrator, pursuant to section twelve hundred nineteen of the surrogate's court procedure act. The role of the public administrator under this section is that of a stake holder or escrowee only, and the public administrator shall not, by virtue of this section, have a substantive role in administering the estate. 4. "Statement of assets and notice of claim" means a written statement under oath containing the caption and index number of the guardianship proceeding, the name and address of the incapacitated person at the time of death, a description of the nature and approximate value of guardianship property at the time of the incapacitated person's death; with the approximate amount of any claims, debts or liens against the guardianship property, including but not limited to medicaid liens, tax liens and administrative costs, with an itemization and approximate amount of such costs and claims or liens. (b) Unless otherwise directed by the court, all papers required to be served by this section shall be served by regular mail and by certified mail return receipt requested. (c) Within twenty days of the death of an incapacitated person, the guardian shall: 1. serve a copy of the statement of death upon the court examiner, the duly appointed personal representative of the decedent's estate, or, if no personal representative has been appointed, then upon the personal representative named in the decedent's will or any trust instrument, if known, upon the local department of social services and upon the public administrator of the chief fiscal officer of the county in which the guardian was appointed, and 2. file the original statement of death together with proof of service upon the personal representative and/or public administrator or chief fiscal officer, as the case may be, with the court which issued letters
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Laws of New York
of guardianship. (d) Within one hundred fifty days of the death of the incapacitated person, the guardian shall serve upon the personal representative of the decedent's estate or where there is no personal representative, upon the public administrator or chief fiscal officer, a statement of assets and notice of claim, and, except for property retained to secure any known claim, lien or administrative costs of the guardianship pursuant to subdivision (e) of this section, shall deliver all guardianship property to:
1. the duly appointed personal representative of the deceased incapacitated person's estate, or 2. the public administrator or chief fiscal officer given notice of the filing of the statement of death, where there is no personal representative. 3. any dispute as to the size of the property retained shall be determined by the surrogate court having jurisdiction of the estate. (e) Unless otherwise ordered by the court upon motion by the guardian on notice to the person or entity to whom guardianship property is deliverable, and the court examiner, the guardian may retain, pending the settlement of the guardian's final account, guardianship property equal in value to the claim for administrative costs, liens and debts. (f) Within one hundred fifty days of the incapacitated person's death, the guardian shall file his or her final report with the clerk of the court of the county in which annual reports are filed, and thereupon proceed to judicially settle the final report upon such notice as required by subdivision (c) of section 81.33 of this article, including notice to the person or entity to whom the guardianship property was delivered. There shall be no extension of the time to file a final report except by order of the court. (g) Upon failure of the guardian to comply with subdivisions (d) or (f) of this section, any person entitled to notice of this proceeding may file a petition to compel the guardian to account, to suspend and/or remove the guardian, and to take and state the guardian's account.
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[28]
Guardian A
ssistance Netw
ork
● W
hat Is a G
uard
ian?
● Fro
m C
ourt H
earing
to G
uard
iansh
ip
Com
misio
n●
The First 9
0 D
ays: Fro
m C
om
misio
n to
In
itial Rep
ort
● T
he G
uard
ian fo
r Perso
nal N
eeds
● T
he G
uard
ian fo
r Pro
perty M
anag
emen
t●
The In
itial & A
nnual
Rep
orts
● E
ndin
g a G
uard
iansh
ip
● E
spañ
ol
Th
e F
irst 90
Days: F
rom
Co
mm
ission
to In
itial R
ep
ort
Now
that yo
u h
ave your C
om
missio
n in
han
d yo
u can
start to m
ake decisio
ns fo
r yo
ur w
ard th
e way th
e judge w
ants yo
u to
. The first 9
0 d
ays after you received
yo
ur G
uard
iansh
ip C
om
missio
n are im
portan
t since yo
u are learn
ing th
e rules o
f th
e law an
d b
ecom
e familiar w
ith th
e requirem
ents o
f the co
urt A
ND
you are also
exp
ected to
find o
ut h
ow
you can
best care fo
r your w
ard. A
t the en
d o
f those first
90 d
ays you are exp
ected to
write yo
ur In
itial Rep
ort to
the co
urt.
Sin
ce your jo
b is lim
ited to
what th
e judge p
ut in
the o
rigin
al Ord
er and Ju
dgm
ent
you m
ust keep
this d
ocu
men
t han
dy so
that yo
u can
refer to it an
y time yo
u h
ave a q
uestio
n. S
om
e of th
e thin
gs yo
u m
ust d
o d
urin
g th
e first 90 d
ays after you
have received
your C
om
missio
n are very g
eneral an
d so
me d
epen
d o
n w
heth
er you
are a Guard
ian fo
r Property M
anag
emen
t or fo
r Personal N
eeds, o
r both
. You
should
follo
w th
e list belo
w as yo
u start yo
ur w
ork as a g
uard
ian.
● S
tart-Up D
uties o
f All G
uard
ians
● H
ow
can I take care o
f my d
uties an
d also
get read
y to w
rite the In
itial Rep
ort?
Sta
rt-Up
Du
ties o
f All G
uard
ian
s As g
uard
ian, reg
ardless o
f wheth
er you are a g
uard
ian fo
r Personal N
eeds o
r Pro
perty M
anag
emen
t, you m
ust:
● V
isit your w
ard at least o
nce d
urin
g th
e first 90 d
ays (the law
requires yo
u to
visit at least fo
ur tim
es per year)
● A
ttend a g
uard
iansh
ip train
ing p
rogram
, which
explain
s your resp
onsib
ilities as g
uard
ian
● S
ee wheth
er you can
find a w
ill, living w
ill, health
care pro
xy or o
ther
contract created
by yo
ur w
ard
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[30]
Guardian A
ssistance Netw
ork
● D
etermin
e what services an
d p
rogram
s your w
ard n
eeds
● S
tart makin
g a p
lan fo
r your w
ard’s care
● S
et up a system
to keep
all docu
men
ts and p
apers in
a safe place
● K
eep receip
ts of all p
aymen
ts you m
ake for yo
ur w
ard
● A
t the en
d o
f the first 9
0 d
ays you m
ust su
bm
it your In
itial Rep
ort to
the
court
Ho
w ca
n I ta
ke ca
re o
f my d
utie
s an
d a
lso g
et re
ad
y to
write
the In
itial
Rep
ort?
O
nce yo
u start to
carry out yo
ur d
uties, it is w
ise to keep
notes o
f everythin
g yo
u
do o
n b
ehalf o
f your w
ard. M
any g
uard
ians b
uy a n
oteb
ook fo
r this p
urp
ose in
w
hich
they w
rite dow
n w
hat th
ey have d
one fo
r their w
ard, w
hom
they h
ave sp
oken
with
, the n
ames o
f peo
ple an
d in
stitutio
ns th
ey have co
ntacted
and th
eir phone n
um
bers an
d ad
dresses. A
good h
abit w
ould
be to
write th
e date d
ow
n fo
r each
activity you d
escribe in
your n
oteb
ook –
such
notes to
yourself are im
portan
t rem
inders th
at you can
use later w
hen
you start w
riting yo
ur In
itial Rep
ort an
d th
e Annual R
eports yo
u are exp
ected to
subm
it in th
e follo
win
g years.
When
you visit yo
ur w
ard o
r when
you u
ndertake an
y task on b
ehalf o
f your w
ard
you sh
ould
write d
ow
n w
hat yo
u h
ave done an
d fo
r what p
urp
ose. W
hen
you visit
your w
ard yo
u sh
ould
write so
me o
f your o
bservatio
ns d
ow
n. A
Guard
ian fo
r Perso
nal N
eeds m
ight ask fo
r example:
● H
ow
well is yo
ur w
ard d
oin
g?
● Is h
e or sh
e clean, w
ell gro
om
ed, co
nten
t?
● H
as he o
r she b
een ill?
● H
ow
well are h
is or h
er perso
nal an
d m
edical n
eeds ad
dressed
?
● A
re there m
ajor ch
anges in
his o
r her co
nditio
n fo
r better o
r for w
orse?
● W
hat ad
ditio
nal services an
d m
edical care d
oes yo
ur w
ard n
eed?
● W
hat ap
poin
tmen
ts must b
e mad
e for yo
ur w
ard.
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[31]
Guardian A
ssistance Netw
ork
● W
hat q
uestio
ns yo
u m
ay have fo
r your w
ard’s careg
ivers (docto
rs, nurses,
hom
ecare workers, th
erapists).
● T
he n
ames, ad
dresses an
d p
hone n
um
bers o
f your w
ard’s d
octo
rs; social
workers; h
om
ecare agen
cies; and o
ther relevan
t info
rmatio
n.
● A
list of all m
edicatio
ns yo
ur w
ard is cu
rrently takin
g, in
cludin
g p
rescriptio
n
dru
gs an
d o
ver-the-co
unter m
edicatio
ns - in
clude h
ow
often
and h
ow
much
each
med
ication is taken
.
In ad
ditio
n to
keepin
g a n
oteb
ook yo
u sh
ould
also g
et in th
e hab
it of keep
ing all
importan
t pap
ers togeth
er in o
ne p
lace, starting w
ith yo
ur O
rder an
d Ju
dgm
ent
and everyth
ing else th
at you w
ill receive from
the co
urt o
ver time. O
ther im
portan
t pap
ers you m
ust save in
a safe place are th
e docu
men
ts you m
ay find in
your
ward
’s hom
e, such
as: insu
rance p
apers, a w
ill or testam
ent, a h
ealth care p
roxy
or livin
g w
ill, tax filings, co
ntracts, an
d an
ythin
g else yo
u fin
d am
ong yo
ur w
ard’s
pap
ers. Som
e guard
ians u
se a large p
lastic contain
er to keep
all their d
ocu
men
ts in
, oth
ers desig
nate a d
rawer in
a file cabin
et they m
ay have.
Guard
ians fo
r Property M
anag
emen
t also m
ust keep
all ban
k statemen
ts, invo
ices an
d receip
ts for m
oney th
ey spen
d eith
er out o
f their o
wn fu
nds o
r out o
f their
ward
’s funds.
NO
TE: H
aving g
ood n
otes an
d receip
ts and d
ocu
men
ts will m
ake your task m
uch
easier in
the lo
ng ru
n w
hen
you m
ust w
rite your In
itial and A
nnual R
eports to
the
court ab
out th
e actions yo
u h
ave taken o
n b
ehalf o
f your w
ard.
State Ju
stice Institu
te G
uard
ian A
ssistance N
etwork | K
ings C
ounty S
uprem
e Court | 3
60 A
dam
s Street, R
oom
723 | B
rooklyn
, NY 1
1201
(347) 2
96-1
948 | G
AN
@co
urts.state.n
y.us
Copyrig
ht ©
2008
Vera In
stitute o
f Justice, In
c. A d
emonstratio
n p
roject o
f the V
era Institu
te of Ju
stice, Inc.
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[32]
Guardian A
ssistance Netw
ork
● W
hat Is a G
uard
ian?
● Fro
m C
ourt H
earing
to G
uard
iansh
ip
Com
misio
n●
The First 9
0 D
ays: Fro
m C
om
misio
n to
In
itial Rep
ort
● T
he G
uard
ian fo
r Perso
nal N
eeds
● T
he G
uard
ian fo
r Pro
perty M
anag
emen
t●
The In
itial & A
nnual
Rep
orts
● E
ndin
g a G
uard
iansh
ip
● E
spañ
ol
Th
e G
uard
ian
for P
erso
nal N
eed
s
If you are yo
ur w
ard’s G
uard
ian fo
r Personal N
eeds, th
e judge h
as given
you th
e pow
er and d
uty to
make p
ersonal d
ecisions fo
r your w
ard in
just th
ose areas th
e ju
dge d
ecided
your w
ard n
eeds. A
nd b
ecause th
e law says th
at ward
s must b
e given
as much
physical freed
om
and freed
om
of ch
oice as p
ossib
le, you are
required
to in
volve yo
ur w
ard as m
uch
as possib
le when
decisio
ns m
ust b
e mad
e. Exam
ples o
f such
perso
nal d
ecisions are g
enerally th
ose m
ost p
eople m
ake for
them
selves in o
rdin
ary life.
● E
xample
● T
hin
gs G
uard
ians fo
r Personal N
eeds M
ay Not D
o●
Can
I ask the Ju
dge to
chan
ge th
e Ord
er and Ju
dgm
ent?
Exam
ple
: Guard
ian fo
r Personal N
eeds
John B
arnes is a retired
merch
ant m
arine w
ho lives alo
ne in
a small
walk-u
p ap
artmen
t in B
rooklyn
. John is kn
ow
n to
man
y neig
hbors o
n
his b
lock b
ecause h
e is always w
illing to
do sm
all chores fo
r them
. Lately th
e neig
hbors h
ave noticed
that Jo
hn is n
ot lo
okin
g w
ell, his
cloth
es are dirty, an
d h
e has lo
st a lot o
f weig
ht. R
ecently Jo
hn w
as hosp
italized w
hen
he b
roke h
is hip
falling o
n th
e icy street in fro
nt o
f his ap
artmen
t. At th
e hosp
ital the d
octo
rs found h
im co
nfu
sed an
d
sufferin
g fro
m m
alnutritio
n. Jo
hn w
as sent to
a nursin
g h
om
e to learn
to
walk ag
ain. T
he staff th
ere felt that h
e should
not g
o h
om
e again
becau
se he w
as too frail to
live alone. T
he n
ursin
g h
om
e applied
to
have a g
uard
ian ap
poin
ted fo
r John. A
t the h
earing th
e judge fo
und
John to
be frail b
ut also
noticed
that h
e very much
wan
ted to
go b
ack hom
e again
—he h
ated to
be in
the n
ursin
g h
om
e. At th
e hearin
g Jo
hn
agreed
that h
e would
accept a g
uard
ian to
help
him
and th
at he w
ould
accep
t hom
e care to m
ake it possib
le for h
im to
live alone. H
is next
door n
eighbor, H
arry, was ap
poin
ted G
uard
ian fo
r Personal N
eeds to
help
John live at h
om
e, to o
btain
hom
ecare for h
im, an
d to
make su
re th
at John g
oes fo
r regular d
octo
r visits and o
btain
s the m
edicatio
ns h
e
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[33]
Guardian A
ssistance Netw
ork
need
s. The ju
dge fo
und th
at John is still ab
le to take care o
f his
finan
cial affairs and d
id n
ot g
ive Harry th
e pow
er for Pro
perty
Man
agem
ent.
The O
rder an
d Ju
dgm
ent w
ill give yo
u d
irections ab
out yo
ur d
uties as G
uard
ian fo
r Perso
nal N
eeds. Fo
r example, th
e judge m
ay have g
iven yo
u p
ow
er to m
ake all of
the d
ecisions listed
belo
w, o
r just so
me o
f them
:
● W
here yo
ur w
ard w
ill live ●
Wheth
er your w
ard m
ust h
ave hom
e care●
Who w
ill pro
vide p
ersonal care o
r housekeep
ing assistan
ce●
Wheth
er or n
ot yo
ur w
ard m
ay have a d
river’s license o
r travel●
What so
cial enviro
nm
ent an
d so
cial life your w
ard m
ay have
● W
hat, if an
y, educatio
n o
r trainin
g yo
ur w
ard m
ay have
● W
hat so
rt of m
edical care d
ecisions yo
u m
ay make fo
r your w
ard
Th
ing
s Gu
ard
ian
s for P
erso
nal N
eed
s May N
ot D
o
Guard
ians are alw
ays limited
in w
hat th
ey are allow
ed to
do b
y the O
rder an
d
Judgm
ent. B
elow
are examples o
f thin
gs g
uard
ians m
ay n
ot d
o w
itho
ut co
urt
ap
pro
val.
● D
o an
ythin
g th
at is not stated
in th
e Ord
er and Ju
dgm
ent
● T
ake away an
y pow
ers or rig
hts fro
m th
e ward
that th
e judge h
as not
appro
ved b
eforeh
and
● M
ove th
e ward
to an
oth
er hom
e or a n
ursin
g h
om
e●
Sig
n th
e ward
into
a men
tal hyg
iene o
r substan
ce abuse facility o
r force
treatmen
t, inclu
din
g m
edicatio
n, o
n a w
ard w
ho refu
ses it●
Revo
ke a will, h
ealth care p
roxy, livin
g w
ill, pow
er of atto
rney, o
r oth
er co
ntract th
at the w
ard m
ade b
efore a G
uard
ian w
as appoin
ted●
Apply fo
r a divo
rce on b
ehalf o
f the w
ard●
Make en
d-o
f-life med
ical decisio
ns o
r refuse life-su
stainin
g treatm
ent u
nless
the ju
dge g
ave the G
uard
ian th
at pow
er
NO
TE: In
gen
eral, guard
ians w
ith m
edical d
ecision-m
aking p
ow
er have th
e right
to m
ake routin
e and so
me m
ajor h
ealth care d
ecisions fo
r their w
ards (su
ch as
agreein
g to
surg
ery) but a g
uard
ian’s p
ow
ers are limited
when
it com
es to en
d-o
f-life d
ecisions, excep
t for “D
o N
ot R
esuscitate O
rders”, also
called “D
NR O
rders”
that th
e patien
t’s docto
r may co
nsid
er in th
e patien
t’s best in
terest. Do N
ot
Resu
scitate Ord
ers are med
ical judgm
ents th
at the p
atient w
ould
not b
enefit fro
m
resuscitatio
n w
hen
his o
r her h
eart stops o
r when
he o
r she sto
ps b
reathin
g.
(Resu
scitation is u
sually co
nsid
ered n
ot to
be h
elpfu
l any lo
nger w
hen
the p
atient
is dyin
g.) Y
our O
rder an
d Ju
dgm
ent exp
lains w
hat yo
ur p
ow
ers are when
it com
es to
health
care decisio
ns.
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[34]
Guardian A
ssistance Netw
ork
C
an
I ask
the Ju
dg
e to
chan
ge th
e O
rder a
nd
Jud
gm
en
t?
Yes, if yo
u b
elieve that a ch
ange is n
eeded
and h
ave a good reaso
n, yo
u can
alw
ays ask the ju
dge fo
r a chan
ge. Fo
r instan
ce, if you th
ink th
at your w
ard m
ust
be m
oved
to an
oth
er residen
ce or facility, o
r need
s oth
er services and
interven
tions th
at are not listed
in th
e orig
inal O
rder an
d Ju
dgm
ent, yo
u sh
ould
discu
ss this w
ith yo
ur law
yer or yo
u m
ay write th
e judge yo
urself o
r call the
judge’s law
clerk. You sh
ould
explain
why yo
u are askin
g fo
r the ch
anges - th
e ju
dge m
ust ap
pro
ve them
befo
re you can
make th
e chan
ges.
State Ju
stice Institu
te G
uard
ian A
ssistance N
etwork | K
ings C
ounty S
uprem
e Court | 3
60 A
dam
s Street, R
oom
723 | B
rooklyn
, NY 1
1201
(347) 2
96-1
948 | G
AN
@co
urts.state.n
y.us
Copyrig
ht ©
2008
Vera In
stitute o
f Justice, In
c. A d
emonstratio
n p
roject o
f the V
era Institu
te of Ju
stice, Inc.
http://ww
w.nycourts.gov/ip/gan/m
anual/guardian4personal_needs.shtml (3 of 3)11/20/2011 9:24:04 A
M
[35]
Guardian A
ssistance Netw
ork
● W
hat Is a G
uard
ian?
● Fro
m C
ourt H
earing
to G
uard
iansh
ip
Com
misio
n●
The First 9
0 D
ays: Fro
m C
om
misio
n to
In
itial Rep
ort
● T
he G
uard
ian fo
r Perso
nal N
eeds
● T
he G
uard
ian fo
r Pro
perty M
anag
emen
t●
The In
itial & A
nnual
Rep
orts
● E
ndin
g a G
uard
iansh
ip
● E
spañ
ol
Th
e G
uard
ian
for P
rop
erty
Man
ag
em
en
t
If you are G
uard
ian fo
r Property M
anag
emen
t, you m
ust n
ow
start to m
anag
e the
inco
me an
d assets o
f your lo
ved o
ne. T
aking co
ntro
l of yo
ur w
ard’s p
roperty is
called “m
arshallin
g th
e assets.” In g
eneral, th
e rule ab
out m
anag
ing an
oth
er perso
n’s assets is to
be very carefu
l in h
ow
you sp
end o
r invest yo
ur w
ard’s m
oney.
New
ly appoin
ted G
uard
ians fo
r Property M
anag
emen
t have d
istinct resp
onsib
ilities th
at are differen
t from
Guard
ians fo
r Personal N
eeds. B
efore yo
u start w
orkin
g o
n
the vario
us tasks yo
u m
ight w
ant to
review th
e Ord
er and Ju
dgm
ent. T
his
docu
men
t is your g
uid
e.
NO
TE: W
hen
ever you d
o b
usin
ess for yo
ur w
ard, yo
u m
ust b
ring a certified
copy
of yo
ur O
rder an
d Ju
dgm
ent an
d C
om
missio
n w
ith yo
u to
pro
ve that yo
u are
auth
orized
by th
e court to
act on b
ehalf o
f your w
ard.
● T
hin
gs G
uard
ians fo
r Property M
anag
emen
t May N
ot D
o●
Guard
ians M
ust S
pen
d T
heir W
ard’s M
oney W
isely●
Detailed
Tasks o
f Guard
ians fo
r Property M
anag
emen
t
Th
ing
s Gu
ard
ian
s for P
rop
erty
Man
ag
em
en
t May N
ot D
o
Guard
ians fo
r Property M
anag
emen
t are limited
in w
hat th
ey are allow
ed to
do b
y th
e Ord
er and Ju
dgm
ent. B
elow
are examples o
f thin
gs g
uard
ians m
ay not d
o
with
out co
urt ap
pro
val:
● T
ake away an
y pow
ers or rig
hts fro
m yo
ur w
ard th
at the ju
dge h
as not
appro
ved b
eforeh
and
● S
ell your w
ard’s real estate o
r keep yo
ur w
ard’s real estate in
your o
wn
nam
e rather th
an in
your w
ard’s n
ame
● C
om
bin
e your o
wn m
oney w
ith th
at of yo
ur w
ard, even
if you h
ad a jo
int
ban
k account w
ith yo
ur w
ard b
efore th
e guard
iansh
ip
● U
se your w
ard’s fu
nds fo
r your o
wn p
urp
oses, o
r borro
w fro
m yo
ur w
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Guardian A
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● M
ake investm
ents th
at are risky●
Hire p
rofessio
nals o
r special exp
erts, for exam
ple an
accountan
t to file
inco
me tax retu
rns, u
nless th
e judge h
as given
you p
ermissio
n to
do so
● R
evoke a w
ill, pow
er of atto
rney, o
r oth
er contract th
at your w
ard m
ade
befo
re you w
ere appoin
ted
NO
TE: If yo
u b
elieve that yo
u h
ave a good reaso
n to
do so
meth
ing th
at is not
listed in
the O
rder an
d Ju
dgm
ent, fo
r instan
ce, if you h
ave to m
anag
e substan
tial assets, yo
u m
ay wan
t to ask th
e court fo
r perm
ission to
hire an
investm
ent
bro
ker or o
ther fin
ancial m
anag
er to h
elp yo
u. Y
ou sh
ould
contact yo
ur law
yer if yo
u h
ave one an
d ask fo
r advice o
r ask the ju
dge’s law
clerk for g
uid
ance b
y exp
lainin
g w
hy yo
u b
elieve that th
e Ord
er should
be ch
anged
.
G
uard
ian
s Mu
st Sp
en
d T
heir W
ard
’s Mo
ney W
isely
G
uard
ians are su
pposed
to sp
end th
eir ward
s’ money w
isely and m
ake it last as lo
ng as p
ossib
le. With
out th
e judge’s p
rior ap
pro
val you sh
ould
be carefu
l about
buyin
g very exp
ensive item
s for yo
ur w
ard, even
if you th
ink th
at your w
ard h
as en
ough m
oney to
pay fo
r it or d
eserves it.
Exam
ples o
f such
majo
r expen
ses are:
● R
ebuild
ing yo
ur w
ard’s h
om
e to m
ake it wheelch
air accessible
● B
uyin
g a sp
ecial van to
transp
ort yo
ur w
ard
● T
rying so
me altern
ative med
ical treatmen
t for yo
ur w
ard th
at is not likely to
be co
vered b
y your w
ard’s m
edical in
suran
ce ●
Takin
g an
expen
sive vacation w
ith yo
ur w
ard
NO
TE: W
hen
you are th
inkin
g ab
out b
uyin
g so
meth
ing very exp
ensive yo
ur w
ard
need
s or co
uld
ben
efit from
, you sh
ould
get it ap
pro
ved ah
ead o
f time b
y the
judge. If yo
u d
on’t g
et prio
r appro
val, the co
urt exam
iner, w
ho review
s all rep
orts, m
ay not ap
pro
ve of th
e purch
ase of th
e item an
d d
eman
d th
at you p
ay th
is expen
se out o
f your o
wn fu
nds.
D
eta
iled
Task
s of G
uard
ian
s for P
rop
erty
Man
ag
em
en
t The au
thors are in
deb
ted to
Leona B
eane, E
sq. w
ho d
eveloped
the list o
f tasks describ
ed in
this sectio
n an
d g
ave perm
ission to
adap
t the list fo
r this m
anual.
Esta
blish
ing
a G
uard
ian
ship
Ch
eck
ing
Acco
un
t Id
entify all b
ank acco
unts o
wned
by yo
ur w
ard (ch
ecking, savin
gs,
money m
arket, etc.). Divid
e any jo
int acco
unts an
d sep
arate your
ward
’s share fro
m it. C
lose yo
ur w
ard’s acco
unts an
d o
pen
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[37]
Guardian A
ssistance Netw
ork
guard
iansh
ip ch
ecking acco
unt w
ith yo
ur w
ard’s S
ocial S
ecurity
Num
ber o
n it an
d w
ith yo
ur n
ame as G
uard
ian in
the title.
Exam
ple
: The G
uard
iansh
ip A
ccount
Joe S
mith
becam
e the g
uard
ian fo
r his w
ife Jane, w
ho h
as Alzh
eimer’s
disease. A
lthough th
e couple alw
ays had
a join
t ban
k account, n
ow
th
at Joe h
as beco
me Jan
e’s guard
ian, h
e must o
pen
a separate b
ank
account fo
r his w
ife. This n
ew acco
unt h
as Jane’s so
cial security
num
ber o
n it b
ut th
e account is in
Joe’s n
ame as g
uard
ian fo
r an
incap
acitated p
erson. H
ere is how
the acco
unt is titled
: “Joe S
mith
as G
uard
ian
for Ja
ne S
mith
, an
Inca
pacita
ted
Perso
n”.
N
ote
: If your w
ard h
ad arran
ged
for d
irect dep
osit o
f inco
me ch
ecks (Social
Secu
rity, SSI, V
A ch
ecks, and p
ensio
ns) yo
u n
eed to
open
the G
uard
iansh
ip
Acco
unt first an
d th
en req
uest th
at the in
com
e checks b
e re-directed
from
the o
ld
account in
to th
e Guard
iansh
ip A
ccount. O
nce th
e checks are b
eing d
eposited
into
th
e new
account yo
u can
close th
e old
one.
Iden
tifyin
g S
ou
rces o
f Inco
me
Iden
tify all sources o
f your w
ard’s in
com
e: pen
sion b
enefits; ren
tal in
com
e from
tenan
ts; interest in
com
e from
investm
ents; S
ocial
Secu
rity Inco
me; S
upplem
ental S
ecurity In
com
e; veteran’s b
enefits.
Make a list, d
escribin
g each
source an
d th
e month
ly amount yo
ur w
ard
receives and arran
ge fo
r all inco
me to
be d
eposited
into
the
guard
iansh
ip acco
unt.
If any p
ublic b
enefit ch
ecks are missin
g, arran
ge fo
r the ch
ecks to b
e reissu
ed.
Iden
tifyin
g Y
ou
r Ward
’s Elig
ibility
for P
ub
lic Ben
efits
If your w
ard d
oes n
ot cu
rrently receive p
ublic b
enefits b
ut m
ay be
eligib
le, you m
ust ap
ply fo
r them
on b
ehalf o
f your w
ard.
Arra
ng
ing
for P
re-n
eed
Bu
rial E
xp
en
ses
If your w
ard receives S
upplem
ental S
ecurity In
com
e or M
edicaid
or if
you are ap
plyin
g fo
r these b
enefits o
r are engag
ed in
“Med
icaid
Plannin
g,” yo
u are p
ermitted
to o
pen
a separate G
uard
iansh
ip savin
gs
account w
ith n
o m
ore th
an $
1,5
00 as a sp
ecial burial acco
unt. T
his
account m
ay gen
erate interest an
d g
row
over tim
e but yo
u m
ay never
use it d
urin
g yo
ur w
ard’s lifetim
e – it is a set asid
e for yo
ur w
ard’s
futu
re funeral exp
enses. In
additio
n to
a separate b
urial savin
gs
account, yo
u also
may o
btain
an irrevo
cable b
urial tru
st, arrange fo
r a pre-p
aid fu
neral w
ith a fu
neral h
om
e, or p
urch
ase a cemetery p
lot.
You m
ay wan
t to d
iscuss th
is with
the ju
dge’s law
clerk befo
re you
make th
e decisio
n an
d sp
end yo
ur w
ard’s fu
nds.
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Guardian A
ssistance Netw
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NO
TE: M
edicaid
Plannin
g is th
e pro
cess of p
reparin
g to
apply fo
r Med
icaid w
ith
the assistan
ce of an
attorn
ey who is a sp
ecialist in M
edicaid
law. S
ee Spen
din
g
Dow
n Y
our W
ard’s A
ssets b
elow
.
Beco
min
g R
ep
rese
nta
tive P
ayee fo
r Go
vern
men
t Inco
me C
heck
s If yo
ur w
ard receives S
ocial S
ecurity b
enefits o
r Supplem
ental S
ecurity
Inco
me yo
u sh
ould
apply to
be ap
poin
ted R
epresen
tative Payee (for V
A
ben
efits the R
epresen
tative Payee is called “Fid
uciary”) an
d h
ave the
checks au
tom
atically dep
osited
into
the g
uard
iansh
ip acco
unt. If yo
ur
ward
lives in a n
ursin
g facility o
r a residen
ce for p
eople w
ith
disab
ilities, you m
ay prefer to
have th
e facility or resid
ence b
ecom
e Rep
resentative Payee. T
hat w
ay the n
ursin
g h
om
e will receive th
e m
oney an
d yo
u d
on’t h
ave to m
anag
e it and p
ay the n
ursin
g h
om
e each
month
.
Exam
ple: T
he N
ursin
g H
om
e as Rep
resentative Payee
Mary E
lkins an
d h
er disab
led b
roth
er John h
ave lived to
geth
er for
man
y years. Ever sin
ce she tu
rned
65, M
ary had
the S
ocial S
ecurity
Adm
inistratio
n d
eposit h
er Social S
ecurity ch
eck and Jo
hn’s S
SI ch
eck in
to a jo
int b
ank acco
unt. N
ow
that Jo
hn h
as been
placed
in a n
ursin
g
hom
e and M
ary has b
ecom
e John’s g
uard
ian, eith
er Mary o
r the
nursin
g h
om
e can ap
ply to
the S
ocial S
ecurity A
dm
inistratio
n to
beco
me Jo
hn’s R
epresen
tative Payee. If the n
ursin
g h
om
e beco
mes
the R
epresen
tative Payee the n
ursin
g h
om
e will u
se the m
oney fo
r Jo
hn’s m
onth
ly nursin
g h
om
e cost an
d w
ill then
apply fo
r additio
nal
Med
icaid co
verage. M
ary will o
nly g
ain access to
John’s M
edicaid
-ap
pro
ved p
ersonal allo
wan
ce to b
e used
for Jo
hn’s p
ersonal n
eeds.
This arran
gem
ent w
ill make m
anag
ing Jo
hn’s fu
nds very easy fo
r Mary.
Payin
g B
ills You m
ust assess yo
ur w
ard’s m
onth
ly expen
ses and arran
ge to
have
these m
et. Inclu
de p
aymen
ts for ren
t, food, clo
thin
g, p
et care, housekeep
ing an
d p
ersonal care p
rovid
ers, social activities, ed
ucatio
nal
pro
gram
s, med
ical expen
ses, and care o
f dep
enden
ts (if ord
ered b
y th
e judge). R
equest th
at all recurrin
g b
ills (such
as those fo
r utilities
and ren
t) be re-d
irected to
you so
that th
ey can b
e paid
in a tim
ely fash
ion. Id
entify n
on-recu
rring b
ills and arran
ge fo
r paym
ent.
Exam
ples o
f non-recu
rring b
ills are docto
r’s bills, p
ayroll taxes an
d
related exp
enses fo
r househ
old
emplo
yees. You m
ay set up a lo
cal acco
unt w
ith a g
rocery sto
re or arran
ge fo
r petty cash
for h
om
ecare w
orkers to
make yo
ur life a little easier. If yo
ur w
ard is ab
le to m
anag
e a sm
all amount o
f money yo
u m
ay arrange fo
r weekly sp
endin
g m
oney
so th
at he o
r she still h
as som
e indep
enden
ce.
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Guardian A
ssistance Netw
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NO
TE: Y
ou sh
ould
always p
ay by ch
eck rather th
an cash
since it is extrem
ely difficu
lt to acco
unt fo
r cash p
aymen
ts when
you w
rite your rep
orts to
the ju
dge.
If you n
eed to
pay b
y money o
rder, w
rite dow
n o
n th
e receipt w
hat th
e paym
ent
was fo
r. And, if yo
u m
ust p
ay with
cash ask th
at the recip
ient sig
n a receip
t for
you.
Payin
g O
utsta
nd
ing
Deb
ts Id
entify all cu
rrent d
ebt an
d arran
ge fo
r paym
ent. In
clude co
urt
ord
ered p
aymen
ts to vario
us p
rofessio
nals w
ho w
ere invo
lved in
the
guard
iansh
ip p
rocess. C
heck yo
ur O
rder an
d Ju
dgm
ent fo
r the n
ames
of th
e peo
ple w
ho m
ust b
e paid
and th
e amount o
f their fees.
If your w
ard receives S
ocial S
ecurity b
enefits o
r Supplem
ental S
ecurity
Inco
me an
d h
as no fin
ancial assets, yo
ur first o
blig
ation is to
ensu
re th
at your w
ard’s m
onth
ly expen
ses are covered
, such
as for sh
elter, fo
od an
d clo
thin
g. G
uard
ians sh
ould
advise all cred
itors th
at their
ward
s are not cap
able o
f payin
g th
eir outstan
din
g d
ebt b
y sendin
g th
e cred
itor a letter exp
lainin
g th
e ward
’s situatio
n an
d th
e fact that yo
u
are now
Guard
ian an
d R
epresen
tative Payee for yo
ur w
ard. C
lick here
for a a sam
ple letter to
credito
rs.
NO
TE: C
redito
rs can u
sually g
ain access to
your w
ard’s in
com
e befo
re you can
. H
ow
ever, credito
rs can
no
t gain
access to yo
ur w
ard’s g
overn
men
t inco
me
checks. Fu
rtherm
ore, if yo
ur w
ard h
ad received
an “o
verpaym
ent” fro
m S
ocial
Secu
rity or S
SI, an
d m
ust p
ay the o
verpaid
amount b
ack to th
e Social S
ecurity
Adm
inistratio
n yo
u sh
ould
neg
otiate a m
onth
ly paym
ent th
at is as small as
possib
le so th
at you can
pay yo
ur w
ard’s o
rdin
ary month
ly expen
ses with
out to
o
much
hard
ship
.
Arra
ng
ing
Fo
r Yo
ur W
ard
’s Mail to
Be R
e-D
irecte
d T
o Y
ou
Perso
nal m
ail can ju
st be fo
rward
ed to
you b
ut o
fficial mail like b
ills an
d o
ther statem
ents sh
ould
be ad
dressed
to yo
u “as g
uard
ian fo
r [yo
ur w
ard’s n
ame]”, sim
ilar to th
e title on th
e guard
iansh
ip acco
unt.
Fin
din
g B
an
k A
ccou
nts w
ith H
elp
from
the IR
S
Exam
ple
: Lookin
g fo
r Ban
k Acco
unts
Rudi Jo
hnso
n received
his C
om
missio
n to
act as guard
ian fo
r his U
ncle
Jacob a w
eek ago. S
ince h
is uncle alw
ays was secretive ab
out h
is fin
ances R
udi h
as no id
ea how
much
money h
is uncle h
as and w
here
his b
ank acco
unts are lo
cated, b
ut h
e wan
ts to b
e sure th
at his u
ncle’s
funds are safe fro
m p
eople w
ho h
ave abused
Uncle Jaco
b in
the p
ast. The first th
ing R
udi m
ust d
o is to
find U
ncle Jaco
b’s b
ank acco
unts an
d
close th
em so
that U
ncle Jaco
b an
d th
e peo
ple w
ho to
ok ad
vantag
e of
him
, no lo
nger h
ave access to th
e money.
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ssistance Netw
ork
One o
f the m
ost d
ifficult tasks g
uard
ians u
sually face is to
find all th
e assets an
d so
urces o
f inco
me o
f their w
ard. A
good so
urce o
f help
for
guard
ians is th
e Inte
rnal R
even
ue S
erv
ice, w
hich
regularly receives
info
rmatio
n o
n all tax p
ayers who o
wn b
ank acco
unts o
r who h
ave in
com
e from
wag
es, pen
sions, o
r investm
ents. If yo
u th
ink yo
ur w
ard
may h
ave ban
k accounts yo
u can
not fin
d, yo
u m
ay fill out IR
S Fo
rm
4506T (R
equest fo
r Tran
script o
f a Tax R
eturn
). Check item
#8 o
n th
e Fo
rm. A
fter about tw
o m
onth
s the IR
S w
ill send yo
u a rep
ort o
n all
ban
ks and o
ther fin
ancial in
stitutio
ns th
at have su
bm
itted fin
ancial
info
rmatio
n to
the IR
S o
n acco
unts o
wned
by yo
ur w
ard. T
here are
also p
rivate agen
cies that w
ill do th
is faster for a fee.
N
OTE: IR
S fo
rms are availab
le thro
ugh its w
ebsite: w
ww
.irs.gov, o
r by callin
g
1-8
00-8
29-3
676. W
hen
ever you m
ail a letter or fo
rm to
the IR
S yo
u sh
ould
attach
a copy o
f your certified
Guard
iansh
ip C
om
missio
n an
d sig
n yo
ur letter o
r fo
rm as “G
uard
ian”.
Lo
catin
g O
ther U
ncla
imed
Pro
perty
In
additio
n to
searchin
g fo
r your w
ard’s active b
ank acco
unts, yo
u m
ay w
ant to
search fo
r oth
er unclaim
ed p
roperty th
at is ow
ned
by yo
ur
ward
, such
as unclaim
ed tax refu
nds, in
suran
ce reimbursem
ent, an
d
neg
lected b
ank acco
unts. In
New
York S
tate you m
ay try ww
w.o
sc.state.n
y.us. Fo
r pro
perty in
oth
er states you m
ay try the w
ebsite o
f th
e Natio
nal A
ssociatio
n o
f Unclaim
ed Pro
perty A
dm
inistrato
rs, ww
w.
nau
pa.o
rg.
Lo
okin
g F
or S
afe
Dep
osit B
oxes
Check w
ith th
e ban
k to fin
d o
ut if yo
ur w
ard h
ad a safe d
eposit b
ox
and arran
ge w
ith th
e ban
k to m
ake an in
vento
ry of its co
nten
ts. If the
safe dep
osit b
ox is jo
intly h
eld w
ith so
meo
ne else, sep
arate your
ward
’s valuab
les from
those o
f the o
ther p
erson an
d ren
t a separate
box fo
r your w
ard.
NO
TE: Y
ou sh
ould
check yo
ur O
rder an
d Ju
dgm
ent to
see if the ju
dge o
rdered
yo
u to
check th
e conten
ts of a safe d
eposit b
ox. If it is n
ot in
the o
rigin
al Ord
er yo
u m
ay need
a special co
urt o
rder to
gain
access to th
e safe dep
osit b
ox.
Lo
catin
g In
sura
nce
Po
licies
Iden
tify all insu
rance p
olicies; m
ake a list and in
clude th
e nam
e of th
e co
mpan
y and th
e policy n
um
ber. Po
licies may in
clude h
ouseh
old
, valu
able item
s, liability, life, fire, au
to, lo
ng term
care, and m
edical
insu
rance. N
otify th
e com
pan
ies of yo
ur g
uard
iansh
ip ap
poin
tmen
t an
d req
uest th
at all corresp
onden
ce be re-d
irected to
you.
Iden
tifyin
g A
ll Investm
en
ts Id
entify all sto
cks, bonds, m
utu
al funds, an
d in
vestmen
t accounts yo
ur
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[41]
Guardian A
ssistance Netw
ork
ward
may h
ave establish
ed in
the p
ast. Make a list o
f each w
ith th
e nam
e of th
e security, p
olicy n
um
ber, an
d cu
rrent valu
e. Notify all
com
pan
ies of yo
ur g
uard
iansh
ip ap
poin
tmen
t (send th
em a co
py o
f yo
ur C
ertified C
om
missio
n) an
d req
uest th
at all corresp
onden
ce be re-
directed
to yo
u. If yo
ur w
ard’s assets are co
mplicated
, request
perm
ission fro
m th
e judge to
hire an
investm
ent b
roker o
r accountan
t to
man
age yo
ur w
ard’s assets.
If stock certificates can
not b
e located
, arrange fo
r an in
dem
nity b
ond.
Iden
tifyin
g V
alu
ab
le P
erso
nal Ite
ms
Iden
tify all valuab
le pro
perty at yo
ur w
ard’s h
om
e: inclu
de jew
elry, art, fin
e rugs, co
ins, stam
p co
llections, silverw
are, and cash
. You
should
have th
e items ap
praised
for th
eir estimated
value an
d if th
ey are n
ot in
sured
, you sh
ould
insu
re them
. Make su
re that yo
u m
ake a list o
f all of th
e items.
Lo
okin
g F
or V
alu
ab
le D
ocu
men
ts Search
for im
portan
t docu
men
ts among yo
ur w
ard’s p
apers. Lo
ok fo
r a w
ill, a health
care pro
xy, a living w
ill, a pow
er of atto
rney an
d
anyth
ing else yo
u th
ink m
ay be im
portan
t. Put th
ese docu
men
ts in a
safe place.
Lo
catin
g R
eal P
rop
erty
Id
entify an
y real estate ow
ned
by yo
ur w
ard an
d file a “S
tatemen
t Id
entifyin
g R
eal Property” w
ith th
e Pro
perty
Reco
rdin
g O
ffice o
f the
cou
nty
wh
ere
the p
rop
erty
is loca
ted
. These d
ocu
men
ts must b
e sig
ned
by yo
u in
front o
f a Notary Pu
blic. R
eal pro
perty m
ust b
e kept
in yo
ur w
ard’s n
ame. If yo
ur w
ard o
wns a co
-op ap
artmen
t you m
ust
notify th
e Co-o
p B
oard
of yo
ur ap
poin
tmen
t and ask to
have an
y mail
re-directed
to yo
u. ( C
lick here fo
r a sample o
f a Statem
ent Id
entifyin
g
Real Pro
perty.)
NO
TE: If yo
u w
ish to
sell the p
roperty yo
u m
ust first g
et perm
ission fro
m th
e ju
dge. B
efore yo
u sell th
e pro
perty th
e judge m
ay wan
t it to b
e appraised
by an
ap
praiser w
ho is listed
on a co
urt ap
pro
ved list an
d th
e judge w
ill establish
the fee
for th
e appraiser.
Filin
g T
ax R
etu
rns
File federal, state an
d lo
cal tax return
s befo
re April 1
5th
of each
year. If yo
u can
not file yo
ur w
ard’s taxes o
n tim
e you m
ay file for a six
month
s extensio
n, u
sing IR
S Fo
rm 4
868, called
an A
pplicatio
n fo
r Auto
matic E
xtensio
n o
f Tim
e. Tax retu
rns m
ust b
e filed in
your w
ard’s
nam
e and so
cial security n
um
ber, b
ut th
ey must b
e signed
by yo
u as
“Gu
ard
ian
for [n
am
e o
f yo
ur w
ard
], an
inca
pacita
ted
perso
n.”
You sh
ould
attach a co
py o
f your certified
Com
missio
n to
the tax
return
s you file fo
r your w
ard. If yo
ur w
ard m
issed filin
g tax retu
rns in
previo
us years th
e IRS w
ill notify yo
u an
d d
eman
d th
at these b
e filed
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[42]
Guardian A
ssistance Netw
ork
as soon as p
ossib
le. Req
uest th
at the IR
S w
aive pen
alties for late filin
g
and sen
d th
e IRS a co
py o
f your C
ertified C
om
missio
n to
show
that
your w
ard is an
incap
acitated p
erson an
d w
as incap
able o
f filing taxes
previo
usly.
NO
TE: If yo
u n
eed h
elp w
ith yo
ur w
ard’s taxes yo
u sh
ould
ask perm
ission fro
m
the ju
dge to
hire an
accountan
t. If the ju
dge ap
pro
ves your req
uest, th
e judge
will set th
e accountan
t’s fee which
then
can b
e paid
out o
f your w
ard’s assets.
Sp
en
din
g D
ow
n Y
ou
r Ward
’s Asse
ts As yo
u are sp
endin
g yo
ur w
ard’s assets o
n h
is or h
er care you m
ust
make a p
lan fo
r your w
ard’s fu
ture fin
ancial n
eeds. T
his m
ay require
you to
engag
e in M
edicaid
plan
nin
g if yo
ur w
ard’s assets are clo
se to
bein
g d
epleted
. You sh
ould
discu
ss Med
icaid p
lannin
g w
ith an
eld
er
law
atto
rney fam
iliar with
Med
icaid. M
edicaid
is an im
portan
t med
ical in
suran
ce pro
gram
that co
vers extensive h
om
e care and n
ursin
g h
om
e care fo
r New
Yorkers w
ho h
ave dep
leted th
eir assets and h
ave beco
me
indig
ent. ( C
lick here fo
r more in
form
ation o
n M
edicaid
.)
State Ju
stice Institu
te G
uard
ian A
ssistance N
etwork | K
ings C
ounty S
uprem
e Court | 3
60 A
dam
s Street, R
oom
723 | B
rooklyn
, NY 1
1201
(347) 2
96-1
948 | G
AN
@co
urts.state.n
y.us
Copyrig
ht ©
2008
Vera In
stitute o
f Justice, In
c. A d
emonstratio
n p
roject o
f the V
era Institu
te of Ju
stice, Inc.
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[43]
Guardian A
ssistance Netw
ork
● W
hat Is a G
uard
ian?
● Fro
m C
ourt H
earing
to G
uard
iansh
ip
Com
misio
n●
The First 9
0 D
ays: Fro
m C
om
misio
n to
In
itial Rep
ort
● T
he G
uard
ian fo
r Perso
nal N
eeds
● T
he G
uard
ian fo
r Pro
perty M
anag
emen
t●
The In
itial & A
nnual
Rep
orts
● E
ndin
g a G
uard
iansh
ip
● E
spañ
ol
Th
e In
itial &
An
nu
al R
ep
orts
All g
uard
ians m
ust reg
ularly rep
ort to
the co
urt. T
hese rep
orts g
ive the co
urt
info
rmatio
n ab
out yo
ur w
ard an
d h
ow
well yo
u are takin
g care o
f your w
ard’s
affairs, what yo
ur p
lans are fo
r your w
ard, h
ow
much
money yo
ur w
ard h
as, and
anyth
ing else th
at gives th
e judge a g
ood sen
se that yo
ur w
ard is w
ell cared fo
r. The rep
orts m
ust b
e written
in a co
urt ap
pro
ved fo
rm. C
opies o
f form
s are located
in
Reso
urces an
d ad
ditio
nal co
pies can
be o
btain
ed fro
m th
e Guard
iansh
ip Part o
r th
e Court C
lerk in yo
ur co
urth
ouse.
● T
he In
itial R
ep
ort is th
e first report yo
u m
ust w
rite 90 d
ays after you
received yo
ur C
om
missio
n. T
his rep
ort is m
eant to
be a p
icture o
r “sn
apsh
ot” o
f your w
ard’s situ
ation at th
e beg
innin
g o
f the g
uard
iansh
ip.
(Click h
ere for a sam
ple an
Initial R
eport.)
● T
he A
nn
ual R
ep
ort, so
metim
es called th
e “Annual A
ccountin
g” is alw
ays due in
May an
d co
vers the p
revious calen
dar year fro
m Jan
uary 1
thro
ugh
Decem
ber 3
1. T
he p
eriod b
etween
the In
itial Rep
ort an
d th
e Annual R
eport
is the tim
e in w
hich
you co
ntin
ue to
care for yo
ur w
ard acco
rdin
g to
the
judge’s o
rders an
d th
e plan
s you o
utlin
ed in
your In
itial Rep
ort. (C
lick here
for a sam
ple o
f an A
nnual R
eport.)
● W
hat In
form
ation M
ust B
e Inclu
ded
In T
he R
eports?
● A
sking Fo
r Reim
bursem
ent o
f Your “O
ut-O
f-Pocket” E
xpen
ses●
Askin
g fo
r Chan
ges in
the G
uard
ian’s Po
wer
❍ C
an G
uard
ians A
sk For C
han
ges at A
ny O
ther T
ime?
❍ W
ho S
hould
Receive M
y Initial o
r Annual R
eports?
❍ W
hat h
appen
s to th
e Rep
orts after I file th
em?
● T
he In
itial Rep
ort
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[44]
Guardian A
ssistance Netw
ork
● T
he A
nnual R
eport
Wh
at In
form
atio
n M
ust B
e In
clud
ed
In T
he R
ep
orts?
The ju
dge w
ill wan
t to kn
ow
that yo
ur w
ard is in
good h
ands an
d th
at you are
doin
g everyth
ing fo
r your w
ard th
e way th
e judge h
ad o
rdered
. When
you p
repare
to w
rite your rep
orts, yo
u sh
ould
first re-read th
e Ord
er and Ju
dgm
ent so
that yo
u
know
exactly what th
e judge h
as given
you th
e pow
er to d
o an
d th
en start fillin
g in
th
e sections listed
in th
e report fo
rms. (T
his is th
e time w
here yo
u w
ill find th
at yo
u w
ill greatly b
enefit fro
m h
aving m
ade p
ersonal n
otes an
d h
aving kep
t receipts
and all statem
ents, in
voices an
d b
ills.)
NO
TE: M
ost g
uard
ians fin
d th
at som
e sections o
f the rep
ort fo
rms are n
ot
relevant in
their p
articular w
ard’s case. If yo
u d
on’t fill o
ut a sectio
n b
ecause it
does n
ot ap
ply, yo
u sh
ould
write in
that sectio
n th
e word
s: NO
T A
PPLICABLE
. N
ever le
ave a
sectio
n in
the fo
rm b
lan
k.
Ask
ing
Fo
r Reim
bu
rsem
en
t of Y
ou
r “Ou
t-Of-P
ock
et” E
xp
en
ses
In yo
ur rep
orts yo
u m
ay ask for reim
bursem
ent o
f expen
ses you h
ave paid
out o
f yo
ur o
wn fu
nds o
n b
ehalf o
f your w
ard. B
elow
are som
e examples o
f expen
ses for
which
you m
ay be reim
bursed
, bu
t yo
u ca
n o
nly
get re
imb
urse
d if y
ou
kep
t th
e re
ceip
ts an
d if y
ou
r ward
has a
ssets.
● Lo
st wag
es while yo
u w
ere taking care o
f your w
ard’s affairs
● T
he fee yo
u p
aid to
attend th
e required
guard
iansh
ip train
ing
● T
axi fares, gas, m
ileage, o
r parkin
g fo
r your car to
take your w
ard to
the
docto
r or an
y oth
er appoin
tmen
t●
The co
st to p
hoto
copy p
apers an
d h
ave them
certified
● T
he co
st of o
btain
ing a b
ond, if th
e judge o
rdered
you to
get o
ne
● A
ny p
aymen
ts you h
ave mad
e from
your o
wn fu
nds to
buy su
pplies an
d
services for yo
ur w
ard fo
r which
you h
ave saved th
e receipts
Ask
ing
for C
han
ges in
the G
uard
ian
’s Po
wer
The tim
e to ask fo
r a chan
ge in
the O
rder an
d Ju
dgm
ent is w
hen
you su
bm
it your
Initial o
r Annual R
eport. C
han
ges m
ay be n
eeded
in th
e Ord
er and Ju
dgm
ent o
ver tim
e for an
y num
ber o
f reasons. Fo
r instan
ce a perso
n, w
ho w
as hurt in
an
acciden
t may reco
ver and b
e able to
do m
ore th
ings fo
r him
or h
erself. In th
at case th
e Guard
ian’s p
ow
ers could
beco
me less o
ver time. O
n th
e oth
er han
d,
som
e ward
s beco
me m
ore frail o
ver time an
d m
ay be less ab
le to m
anag
e som
e of
their affairs - in
that case, th
e Ord
er may b
e chan
ged
to g
ive the g
uard
ian
additio
nal p
ow
ers that are n
eeded
.
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Guardian A
ssistance Netw
ork
If you h
ave good reaso
ns to
ask the ju
dge fo
r a chan
ge in
your p
ow
ers and yo
u
have a law
yer you sh
ould
ask him
or h
er to w
rite a request to
the ju
dge g
iving all
the reaso
ns w
hy yo
u th
ink th
e chan
ge in
the O
rder an
d Ju
dgm
ent is n
eeded
. But
family g
uard
ians w
ithout a law
yer may w
rite the ju
dge th
emselves to
ask for a
chan
ge in
their p
ow
ers. Befo
re you w
rite the ju
dge yo
u m
ay wan
t to call th
e ju
dge’s law
clerk and exp
lain w
hat it is yo
u w
ould
like to d
o –
law clerks can
be
very help
ful to
you sin
ce they w
ork clo
sely with
the ju
dge an
d assist th
e judge w
ith
all legal q
uestio
ns an
d issu
es. If you d
on’t h
ave good reaso
ns fo
r the ch
anges yo
u
request, o
r if the ju
dge d
isagrees w
ith yo
u b
ecause h
e or sh
e feels that yo
ur p
lan
is not in
the b
est interest o
f your w
ard, th
e judge w
ill not ap
pro
ve them
.
Exam
ple
: The Ju
dge’s refu
sal to ch
ange th
e Ord
er and Ju
dgm
ent
Three years ag
o D
onald
was ap
poin
ted g
uard
ian fo
r Personal N
eeds
and Pro
perty M
anag
emen
t for h
is moth
er, Millie, w
ho lives in
her o
wn
apartm
ent in
Bro
oklyn
. Millie is d
oin
g very w
ell, especially n
ow
that
she h
as a hom
e attendan
t three tim
es per w
eek. Tw
o years ag
o
Donald
moved
with
his n
ew w
ife to Lo
ng Islan
d. H
e now
wan
ts to
move M
illie to an
assisted livin
g resid
ence n
ear his h
om
e. Havin
g
Millie n
earby w
ill make it m
uch
easier for D
onald
and h
is wife to
su
pervise h
om
e care aids an
d to
visit his m
oth
er frequen
tly. Donald
has asked
for a ch
ange in
the O
rder an
d Ju
dgm
ent, p
ermittin
g h
im to
m
ove M
illie to Lo
ng Islan
d. B
ut th
ere is a big
pro
blem
: since M
illie is very h
appy in
her ap
artmen
t in w
hich
she h
as lived fo
r man
y years and
becau
se she likes th
e hom
e attendan
t, she d
oes n
ot w
ant to
move.
Becau
se the law
requires th
at ward
s must b
e consu
lted ab
out w
here
they w
ant to
live, the ju
dge d
ecides th
at Millie sh
ould
not b
e moved
an
d d
enies D
onald
’s request to
chan
ge th
e Ord
er and Ju
dgm
ent.
Can
Gu
ard
ian
s Ask
Fo
r Ch
an
ges a
t An
y O
ther T
ime?
Yes, m
ost ju
dges w
ill perm
it guard
ians w
ho h
ave an em
ergen
cy to
write a letter exp
lainin
g w
hy th
e Ord
er need
s to b
e chan
ged
and
asking fo
r the ju
dge’s ap
pro
val befo
re the rep
orts are d
ue. B
efore yo
u
write th
e judge yo
u sh
ould
call the ju
dge’s law
clerk and ask h
im o
r her fo
r guid
ance.
Exam
ple
: Chan
gin
g th
e Ord
er and Ju
dgm
ent in
an
Em
ergen
cy
John is h
is moth
er June’s g
uard
ian fo
r Personal N
eeds. H
is m
oth
er still lives in h
er ow
n ap
artmen
t but sh
e has
advan
ced can
cer in ad
ditio
n to
her d
emen
tia. June’s
docto
r has ad
vised Jo
hn th
at his m
oth
er must b
e placed
in
a nursin
g h
om
e to receive care fro
m n
urses an
d o
ther
specialists an
d h
ave access to m
edicin
es to co
ntro
l her
pain
. The ju
dge’s O
rder an
d Ju
dgm
ent d
oes n
ot g
ive John
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Guardian A
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the p
ow
er to p
lace his m
oth
er in a n
ursin
g h
om
e. H
ow
ever, John d
oes n
ot h
ave to w
ait until th
e time h
e has
to su
bm
it his A
nnual R
eport. Jo
hn can
write th
e judge a
letter asking th
at the ju
dge ch
ange th
e Ord
er now
so th
at Ju
ne can
be ad
mitted
to th
e nursin
g h
om
e imm
ediately.
Wh
o S
ho
uld
Rece
ive M
y In
itial o
r An
nu
al R
ep
orts?
O
nce yo
u h
ave finish
ed w
riting eith
er one o
f the rep
orts yo
u m
ust sig
n
it in th
e presen
ce of a N
otary Pu
blic. T
he n
otarized
copy m
ust b
e filed
with
the o
ffice of th
e county clerk. Y
ou sh
ould
either h
and d
eliver the
orig
inal rep
ort to
the co
unty clerk o
r mail it b
y certified m
ail, return
receip
t requested
. You sh
ould
also m
ail a photo
copy o
f the rep
ort to
:
● T
he co
urt exam
iner w
ho h
as been
assigned
to yo
ur w
ard’s case.
The co
urt exam
iner’s n
ame is u
sually lo
cated in
the O
rder an
d
Judgm
ent, b
ut if it is n
ot yo
u can
contact th
e county clerk’s
office to
find o
ut w
ho th
e court exam
iner is fo
r your w
ard’s case.
● Y
our w
ard, u
nless th
e judge o
rdered
you n
ot to
do so
in th
e O
rder an
d Ju
dgm
ent.
● T
he co
urt evalu
ator w
ho rep
orted
to th
e court d
urin
g th
e hearin
g
(Initial R
eport o
nly).
● A
ny atto
rney w
ho rep
resented
your w
ard at th
e hearin
g (In
itial Rep
ort o
nly).
● T
he b
ond co
mpan
y, if you w
ere required
to g
et a bond (A
nnual
Rep
ort o
nly).
● If yo
ur w
ard lives in
a hom
e for p
eople w
ith d
isabilities, o
r an
oth
er similar typ
e of resid
ence, yo
u m
ust sen
d a co
py o
f the
report to
the ad
min
istrator o
f the resid
ence.
● If yo
ur w
ard lives in
a men
tal health
facility, you m
ust sen
d a
copy o
f the rep
ort to
the D
irector o
f Men
tal Hyg
iene Leg
al Services.
In B
roo
kly
n, Q
ueen
s an
d S
tate
n Isla
nd th
is perso
n is:
Sid
ney H
irschfeld
, Directo
r Seco
nd Ju
dicial D
epartm
ent, M
ental H
ygien
e Legal S
ervices 170 O
ld C
ountry R
oad
M
ineo
la, NY 1
1501
In M
an
hatta
n a
nd
the B
ron
x th
is perso
n is:
Marvin
Bern
stein, D
irector
First Judicial D
epartm
ent, M
ental H
ygien
e Legal S
ervices 60 M
adiso
n A
venue, 2
nd Flo
or
New
York, N
Y 1
0010
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Guardian A
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Wh
at h
ap
pen
s to th
e R
ep
orts a
fter I file
them
?
All rep
orts are review
ed b
y the co
urt exam
iner w
ho m
ust m
ake sure
that th
e reports p
resent in
form
ation o
n all th
e tasks that w
ere listed in
th
e orig
inal O
rder an
d Ju
dgm
ent an
d th
at the acco
untin
g o
f how
you
spen
t your w
ard’s fu
nds is accu
rate and accep
table. Y
ou m
ay be asked
to
chan
ge th
e report if th
e court exam
iner b
elieves that ch
anges are
need
ed. T
he co
urt exam
iner m
ay also call yo
u an
d ask yo
u q
uestio
ns
by p
hone o
r ask you to
com
e to h
is or h
er office. A
fter the co
urt
examin
er has ap
pro
ved yo
ur rep
ort h
e or sh
e will sen
d a su
mm
ary to
the ju
dge.
Th
e In
itial R
ep
ort
The In
itial Rep
ort is also
called th
e “90-d
ay Rep
ort” sin
ce it must b
e subm
itted 9
0
days after th
e day th
at you received
your C
om
missio
n.
All G
uard
ian
s Mu
st Inclu
de T
he F
ollo
win
g In
form
atio
n In
Th
e
Initia
l Rep
ort:
● W
hat typ
e of g
uard
ian yo
u are—
for p
ersonal n
eeds, p
roperty m
anag
emen
t, or b
oth
● W
heth
er you h
ave com
pleted
a guard
iansh
ip train
ing p
rogram
(you m
ust
attach a co
py o
f the certificate o
f attendan
ce to yo
ur rep
ort)
● Y
our w
ard’s ag
e and w
here yo
ur w
ard lives
● T
he n
ame o
f the facility o
r residen
ce where yo
ur w
ard lives, if yo
ur w
ard
does n
ot live at h
om
e ●
How
often
you h
ave visited yo
ur w
ard d
urin
g th
ese first 90 d
ays—yo
u m
ust
have visited
at least once
● A
list of im
portan
t docu
men
ts you h
ave found th
at your w
ard sig
ned
in th
e past, su
ch as p
ow
er of atto
rney, a w
ill, a health
care pro
xy, or a livin
g w
ill●
What p
lans yo
u h
ave to take care o
f your w
ard in
the im
med
iate futu
re●
Wheth
er there h
ave been
chan
ges in
your w
ard’s situ
ation sin
ce the h
earing
Gu
ard
ian
s for P
erso
nal N
eed
s Mu
st Pro
vid
e th
e F
ollo
win
g
Info
rmatio
n:
● T
he n
ames an
d ad
dresses o
f your w
ard’s p
ersonal d
octo
r and p
sychiatrist o
r psych
olo
gist
● T
he d
octo
rs’ diag
nosis
● A
list of o
ther p
rofessio
nals o
r service agen
cies that p
rovid
e services to yo
ur
ward
(hom
e care agen
cies, meals o
n w
heels, so
cial services). You sh
ould
list
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[48]
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ssistance Netw
ork
each o
ne w
ith an
address an
d p
hone n
um
ber
● A
list of d
ay care pro
gram
s your w
ard atten
ds reg
ularly w
ith th
eir nam
es and
phone n
um
bers
● A
list of m
edicatio
ns yo
ur w
ard is cu
rrently takin
g
Gu
ard
ian
s for P
rop
erty
Man
ag
em
en
t Mu
st Pro
vid
e D
eta
iled
Fin
an
cial In
form
atio
n o
n:
● B
ank acco
unts yo
ur w
ard o
wned
at the tim
e of yo
ur ap
poin
tmen
t as guard
ian
(inclu
de th
e nam
e of th
e ban
k, the acco
unt n
um
ber an
d th
e amount o
f m
oney in
each acco
unt)
● W
heth
er you h
ave open
ed a G
uard
iansh
ip A
ccount
● A
list of sto
cks, bonds, o
ther secu
rities that yo
u h
ave found, an
d w
heth
er yo
u h
ave chan
ged
the title o
f the acco
unts to
your n
ame as g
uard
ian●
A list o
f any o
ther fu
nds yo
u h
ave found, w
here th
ey were lo
cated, w
hat
their valu
e is, and w
hat yo
u h
ave done w
ith th
ese funds
● A
list of o
ther p
ersonal p
roperty—
such
as a car, furn
iture, jew
elry, and
artwork—
with
a descrip
tion, th
eir locatio
n, an
d th
eir value
● A
list of real p
roperty yo
ur w
ard o
wns in
cludin
g th
e locatio
n, th
e type o
f pro
perty it is, an
d its valu
e●
A list o
f the so
urces o
f your w
ard’s m
onth
ly inco
me, in
cludin
g th
e source an
d
the am
ount each
month
● A
list of o
ther in
com
e, such
as interest o
r divid
ends
● A
list of an
y deb
ts or u
npaid
bills, in
cludin
g w
ho n
eeds to
be p
aid an
d h
ow
m
uch
● A
ny p
ublic b
enefits yo
u h
ave applied
for
● W
heth
er you h
ave applied
for in
suran
ce on b
ehalf o
f your w
ard●
Your w
ard’s in
suran
ce policies (m
edical, lo
ngterm
care, hom
eow
ner’s, au
to,
valuab
le items, art w
ork, life in
suran
ce)●
Wheth
er your w
ard h
as a safe dep
osit b
ox, in
cludin
g th
e nam
e of th
e ban
k, th
e address, an
d w
heth
er or n
ot yo
u h
ave been
able to
see its conten
ts and
determ
ine th
eir value
NO
TE: W
hen
you su
bm
it your rep
ort yo
u sh
ould
attach all receip
ts, invo
ices and
ban
k statemen
ts so th
at the co
urt exam
iner can
easily review h
ow
you h
ave sp
ent yo
ur w
ard’s m
oney.
Th
e A
nn
ual R
ep
ort
NO
TE: T
he A
nnual R
eport is alw
ays due in
May an
d co
vers the p
revious calen
dar
year (January 1
thro
ugh D
ecember 3
1). O
f course, fo
r your very first A
nnual
Rep
ort yo
u are o
nly exp
ected to
pro
vide in
form
ation co
vering th
e perio
d startin
g
with
the d
ate you received
your C
om
missio
n th
rough D
ecember 3
1.
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All G
uard
ian
s Mu
st Pro
vid
e T
he F
ollo
win
g In
form
atio
n In
Th
e
An
nu
al R
ep
ort:
● T
he d
ates (at least four a year) yo
u h
ave visited yo
ur w
ard an
d w
here yo
u
saw yo
ur w
ard.
● A
ny b
ig ch
anges yo
u h
ave observed
in yo
ur w
ard’s situ
ation o
r conditio
n
since th
e last report.
● W
hen
your w
ard last saw
a docto
r. Inclu
de th
e reason fo
r the visit an
d th
e docto
r’s diag
nosis an
d treatm
ent p
lan (if th
ere is one).
● A
report o
n th
e conditio
n o
f the w
ard fro
m a p
rofessio
nal (d
octo
r, psych
olo
gist, n
urse clin
ician, o
r social w
orker) w
ho h
as examin
ed o
r evalu
ated th
e ward
in th
e three m
onth
s prio
r (Febru
ary, March
, or A
pril) to
th
e subm
ission o
f the A
nnual R
eport.
● Facts o
n w
hich
any ch
ange in
your p
ow
ers mig
ht b
e based
, inclu
din
g en
din
g
of th
e guard
iansh
ip.
Gu
ard
ian
s for P
erso
nal N
eed
s Mu
st Also
Inclu
de:
● A
list of m
edical treatm
ents yo
ur w
ard received
since th
e last report.
● Y
our p
lan to
take care of yo
ur w
ard’s m
edical, d
ental, an
d m
ental h
ealth
need
s for th
e next year.
● In
form
ation ab
out th
e social co
nditio
n o
f your w
ard, in
cludin
g w
hat so
cial an
d p
ersonal assistan
ce he o
r she h
as received an
d w
hat yo
ur w
ard’s so
cial skills an
d so
cial need
s are.
Gu
ard
ian
s for P
rop
erty
Man
ag
em
en
t Mu
st Inclu
de:
● A
copy o
f the fed
eral, state, and lo
cal tax return
s you filed
for yo
ur w
ard
befo
re April 1
5 o
f the sam
e year.●
A d
etailed acco
untin
g o
f all inco
me received
and all exp
enses p
aid.
● W
heth
er your w
ard w
as emplo
yed o
r wheth
er he o
r she h
as earned
wag
es th
at you h
ave received o
n b
ehalf o
f your w
ard (th
is applies u
sually to
peo
ple
with
disab
ilities who are em
plo
yed in
supervised
job situ
ations).
● A
request fo
r reimbursem
ent fo
r out-o
f-pocket exp
enses yo
u h
ave had
while
taking care o
f our w
ard’s affairs.
● A
request fo
r your co
mpen
sation o
r fee, also called
“com
missio
n”, if th
e ju
dge h
ad o
rdered
it in yo
ur O
rder an
d Ju
dgm
ent (yo
u are n
ot o
blig
ated to
get p
aymen
t but yo
u m
ay accept it if th
e judge h
ad o
rdered
it).
N
OTE: W
hen
you w
rite your A
nnual R
eport yo
u sh
ould
make su
re that th
e am
ounts ad
d u
p p
roperly so
that th
e court exam
iners w
ill not fin
d fau
lt with
your
report. Y
ou sh
ould
attach an
y vouch
ers, ban
k statemen
ts, and an
y oth
er docu
men
ts that yo
u can
pro
vide to
show
pro
of o
f the in
form
ation yo
u h
ave pro
vided
.
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ssistance Netw
ork
State Ju
stice Institu
te G
uard
ian A
ssistance N
etwork | K
ings C
ounty S
uprem
e Court | 3
60 A
dam
s Street, R
oom
723 | B
rooklyn
, NY 1
1201
(347) 2
96-1
948 | G
AN
@co
urts.state.n
y.us
Copyrig
ht ©
2008
Vera In
stitute o
f Justice, In
c. A d
emonstratio
n p
roject o
f the V
era Institu
te of Ju
stice, Inc.
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Guardian A
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ork
● W
hat Is a G
uard
ian?
● Fro
m C
ourt H
earing
to G
uard
iansh
ip
Com
misio
n●
The First 9
0 D
ays: Fro
m C
om
misio
n to
In
itial Rep
ort
● T
he G
uard
ian fo
r Perso
nal N
eeds
● T
he G
uard
ian fo
r Pro
perty M
anag
emen
t●
The In
itial & A
nnual
Rep
orts
● E
ndin
g a G
uard
iansh
ip
● E
spañ
ol
En
din
g a
Gu
ard
ian
All G
uard
ians even
tually m
ust co
me to
an en
d. O
f course, th
ere are several reaso
ns w
hy G
uard
ians m
ust en
d. E
xamples are:
● T
he w
ard h
as died
● T
he w
ard n
o lo
nger n
eeds a g
uard
ian●
The g
uard
ian h
as a perso
nal reaso
n (fo
r example, is m
ovin
g to
anoth
er state) o
r is no lo
nger ab
le to p
erform
all the d
uties th
at are required
●
The ju
dge w
ants to
end th
e Guard
ian b
ecause h
e or sh
e is dissatisfied
with
th
e guard
ian
NO
TE: W
hatever th
e reason is fo
r endin
g th
e Guard
ian, y
ou
may n
ot ju
st stop
o
n y
ou
r ow
n. In
ord
er to fo
rmally en
d yo
ur resp
onsib
ilities you m
ust ask th
e ju
dge to
disch
arge yo
u an
d ask fo
r perm
ission to
subm
it a “final acco
untin
g”.
If your w
ard h
as died
you m
ust sen
d th
e judge a co
py o
f the D
eath C
ertificate. You
must also
info
rm all o
ther relevan
t parties su
ch as: th
e Social S
ecurity
Adm
inistratio
n o
r the V
eterans A
dm
inistratio
n, yo
ur w
ard’s p
ensio
n p
lan, M
edicaid
if yo
ur w
ard w
as receiving M
edicaid
ben
efits, the execu
tor o
f your w
ard’s estate o
r th
e Public A
dm
inistrato
r, if your w
ard d
id n
ot h
ave a will, an
d o
f course n
ext of
kin. A
ll parties sh
ould
be sen
t a copy o
f your w
ard’s D
eath C
ertificate.
If you w
ere your w
ard’s G
uard
ian
for P
rop
erty
Man
ag
em
en
t your o
blig
ation to
m
anag
e your w
ard’s fu
nds is n
ow
greatly red
uced
- from
now
on yo
u are o
nly
allow
ed to
pay so
me o
utstan
din
g b
ills for services ren
dered
while yo
ur w
ard w
as still alive (fo
r instan
ce hom
ecare expen
ses), the an
nual p
remiu
m fo
r the b
ond
which
remain
s in effect u
ntil yo
u are o
fficially disch
arged
, and yo
ur w
ards fu
neral
bills. A
ll oth
er finan
cial man
agem
ent tasks m
ust b
e turn
ed o
ver to th
e executo
r of
your w
ard’s estate o
r to th
e Public A
dm
inistrato
r, if you w
ard d
id n
ot h
ave a will.
Th
e F
inal A
ccou
ntin
g
Guard
ians fo
r Property M
anag
emen
t must file a rep
ort w
hich
is called a Fin
al http://w
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l (1 of 2)11/20/2011 9:26:23 AM
[52]
Guardian A
ssistance Netw
ork
Acco
untin
g w
hich
has to
cover fin
ancial in
form
ation co
vering th
e perio
d b
etween
th
e end d
ate of yo
ur last A
nnual R
eport an
d th
e date o
f your w
ard’s d
eath. Y
ou
should
inclu
de a req
uest fo
r any reim
bursem
ent o
r paym
ent th
at is still outstan
din
g. C
lick here to
view sam
ple o
f a Final A
ccountin
g fo
rm.
Wh
o sh
ou
ld re
ceiv
e a
cop
y o
f the F
inal A
ccou
ntin
g?
The o
rigin
al Final A
ccountin
g R
eport is filed
with
the co
unty clerk an
d
copies o
f it must b
e subm
itted to
:
❍ T
he co
urt exam
iner
❍ E
very one th
at received yo
ur A
nnual R
eports
❍ T
he execu
tor o
r adm
inistrato
r of yo
ur w
ard’s estate
❍ T
he O
ffice of Leg
al Affairs o
f the H
um
an R
esources A
dm
inistratio
n if
your w
ard received
Med
icaid services
After th
e court exam
iner h
as evaluated
and ap
pro
ved th
e Final
Acco
untin
g, th
e judge w
ill issue an
Ord
er disch
argin
g yo
u as g
uard
ian.
The ju
dge w
ill also d
ecide w
ho w
ill be p
aid fro
m an
y funds th
at remain
in
your w
ard’s estate.
NO
TE: T
he b
ond w
ill not b
e termin
ated u
ntil after th
e Final A
ccountin
g h
as been
filed
and th
e court exam
iner h
as appro
ved it. O
nce th
e judge h
as issued
an O
rder
disch
argin
g yo
u as g
uard
ian, yo
u m
ay send th
e bondin
g ag
ency a co
py o
f the
judge’s O
rder an
d ask th
at the b
ond b
e termin
ated.
State Ju
stice Institu
te G
uard
ian A
ssistance N
etwork | K
ings C
ounty S
uprem
e Court | 3
60 A
dam
s Street, R
oom
723 | B
rooklyn
, NY 1
1201
(347) 2
96-1
948 | G
AN
@co
urts.state.n
y.us
Copyrig
ht ©
2008
Vera In
stitute o
f Justice, In
c. A d
emonstratio
n p
roject o
f the V
era Institu
te of Ju
stice, Inc.
http://ww
w.nycourts.gov/ip/gan/m
anual/ending_guardianship.shtml (2 of 2)11/20/2011 9:26:23 A
M
[53]
Guardian A
ssistance Netw
ork
● E
spañ
ol
● List o
f Offices
● B
ondin
g A
gen
cies●
Med
ical Term
inolo
gy
& A
bbreviatio
ns
● C
aring fo
r Men
tally/ Ph
ysically Disab
led●
Med
icare●
Med
icaid in
NYS
● D
irectory fo
r G
uard
ians
● M
ental Illn
ess/Assisted
Outp
atient
Treatm
ent
● G
lossary
Dire
ctory
for G
uard
ian
s
● S
ervices for Peo
ple o
ver the A
ge O
f 60
● O
rgan
izations fo
r Specific D
iseases & C
onditio
ns
● S
ervices for Peo
ple w
ith M
ental R
etardatio
n an
d D
evelopm
ental D
isabilities
● S
ervices for Peo
ple w
ith M
ental D
isabilities
Serv
ices fo
r Peo
ple
over th
e A
ge O
f 60
New
Yo
rk S
tate
Office
for th
e A
gin
g
Hot Lin
e: (800) 3
42-9
871 o
r (518) 4
74-5
731
ww
w.ag
ing.n
y.gov
agin
g@
agin
g.state.n
y.us
New
Yo
rk C
ity D
ep
artm
en
t for th
e A
gin
g
Help
line: (2
12) 4
12-1
000 (E
nglish
and S
pan
ish) O
R
Dial 3
11 an
d ask fo
r social services sp
ecialist for th
e agin
g.
ww
w.n
yc.gov/h
tml/d
fta and click o
n “B
enefit Q
uick C
heck”
New
Yo
rk S
tate
Health
Reso
urce
s w
ww
.nyseg
ov.co
m an
d click o
n “ag
ing”
New
Yo
rk S
tate
Health
Insu
ran
ce In
form
atio
n, C
ou
nse
ling
an
d A
ssistan
ce P
rog
ram
(N
YS
HIIC
AP
) For co
unselin
g o
n M
edicare an
d o
ther h
ealth in
suran
ce pro
gram
s Toll-free H
otlin
e: (800) 7
01-0
501
ww
w.ag
ing.n
y.gov/H
ealthBen
efits/HIIC
APIn
dex.cfm
Med
icare
Rig
hts C
en
ter
For h
elp w
ith M
edicare p
roblem
s Ph
one: (2
12) 8
69-3
850
ww
w.m
edicarerig
hts.o
rg
New
Yo
rk S
tate
Med
icaid
Toll-free H
elplin
e: (800) 5
41-2
831
http
://ww
w.h
ealth.state.n
y.us/h
ealth_care/m
edicaid
/
http://ww
w.nycourts.gov/ip/gan/resources/directory4guardians.shtm
l (1 of 5)11/20/2011 9:27:07 AM
[54]
Guardian A
ssistance Netw
ork
New
Yo
rk S
tate
Lo
ng
Term
Care
Om
bu
dsm
an
Fo
r help
on p
roblem
s related to
nursin
g h
om
e care and services
From
with
in N
ew Y
ork S
tate: 1-8
00-3
42-9
871
From
outsid
e New
York S
tate: 518-4
74-7
329
ww
w.ltco
mbudsm
an.n
y.gov/
Frie
nd
s an
d R
ela
tives o
f the In
stitutio
nalize
d A
ged
Fo
r info
rmatio
n o
n n
ursin
g h
om
es or co
ncern
s about a w
ard’s care in
a nursin
g h
om
e H
elplin
e: (212) 7
32-4
455 T
uesd
ays-Fridays 1
0AM
—5PM
in
fo@
fria.org
or w
ww
.fria.org
Un
ited
Way o
f New
Yo
rk C
ity
To fin
d ad
dresses o
f various so
cial service agen
cies Ph
one: (2
12) 2
51-2
500
ww
w.u
nited
wayn
yc.org
Click o
n A
GIN
G in
“target g
roups” an
d fill in
your w
ard’s zip
code to
find
services near yo
ur w
ard’s h
om
e. N
atio
nal A
ssocia
tion
of G
eria
tric Care
Man
ag
ers, G
reate
r New
Yo
rk C
hap
ter
To fin
d so
cial workers in
private p
ractice who assist o
lder p
ersons an
d th
eir families
ww
w.n
ygcm
.org
Natio
nal F
am
ily C
are
giv
ers O
rgan
izatio
n
Toll Free: 1
-800-8
96-3
650
ww
w.n
fcacares.org
Natio
nal A
cad
em
y o
f Eld
er L
aw
Atto
rneys (N
AELA
) Fo
r the n
ames o
f attorn
eys who sp
ecialize in eld
er law an
d M
edicaid
Plannin
g
ww
w.n
aela.com
Click o
n “lo
cate and eld
er law atto
rney”
Org
an
izatio
ns
for S
pecific D
isease
s an
d C
on
ditio
ns
Natio
nal A
lzheim
er’s A
ssocia
tion
Toll-free 2
4-h
our H
elplin
e: (800) 2
72-3
900
http
://ww
w.alz.o
rg o
r Info
@alz.o
rg
En E
spañ
ol: w
ww
.alz.org
/espan
ol_
recurso
s_para_
los_
latinos.asp
New
Yo
rk C
ity C
hap
ter A
lzheim
er’s A
ssocia
tion
24-h
our H
elplin
e: (800) 2
72-3
900
Http
://ww
w.alzn
yc.org
Un
ited
Cere
bra
l Palsy
Toll-free: (8
00) 4
48-3
827
Http
://ww
w.u
cp.o
rg o
r web
master@
ucp
.org
Un
ited
Cere
bra
l Palsy
of N
ew
Yo
rk C
ity
Phone: (2
12) 9
79-9
700, E
xt. 720
http
://ww
w.u
cpnyc.o
rg
New
Yo
rk S
tate
Dep
t. of H
ealth
HIV
/A
IDS
http://ww
w.nycourts.gov/ip/gan/resources/directory4guardians.shtm
l (2 of 5)11/20/2011 9:27:07 AM
[55]
Guardian A
ssistance Netw
ork
Toll-free C
onfid
ential H
otlin
e: (800) 5
41-A
IDS
http
://ww
w.h
ealth.state.n
y.us/d
iseases/aids
New
Yo
rk C
ity A
IDS
Ho
tline
Phone: (2
12) 4
47-8
200, E
xt. 4
Gay M
en
’s Health
Crisis (G
MH
C) –
Help
for m
en an
d w
om
en
Toll-free C
onfid
ential H
otlin
e (800) A
IDS-N
YC o
r (212) 8
07-6
655
http
://ww
w.g
mhc.o
rg o
r Hotlin
e@gm
hc.o
rg (th
ere is a two-w
eek response tim
e) En E
spañ
ol: h
ttp://w
ww
.gm
hc.o
rg/en
-espan
ol
Bra
in In
jury
Asso
ciatio
n o
f New
Yo
rk S
tate
Toll-free Fam
ily Help
line: (8
00) 2
28-8
201
http
://ww
w.b
ianys.o
rg
Natio
nal M
ultip
le S
clero
sis So
ciety
Toll-free: (8
00) 3
44-4
867
http
://ww
w.n
ationalm
ssociety.o
rg
En E
spañ
ol: h
ttp://w
ww
.natio
nalm
ssociety.o
rg/in
form
acion-en
-espan
ol/in
dex.asp
x
MS
So
ciety
New
Yo
rk C
ity C
hap
ter
Phone: (2
12) 4
63-7
787
http
://ww
w.m
snyc.o
rg o
r info
@m
snyc.o
rg/
Park
inso
n’s D
isease
Fo
un
datio
n
Toll-free: (8
00) 4
57-6
676
http
://ww
w.p
df.o
rg
Am
erica
n S
troke A
ssocia
tion
Toll-free: (8
00) 4
-STRO
KE o
r (888) 4
78-7
653
http
://ww
w.stro
keassociatio
n.o
rg
http
://local.stro
keassociatio
n.o
rg (to
find lo
cal chap
ters)
Am
erica
n C
ou
ncil o
n A
lcoh
olism
Toll-free: (8
00) 5
27-5
344
http
://ww
w.aca-u
sa.org
Serv
ices fo
r Peo
ple
with
Men
tal R
eta
rdatio
n a
nd
Develo
pm
en
tal D
isab
ilities
New
Yo
rk S
tate
Office
of M
en
tal R
eta
rdatio
n a
nd
Develo
pm
en
tal D
isab
ilities (O
MR
DD
) Fo
r info
rmatio
n o
n services fo
r the m
entally retard
ed o
r those w
ith d
evelopm
ental d
isabilities.
New
York C
ity Reg
ional O
ffice phone: (2
12) 2
29-3
231
Alb
any (statew
ide) p
hone: (5
18) 4
73-9
689 o
r TD
D: (5
18) 4
74-3
694
http
://ww
w.o
mr.state.n
y.us/ (C
lick on “”In
form
ation fo
r Individ
uals an
d Fam
ilies,” “Gen
eral In
form
ation an
d Pu
blicatio
ns,” an
d “M
ap an
d R
esource D
irectory”).
New
Yo
rk S
tate
Co
mm
ission
on
Qu
ality
of C
are
http://ww
w.nycourts.gov/ip/gan/resources/directory4guardians.shtm
l (3 of 5)11/20/2011 9:27:07 AM
[56]
Guardian A
ssistance Netw
ork
Toll-free p
hone: (8
99) 6
24-4
143 (V
oice/T
TY/S
pan
ish)
ww
w.cq
capd.state.n
y.us
New
Yo
rk S
tate
Office
of A
dvo
cacy
for P
eo
ple
with
Disa
bilitie
s Toll-free p
hone: (8
00) 5
22-4
369 (V
oice/T
TY/S
pan
ish)
ww
w.o
apw
d.o
rg
N
ew
Yo
rk S
tate
Asso
ciatio
n fo
r Reta
rded
Ch
ildre
n (N
YS
AR
C)
Phone: (5
18) 4
39-8
311
http
://ww
w.n
ysarc.org
/ (click on “o
ur ch
apters” fo
r local o
ffices) or in
fo@
nysarc.o
rg
Asso
ciatio
n fo
r the H
elp
of R
eta
rded
Ch
ildre
n
New
Yo
rk C
ity (A
HR
C-N
YC
) Ph
one: (2
12) 7
80-2
599
http
://ww
w.ah
rcnyc.o
rg/ (click o
n lin
ks for m
any reso
urces, N
YC an
d b
eyond)
web
master@
ahrcn
yc.org
N
atio
nal In
stitute
for P
eo
ple
with
Disa
bilitie
s – Y
AI
YAI Lin
k Services: (2
12) 2
73-6
182
http
://ww
w.yai.o
rg/
Serv
ices fo
r Peo
ple
with
Men
tal D
isab
ilities
New
Yo
rk S
tate
Office
of M
en
tal H
ealth
(OM
H)
44 H
ollan
d A
venue, A
lban
y, New
York 1
2229
Toll-free p
hone: (8
00) 5
97-8
481 (leave n
ame, p
hone n
um
ber, an
d q
uestio
n)
http
://ww
w.o
mh.state.n
y.us/
NY
S A
ssistan
ce fo
r Ou
tpatie
nt T
reatm
en
t an
d F
acility
Co
nta
cts O
MH
Custo
mer S
ervice: (800) 5
97-8
481
http
://ww
w.o
mh.state.n
y.us/o
mhw
eb/K
endra_
web
/aot_
directo
ry_gl.h
tml
NY
S C
on
fere
nce
of L
oca
l Men
tal H
yg
ien
e D
irecto
rs – to
find lo
cal directo
rs 99 Pin
e Street, A
lban
y, NY 1
2207
Phone: (5
18) 4
62-9
422
http
://ww
w.clm
hd.o
rg/ab
out/co
untyd
irectory.asp
x
Men
tal H
yg
ien
e L
eg
al S
erv
ice
Man
hattan
and B
ronx: (2
12) 7
79-1
734
Bro
oklyn
, Staten
Island, Q
ueen
s, and Lo
ng Islan
d: (5
16) 7
46-4
545
New
Yo
rk S
tate
Co
mm
ission
on
Qu
ality
of C
are
an
d A
dvo
cacy
for P
eo
ple
with
Disa
bilitie
s Toll-free p
hone: (8
00) 6
24-4
143 (V
oice/T
TY/S
pan
ish)
ww
w.cq
capd.state.n
y.us
Office
for P
rote
ction
an
d A
dvo
cacy
for In
div
idu
als w
ith M
en
tal
Illness
Toll-free p
hone: (8
00) 6
24-4
143 o
r Alb
any N
um
ber: (5
18) 3
88-2
892
http://ww
w.nycourts.gov/ip/gan/resources/directory4guardians.shtm
l (4 of 5)11/20/2011 9:27:07 AM
[57]
Guardian A
ssistance Netw
ork
Office
of A
dvo
cacy
for P
eo
ple
with
Disa
bilitie
s Toll-free p
hone: (8
00) 5
22-4
369 (V
oice/T
TY/S
pan
ish)
ww
w.o
apw
d.o
rg
Co
alitio
n o
f Beh
avio
ral H
ealth
Ag
en
cies
Phone in
New
York C
ity: (212) 7
42-1
600
http
://ww
w.co
alitionny.o
rg/ o
r Use E
mail Fo
rm
Natio
nal A
llian
ce o
n M
en
tal Illn
ess (N
AM
I) Fam
ily Help
line: (8
00) 9
50-3
228 (N
ew Y
ork S
tate only)
New
York S
tate Chap
ter http
://ww
w.n
amin
ys.org
/ H
elplin
e: (212) 6
84-3
264 (N
ew Y
ork C
ity Metro
Chap
ter) (N
oon to
7PM
Monday th
rough T
hursd
ay and n
oon to
6PM
on Frid
ay) http
://ww
w.n
ami-n
yc-metro
.org
/ or h
elplin
e@nam
inyc.o
rg
State Ju
stice Institu
te G
uard
ian A
ssistance N
etwork | K
ings C
ounty S
uprem
e Court | 3
60 A
dam
s Street, R
oom
723 | B
rooklyn
, NY 1
1201
(347) 2
96-1
948 | G
AN
@co
urts.state.n
y.us
http://ww
w.nycourts.gov/ip/gan/resources/directory4guardians.shtm
l (5 of 5)11/20/2011 9:27:07 AM
[58]
New York County Supreme Court
http://www.nycourts.gov/supctmanh/county_clerk_operations.htm
http://www.nycourts.gov/supctmanh/Guardianship_Cases.htm
http://www.nycourts.gov/supctmanh/Guardianship_Cases%20Forms%20List.htm
[59]
New York County - Civil Branch Guardianship Cases
ADMINISTRATIVE ORDER -- GUARDIANSHIP PROCEEDINGS (December 4, 2008)
OVERVIEW OF GUARDIANSHIP PROCEEDINGS
(Explaining Key Features of these Cases, Duties of Guardians, Key Terms, etc.)
OUTLINE OF FILING AND OTHER COURT PROCEDURES IN GUARDIANSHIP CASES
(Explaining How Papers Are Filed and Processed in Court)
OUTLINE OF COURT RULES ON FIDUCIARY
APPOINTMENTS AND THE FIDUCIARY CLERK (Explaining Court Rules Governing Guardianship and Other Fiduciary Appointments and the Role of the Fiduciary Clerk)
A MESSAGE FROM THE FIDUCIARY CLERK
FORMS FOR GUARDIANSHIP CASES
LIST OF TRAINING PROGRAMS FOR GUARDIANS
[ Court Offices and Functions ] [ Summary of Courthouse Procedures ] [ Justices ] [ Rules of Justices ] [ County Clerk ] [ E-Filing ] [ Public Access & Courthouse Technology ] [ ADR Programs ] [ Appellate Term ]
Page 2 of 2Untitled Document
11/20/2011http://www.nycourts.gov/supctmanh/Guardianship_Cases.htm
[60]
Untitled Document
http://www.nycourts.gov/supctmanh/Guardianship_Cases%20Forms%20List.htm (1 of 2)11/20/2011 9:35:25 AM
New York County - Civil Branch Guardianship Cases - Forms
[Home]
ORDER AND JUDGMENT APPOINTING GUARDIAN
GUARDIAN’S INITIAL (90-DAY) REPORT
AND INSTRUCTIONS (The First Report Required to be Filed
by the Guardian followed by Instructions on How to Complete It)
ANNUAL REPORT OF THE GUARDIAN
FORMS FOR PROCEEDING FOR AN ORDER
RELEASING AND DISCHARGING GUARDIAN -
ON CONSENT
Petition
Order Waiving Filing of Formal Account
Order Discharging Guardian and Surety
Consent to Informal Account
FINAL REPORT
Order to Show Cause to Settle a Final Report
Final Report (Sample)
Order Settling and Approving a Final Report
Affidavit in Support of Discharge of Guardian and Cancellation of Bond
Order Discharging Guardian and Surety
[ Court Offices and Functions ] [ Summary of Courthouse Procedures ] [ Justices ] [ Rules of Justices ] [ County Clerk ] [ E-Filing ] [ Public Access & Courthouse Technology ] [ ADR Programs ] [ Appellate Term ]
[75]
SUPREME COURT OF THE STATE OF NEW YORKCOUNTY OF NEW YORK - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IAS Part No. IN THE MATTER OF THE APPLICATION OF
, Index No.
Petitioner,
FOR THE APPOINTMENT OF A GUARDIAN FOR
, INITIAL REPORTOF GUARDIAN
An Alleged Incapacitated Person,- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
, the Guardian in this proceeding, submits this Initial Reportof Guardian pursuant to Mental Hygiene Law § 81.30 and states as follows:
1. I reside at . My telephone number is . I was appointed guardian of the person [or property or person and property] of [THE INCAPACITATED PERSON] by Order and Judgment of the Honorable , Justice of the Supreme Court of the State of New York, dated . I received my commission on .
2. I am not related to the incapacitated person [or I am the incapacitated person’s [NAME RELATIONSHIP]]. The incapacitated person’s date of birth is . I shall separately provide to the court’s Guardianship and Fiduciary Support Office (60 CentreStreet, Room 148) the incapacitated person’s social security number.
3. I attended the guardianship training course at on [DATE] [ or I did not attend the guardianship training course because ]. I have attached a copy of the certificate evidencing my completionof the course.
4. The incapacitated person is currently living at the following address:
. I visited him [ her ] there on the following days:
.
[76]
2
5. The incapacitated person’s primary diagnosis is [Set forth the diagnosis of the IP's medicalcondition]
.
This statement is based upon [e.g., Doctor’s report]
.
6. If the incapacitated person lives in an apartment or a house, list here the name and relationshipof all other persons living with the incapacitated person:
.
7. If the incapacitated person has home care services, describe the services here and state thenumber of hours a day each such service is provided:
.
[77]
3
8. The incapacitated person has a [ check all that apply ]:
G Will G Living Will G Health Care Proxy G Power of Attorney
If you are uncertain as to whether any one of these documents exists, please explain:
.
As to each of the documents listed below, please indicate by marking "Yes," "No," or "NA" [for NotApplicable] whether you have located the document, provided a copy, or filed same with theSurrogate's Court:
Determined Location Provided Copy Filed with Surr. Ct.
Will
Living Will
Health Care Proxy
Power of Attorney
Other
Guardians of the Person Answer the Following Questions:
9. I have taken the following steps to ensure that the Incapacitated person has adequate medical,dental, mental health or other health care services [ PLEASE DESCRIBE ] :
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.
10. The plan to ensure that the incapacitated person has adequate medical, dental, mental health orother health care services in the future is as follows [ PLEASE DESCRIBE ]:
.
11. I have taken the following steps to ensure that the incapacitated person has adequate social andpersonal services (for example, day care and recreation) [ PLEASE DESCRIBE ]:
.
12. I have applied for the following health and accident insurance and government benefits onbehalf of the incapacitated person [ PLEASE DESCRIBE ]:
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5
.
13. There is no need to modify my powers as personal needs guardian [ or the following changesare necessary in my personal needs powers ] [ PLEASE DESCRIBE]]:
.
Guardians of the Property of the Incapacitated Person Fill In the Following Information
14. I have marshaled the following assets of the incapacitated person:
A.(1) Bank Accounts [list the name of the bank, account numbers and amount of money inthe account before you closed the account and transferred the money to a guardianship account] :
Bank Account Number Amount
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(2) Guardianship Bank Accounts [list the name of the bank, account numbers and theamount of money currently in the guardianship bank accounts]:
Bank Account Number Amount
B. Safe Deposit Box [ if the incapacitated person has a safe deposit box, list the name andaddress of the bank at which it is located] .
Have you inventoried the contents of the safe deposit box? GYes GNo. If yes, attach a listof the contents and the appraisal or the approximate value of the contents.
C. Stocks and Securities [ if the incapacitated person owns stocks or other securities, list here
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the name of the company, number of shares, the market value of each security on the date youreceived your commission, and the broker ] :
Company Name Number of Shares Market Value Brokerage
Company Name Type of Bonds etc. Market Value Brokerage
D. Real Estate [ list the address of the property, give a description of the property [i.e. store,single family house], approximate value of the property on the date you were commissioned, andname of tenants and rental income, if any. Also, write down the date you filed a statement
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identifying real property with the County Clerk. ] :
Address Description Approx. Value Tenants Rental StatementIncome
E. Personal Property [ list any jewelry, antiques, paintings, automobiles, or other valuableproperty or cash and set forth the approximate value ] :
Property Type Appraised Value Approx. Value
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F. Income [ set forth here all sources of income for the incapacitated person, i.e. socialsecurity, pensions, etc. and the monthly or annual amount received ] :
Source of Income Amount
G. Assets Not Yet Marshaled [ list all property owned by the incapacitated person that youhave not yet been able to transfer to the guardianship ] :
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.
15. There is no need to modify my powers as property guardian [ or the following changes arenecessary to my powers as property guardian [EXPLAIN] :
.
16. I G WILL [ or ] G WILL NOT need help preparing my annual report [ CHECK ONE ].
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STATE OF NEW YORK ) ) ss.:COUNTY OF NEW YORK)
, being duly sworn, states as follows:
I am the guardian for the above-named incapacitated person, having been duly appointed byOrder and Judgment of the Supreme Court of the State of New York, New York County. Theforegoing Initial Report, including the account and inventory therein, contains, to the best of myknowledge and belief, an accurate statement of the facts set forth, as well as a full and true statementof all my receipts and disbursements on account of said person and of all money and other personalproperty of said person which have come into my hands or have been received by any other personsby my order or authority or for my use as guardian since my appointment, and of the value of allproperty. I do not know of any error of omission in the report to the prejudice of the incapacitatedperson.
___________________________ Guardian
Sworn before me this day
day of , 20
_________________________________Notary Public or Commissioner of Deeds
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INSTRUCTIONS FOR INITIAL (90-DAY) REPORT
This is the report that you must file no later than ninety (90) days after you receiveyour commission. This report tells the court what you have done so far to help theincapacitated person.
To answer Questions 1 through 7, fill in the blanks with the requested information.
To answer Question 8, put a circle around all the documents that the incapacitated personhas. If the incapacitated person does not have any of the documents, leave this blank. Ifyou are uncertain about the existence of any document, please explain. Also, using “Yes,”“No,” or “NA” [for Not Applicable], please indicate as to each of the listed documentswhether you have determined the location thereof, provided a copy, or filed with theSurrogate’s Court (e.g., will).
If you were appointed a guardian of the person of the incapacitated person, you mustanswer Questions 9 through 13. If you were only appointed a guardian of theperson’s property, you should skip these questions.
Question 9 – Tell the court what you have done so far to provide for the incapacitatedperson’s medical, dental, mental and other health care needs. (For example: I took theincapacitated person to the eye doctor to get new glasses and to the dentist to have a toothpulled.)
Question 10 – Tell the court what you plan to do in the future to make sure that theincapacitated person has adequate medical, dental, mental health and other health care.(For example: I will bring the incapacitated person to Doctor X for an annual physical andto Doctor Y, a podiatrist, for special shoes.)
Question 11 – Tell the court what you have done to make sure that, if feasible, theincapacitated person has an opportunity to be with other people, or work, attend school, orparticipate in other activities.
Question 12 – List the government benefits and/or insurance you have applied for onbehalf of the incapacitated person (Medicare, Medicaid, etc.).
Question 13 – If you think you need more powers to meet the personal needs of theincapacitated person, or fewer powers, write down the changes you would like to see madeand tell the court why you want them.
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If the court gave you management powers over the incapacitated person’s property,you must answer Question 14, sections A through G, and Question 15. If you areonly a guardian of the person, you should not answer these questions.
Question 14 (A)(1) – List all the bank accounts that the incapacitated person had when youwere appointed guardian, the account numbers and the amount in each account.
Question 14(A)(2) – List all of the guardianship accounts that you set up, the name of thebank where they are located, the account number and the amount of money in eachaccount.
Question 14(B) – If the incapacitated person had a safe deposit box, provide the requestedinformation. If the incapacitated person did not have a safe deposit box, leave this sectionblank.
Question 14(C) – If the incapacitated person owned shares of stock, provide a completelist of all stock, including the name of the company, the number of shares and the marketvalue of the stock on the date you received your commission. If the incapacitated personowned bonds or other types of securities, provide information regarding the type ofsecurity and the market value on the date you received your commission. Please alsoprovide the name of the brokerage house holding the stock, bonds, or other securities.
Question 14(D) – Provide the requested information for all real property owned by theincapacitated person.
Question 14(E) – Separately list all valuable personal property and provide an appraisal orapproximate value if you do not have an appraisal. If the incapacitated person ownedordinary household furnishings and clothing, provide an approximate value for thispersonal property.
Question 14 (F) – List all monthly income (for example, social security, pensions and trustincome) and the monthly amount the incapacitated person receives from each source.
Question 14(G) – List all of the assets that the incapacitated person owns that you have notyet transferred into guardianship accounts.
Question 15 -- If you think you need more power over the incapacitated person’s property,or less power, write down the changes you would like to see made and tell the court whythey should be made.
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Question 16 – If you think you will need assistance preparing the Annual Report, circle“will”. If you think you can do the Annual Report on your own, circle “will not.”
When you have answered all the questions, bring this report to a notary public andsign the paragraph at the end (the certification paragraph) in front of the notary and thenhave the report notarized.
You must then mail a copy of the report to:
Guardianship and Fiduciary Support ServicesNew York Supreme Court60 Centre Street, Room 201-BNew York, NY 10007
The Court Examiner named in your appointing Order and judgment.The Incapacitated PersonThe Court Evaluator named in the appointing OrderIf the incapacitated person lives in a residential facility, to the director of thefacilityTo Mental Hygiene Legal Services if the incapacitated person lives in a MentalHygiene Facility
If you have any questions, please call the Guardianship and Fiduciary Support Office ofthe New York County Supreme Court at 646-386-3328.
Thank you.
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SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK I.A. Part
-------------------------------------------------------xIN THE MATTER OF THE APPLICATIONOF
, Petitioner,
FOR THE APPOINTMENT OF AGUARDIAN FOR
, an Alleged Incapacitated Person.
Index No.:
ANNUAL REPORT
FOR 20
------------------------------------------------------x
I, , residing at , as Guardian for , who was heretofore determined by this court to be an incapacitated person (“IP”), dohereby make, render and file the following Annual Report.
On the day of , 20 , I was duly appointed Guardian of theabove-named person by Order of the Supreme Court of New York County and have continuedto act as such fiduciary since that date, giving a bond in the original sum of $ ,[nowin the sum of $ , pursuant to subsequent orders,] which is still in force and effect with , as Surety. There has been no change in the Surety thereon, and the Surety isin as good financial standing as when the bond was given. [There has been no change in theSurety thereon, other than as explained in Schedule F.]
The following is a true and full account of all receipts and disbursements for the year20 .
SUMMARY
Schedule A - Principal on hand as of Date ofAppointment or Last Annual Report $
Schedule B - Changes to Principal $
Schedule C - Income Received $
Sub-Total $
Schedule D - Paid Disbursements $
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Schedule E-1 - Balance of Cash and Securities to be Charged to Next Year's Account $
Schedule E-2 - Real Estate $
Schedule E-3 - All Other Personal Property $
Total Estate $
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SCHEDULE A - PRINCIPAL ON HAND AS OF DATE OF APPOINTMENT OR LAST ANNUAL REPORT
SOURCE: Name and address AMOUNT (i.e., number of shares)of bank or financial institution
TOTAL OF SCHEDULE A $
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SCHEDULE B - INCREASES OR DECREASES TO PRINCIPAL(List additional property received, gain or loss on sale or liquidation of stocks or bonds, any netreceipts from sale of realty (attach copy of closing statement), etc.)
SOURCE AMOUNT
TOTAL OF SCHEDULE B $
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SCHEDULE C - RECEIVED INCOME AND CASH INCREASES
(If any property listed in the last Report has been converted to cash, list here the amountreceived from the sale and attach an explanation. If the Guardian has used or employed theservices of the IP, or if moneys have been earned by or received on behalf of the IP, state detailsand amounts here (See Par. 9, below)):
SOURCE AMOUNT
TOTAL OF SCHEDULE C $
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SCHEDULE E-1 - BALANCE ON HAND AND OTHER PERSONAL AND REAL PROPERTY
BANK ACCOUNTS, INVENTORY MARKETBROKERAGE ACCOUNTS, VALUE VALUEPERSONAL PROPERTY,SECURITIES
(List names of joint (List values as of end of accounting period; forowners, if any, and their securities, list both inventory and market values)relationship to the IP)
TOTAL OF SCHEDULE E-1 $ $
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SCHEDULE E-2 - REAL ESTATE
List all real estate owned in whole or in part by the IP. State location, assessed value, currentmarket value, amount of mortgage (if any), and the weekly or monthly rental. If property isowned jointly, give names of joint owners and their relationship to the IP.
LOCATION ASSESSED MARKET MORTGAGE RENTAL JOINT VALUE VALUE INCOME OWNERS
TOTAL OF SCHEDULE E-2
Assessed Value: $ Market Value : $
Mortgages: $ Rental Income: $
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9
SCHEDULE E-3 - ALL OTHER PERSONAL PROPERTY
DESCRIPTION INVENTORY/MARKET VALUE
TOTAL OF SCHEDULE E-3 $
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SCHEDULE F - NAME AND ADDRESS OF SURETY
Attach a copy of the latest bond. Also, state and explain any changes in the bond, of the Suretythereon, or in the financial standing of the Surety.)
NAME AND ADDRESS AMOUNT BOND NUMBEROF SURETY OF BOND
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AS TO THE INCAPACITATED PERSON:
1. State the age, date of birth and marital status of the Incapacitated Person.
2. If any are living, list the name and present address of the spouse, children and siblings of theIncapacitated Person.
3. State the present residence address and telephone number of the Guardian.
4. State the present residence address and telephone number of the Incapacitated Person. If the IPdoes not currently reside at her/his personal home, set forth the name, address and telephonenumber of the facility or place at which he/she resides, and the name of the chief executiveofficer of the facility or the person otherwise responsible for the care of the IP.
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5. State whether there have been any changes in the physical or mental condition of theIncapacitated Person, and any substantial change in medication.
6. State the date and place the Incapacitated Person was last seen by a physician and the purposeof that visit.
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7. Attach a statement by a physician, psychologist, nurse clinician or social worker, or otherqualified person who has evaluated or examined the Incapacitated Person within the threemonths prior to the filing of this report, setting forth an evaluation of the Incapacitated Person'scondition and the current functional level of the Incapacitated Person.
8. If the Guardian has been charged with providing for the personal needs of the IncapacitatedPerson:
(a) Attach a statement indicating whether the current residential setting is suitable to the currentneeds of the Incapacitated Person.
(b) Attach a resume of any professional medical treatment given to the Incapacitated Personduring the preceding year.
(c) Attach the plan for medical, dental and mental health treatment and related services for thecoming year.
(d) Attach a resume of any other information concerning the social condition of the IncapacitatedPerson, including the social and personal services currently utilized by the Incapacitated Personand the social skills and needs of the Incapacitated Person.
9. State whether the Guardian has used or employed the services of the Incapacitated Person, orwhether moneys have been earned by or received on behalf of such Incapacitated Person.Provide details in Schedule C.
10. Attach a resume of any other pertinent facts about the care and maintenance of theIncapacitated Person, including the frequency of your visits; whether the Incapacitated Personhas made a Will or executed a Power of Attorney; and any other information necessary for theproper administration of this matter.
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STATE OF NEW YORK ) ) ss.: COUNTY OF ) , being duly sworn, says: I am the Guardian for the above-named Incapacitated Person. The foregoing Annual Reportcontains, to the best of my knowledge and belief, a full and true statement of all my receipts anddisbursements on account of said Incapacitated Person; and of all money and other personalproperty of said person which have come into my hands or have been received by any otherpersons by my order or authority since my appointment or since filing my last Annual Reportand of the value of all such property, together with a full and true statement and account of themanner in which I have disposed of the same and of all property remaining in my hands at thetime of filing this Report; also a full and true description of the amount and nature of eachinvestment made by me since my appointment or since the filing of my last Report. I do notknow of any error or omission in the Report to the prejudice of said person.
Guardian
Sworn to before me this
day of , 20
Notary Public
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Nassau County Overview http://www.courts.state.ny.us/courts/10jd/nassau/pdf/MHL%20Art%2081%20‐%20A%20Brief%20Overview.pdf Forms http://www.courts.state.ny.us/courts/10jd/nassau/guardianship.shtml#Forms GAN Manual Modified for Nassau County http://www.courts.state.ny.us/courts/10jd/nassau/pdf/WorkshopPart1.pdf http://www.courts.state.ny.us/courts/10jd/nassau/pdf/WorkshopPart2.pdf
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Supreme Court
Mental Hygiene/Guardianship
Forms| Guide to Guardianship | FAQS | Links
General Information Supreme Court, Nassau County
Guardianship Department 100 Supreme Court Drive
Mineola, NY 11501 (516) 571-2938
FormsSupreme Court Forms Guardianship Forms
Title WORD WPD PDF Fillable Help
Initial Report
Annual Report of Guardian for Personal Needs Only
Annual Report for Guardian of Property Management & Personal Needs
Designation
Statement Identifying Real Property
Guide to Guardianship
Lay Guardians Appointed Under Article 81 of the Mental Hygiene Law Guardianship- A Brief Overview Workshop Materials- Part One Workshop Materials- Part Two
Links
Nassau County - 10th JD: Mental Hygiene/Guardianship
http://www.nycourts.gov/courts/10jd/nassau/guardianship.shtml (1 of 2)11/20/2011 9:58:23 AM
Nassau County Home
Districtwide Info
Forms
Jurors
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District Court
City Courts: Long Beach &
Glen Cove
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Nassau County - 10th JD: Mental Hygiene/Guardianship
Online Video Training Program
Guardian Assistance Network
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Court Information Center
Find a Lawyer
©2010 - All Rights Reserved.
http://www.nycourts.gov/courts/10jd/nassau/guardianship.shtml (2 of 2)11/20/2011 9:58:23 AM
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STATEMENT IDENTIFYING REAL PROPERTYPursuant to Mental Hygiene Law §81/20 (a)(6) (vi)
Record and Index:
Incapacitated Person
Guardian of Property
Address
[ ] Check box if there is/are Co-Guardians of the property and List Below
Guardian of Property
Address
Guardian of Property
Address
Adjudication of Incapacity: Supreme Court Nassau County
Index Number Date of Order and Judgment Date of Decision/Verdict
Surety Name:
Bond Number: Phone Number:
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Real Property
Address
Tax Map Desgination: Name of Municipality:
Section Block Lot
Signature of Guardian Co-Guardian
Name of Guardian Name of Co-Guardian
State of New York County of } ss:
On this day of , before me came
Name of Guardian Name of Co-Guardian
to me know to be the individuals described herein, and who executed the foregoing instrument andacknowledged that he/she/they executed same.
Notary Public
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12th Judicial District - Bronx County Forms
Bronx County
General Court Info
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Assignment Sheet
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City Part IA-3 | Part IA-21 Forms | Guardianship | Legal Support | Small Claims Assessment Review | Supreme, Civil and Surrogate's
For all other forms not specific to Bronx County, please check the statewide forms page.
City Part IA-3 Forms
TRIAL AND PRE-TRIAL PDF WPD
HIPPA Compliance Statement Form
Motions & Preliminary Conferences Rules Rules
OSC to Withdraw as Counsel Rules Rules
Settlement Conferences & Trial Assignment - updated 10/06/08
Rules Rules
Settlement Conferences Worksheet Worksheet
Part IA-21 Forms
PART RULES SPECIFIC TO JUSTICE PAUL A. VICTOR PDF WPD
Rules for Motions, Conferences & Trials
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SETTLEMENT OF CLAIMS BY INFANTS/IMPAIRED PERSON PDF WPD
Rules for Compromise Applications Rules Rules
Worksheet/Checklist for Compromise Applications
Worksheet /
Checklist
Worksheet /
Checklist
HIPPA Compliance Statement Form
Standard Compromise Order Form Form
Simple Order for a Structured Settlement (With Instructions)
Form Form
http://www.nycourts.gov/courts/12jd/civil/allforms.shtml (1 of 3)11/20/2011 10:00:49 AM
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12th Judicial District - Bronx County Forms
Filing Rules for E-Filed Motions
Criminal Division
Links
Parent Education
Complex Order for a Structured Settlement (With Instructions)
Form Form
Broker’s Affidavit for a Structured Settlement
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Guardianship Forms
Title PDF WPD
Annual Accounting Report
Initial Report
Final Report
Ex Parte Application for Approval of Secondary Appointment
Article 81 Judgment - Sample
Legal Support
Title PDF
Family Protection Registry Information Sheet (FPRIS)
Addendum to Family Protection Registry Information Sheet
New York State Case Registry Filing Form (NYSCRFF)
Confidential/Settlement Worksheet
Small Claims Assessment Review (SCAR)
Title PDF WPD
General Information and Filing Requirements for Counties Outside New York City
Petition SCAR for Counties Outside of New York City
http://www.nycourts.gov/courts/12jd/civil/allforms.shtml (2 of 3)11/20/2011 10:00:49 AM
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12th Judicial District - Bronx County Forms
Supreme, Civil and Surrogate´s Forms
OmniForms: The OmniForm version of our forms can be filled out electronically. To access them, you will be asked to install a browser plug-in from ScanSoft.
Please keep in mind when completing OmniForms that "the text of all papers must be legible and, other than prompts and instructions, must be in a standard typeface of 10 to 12-point characters and have margins" [22NYCRR Section 207.4]. The typeface becomes smaller as more information is inserted therefore additional pages MUST be attached when available space is insufficient, i.e. typeface becomes too small to be legible.
Title OMNI
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©2007 - All Rights Reserved.
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Queens County Supreme Court, provides links to forms http://www.nycourts.gov/courts/11jd/supreme/civilterm/guardianship.shtml
[129]
12/3/2012
1
Wendy H. Sheinberg, Esq.,
Davidow, Davidow, Siegel & Stern LLP
516‐222‐7720
Source and Scope of Authority The Order and Judgment The Commission Article 81 of the Mental Hygiene Law
Least Restrictive Intervention 81.01 “…. it is desirable for and beneficial to persons with incapacities to
make available to them the least restrictive form of intervention which assists them in meeting their needs but, at the same time, permits them to exercise the independence and self‐determination of which they are capable…. tailored to the individual needs of that person, which takes in account the personal wishes, preferences and desires of the person, and which affords the person the greatest amount of independence and self‐determination and participation in all the decisions affecting such person's life.
Modified Patrick Henry Rule “Give me liberty or give me a new guardian.”
A Guardian is to afford the individual the greatest amount of independence and decision making taking into account:
The individual's functional level;
The individual’s understanding of his/her functional limitations;
The individual’s appreciation of his/her functional limitations;
The personal wishes, preferences and desires of the individual with regard to managing his/her activities of daily living.
12/3/2012
2
Who is the boss of me? A Guardian is a fiduciary, they are not the boss, they are not in
charge, they have been appointed to carry out a job in furtherance of the needs of the individual
Not a finding of incompetence “judicial finding of incompetence and the accompanying stigma and loss of civil rights, traditionally involves a deprivation that is often excessive and unnecessary.” [81.01]
It does provide assistance in meeting their personal and property management needs
It does not allow a guardian to (without good cause) usurp the wishes of the individual.
It does not allow a guardian to force an individual to comply with medications, absent a specific Order of the Court after a separate proceeding in regard to the medication issue.
It does not allow a guardian to consent to ECT without a separate Order of the Court on this issue.
Who is the boss of me? (cont.) It does not allow a guardian to move an individual to a facility on a
permanent non‐emergency basis without prior Court Approval. It does not strip the individual of the rights afforded to them under
the United States Constitution It does require the guardian to determine the personal wishes and
preferences of the individual. It does not authorize the guardian to commence a divorce
proceeding unless the Court has authorized it. It does not prevent the individual from making a new will unless
there has been a specific finding that the person lacks testamentary capacity.
It does not allow the guardian to compel the individual to see, speak with or visit people the individual does not wish to see, speak with or visit
Working Papers Grant of authority is very specific, you can only do what your working papers say you can do, in the way that they say you can do it.
Read the SIGNED Order and Judgment.
Read the CERTIFIED Commission.
Read the transcript of the Judge’s decision.
Read any other decisions, orders or memorandums the Judge has issued.
Read the Court Evaluator’s Report for suggestions made by the Evaluator,
12/3/2012
3
I Just Don’t Know What to Do
Read the documents set out on the last slide.
Call the Court Examiner (Name and Number are in the Order and
Judgment, if they have been replaced call the Guardianship Clerk of the appointing court and they will tell you who has taken their place).
Call your lawyer [fee issue].
Make a short form application and send to Court Examiner for approval.
Petition/Motion .
General Guidance If it won’t look good on the front page of the Times, don’t do it, unless you have a clear order from the Court which has been entered and notice of entry served and the time to appeal has passed.
If you as guardian would commence an action against anyone else doing the thing you are thinking of doing, don’t do it.
If your Aunt Tilly would shake her head at it, don’t do it.
Do not do things that benefit you, without specific prior approval of the Court.
Level of Care A Guardian must exercise the UTMOST care and diligence when acting on behalf of the incapacitated person
A Guardian must exhibit the UTMOST degree of trust, loyalty and fidelity in relation to the incapacitated person
UTMOST: Highest, as in there can be nothing higher than the care and diligence you take in acting as guardian and there can be no higher degree of trust, loyalty and fidelity than when you are acting as guardian.
The person you are guardian of must come first.
Family disagreements, personal grudges must be disregarded.
12/3/2012
4
Danger, Caution Required Making Gifts
Selling real property
Selling personal tangible property
Giving away personal tangible property
Moving the Individual from their present residence or facility
Denying access
Compelling treatment the individual objects to or has previously stated an objection to, or is inconsistent with the known wishes and beliefs of the individual
What are you going to do? Preserve, protect and account for property and income. File a statement identifying real property . Find out if there is a will, file the original will in the surrogate’s
court as directed, keep a copy of the filing receipt. Use the property and income to support the individual. Keep Records, bills, itemized store receipts, cancelled checks,
income records, etc., etc.,. File initial and annual reports. Visit the individual at least every 90 days, or more frequently as
the Order or circumstances require (sign in/document visits). Consider establishing a pre‐paid burial/funeral if authorized,
cost should be relative to available assets and beliefs of individual
What’s what and where it is Determine what the individual owns and is entitled to. Make a list of all account and other statements that come in. Search websites maintained in each state individual has lived in
or owns property in and search for unclaimed funds, https://ouf.osc.state.ny.us/ouf/
Review prior tax returns including attachments to determine other assets, including safe deposit boxes and business interests IRS Form 4506, Form 56.
Make and maintain copies of all guardianship documents beginning with the Petition and Order to Show Cause
Establish a plan for the management of assets and the personal needs of the individual
Request authority to use professionals such as financial planners with expertise in this area and geriatric care managers.
12/3/2012
5
What’s what and where it is (cont.) Request permission to buy a computer and accounting program
and a small stipend for office type expenses to allow you to be organized.
Have a cell phone, turn it on and answer it. [you can track usage and request a pro rata reimbursement for guardianship related usage.]
Keep a separate credit card that you only use for the guardianship. [Keep actual store receipts and credit slips and bills.]
Inventory all personal property [i.e. yellow metal ring with 14k stamp] take pictures, label pictures and have items appraised. You need Court permission to sell personal property, and you must determine the wishes of the individual, and consider any specific bequests under the individual’s will.
Use of assets to maintain individual Marshal assets into the guardianship. If the individual has assets which name beneficiaries, you should not liquidate and spend those assets or change those beneficiaries without specific court authorization. The account registration on ITF accounts should reflect the existence of the guardianship and maintain the ITF status.
Maintain life insurance and do not change beneficiary. If the individual has assets that name a joint owner, you should not liquidate and spend those assets or change those beneficiaries without specific court authorization Joint accounts.
No mixing and mingling with your assets, ever (remember NY Times cover story).
Bank Accounts Individual account:
Bruce Wayne, as Guardian of the property of Alfred Pennyworth;
In Trust For account:
Bruce Wayne, as Guardian of the property of Alfred Pennyworth in trust for Dick Grayson
ITF accounts, absent a contrary order, are only to be used after all other assets have been depleted and then on a pro rata basis
12/3/2012
6
Brokerage Accounts, Stock, MF, etc. Contact each entity and/or transfer agent
Determine from them in writing the requirements to change registration, also ask if there are other accounts, book entry shares/certificate share/ dividend reinvestment programs/what they are and the identity of beneficiaries if any. Also obtain basis information and full history.
Brokerage Accounts, Stock, MF, etc. (cont.) General requirements:
Letter of Instruction with Medallion Guarantee directing transfer agent/broker/entity to change registration
Stock Power
Original paper stock certificates
Information on book entry shares and DRIP
Maintain beneficiaries/POD/TOD
Tip: bring paper shares to broker and they will assist with all transfers.
US Savings Bonds Bonds are issued by US Treasury, Department of the Public Debt.
http://www.treasurydirect.gov/indiv/research/indepth/ebonds/res_e_bonds_eereplace.htm Form PD F 4000 first review if redemption or re‐issue is available and appropriate
Tax Considerations: http://www.treasurydirect.gov/indiv/research/indepth/ebonds/res_e_bonds_eetaxconsider.htm
Replace a missing or destroyed bond: Form PD F 1048 (maintain beneficiaries)
To value bonds and maintain an inventory: http://www.treasurydirect.gov/BC/SBCPrice
12/3/2012
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Safe Deposit Boxes Look on tax return for safe deposit box fees, contact all banks
individual uses and ask if there is a box. Guardian must inventory the box. Locate Key, if none can be found ask bank about their
requirements and costs of drilling open the box. Schedule time to inventory once all of the bank’s documentary
requirements have been met. Bonding company agent may want to be present during
inventory, contact in advance. Inventory box, take pictures and photocopy documents. Obtain authority to have appraisals and additional insurance if
appropriate. File inventory and seek additional authority for additional
actions as needed.
Real Property Statement identifying real property§81.20(a) (6)(a)(vi)
A house
A condo
A business property
Homeowner’s insurance
Utilities
Tax Authorities, tax exemptions
Do not mortgage property without prior specific approval
Selling Real Property [RPAPL Article 17 proceeding is required!!]
There is no place like home Peapod, Fresh Direct etc. do not co‐mingle your grocery shopping Drugstore.com for personal care items Maintain RX at one place if possible, if RX must be ordered through a
prescription service, keep records so automatic renewal can be done and maintain an account at a local pharmacy, many such as Duane Reade and CVS also have an online service
Consider, Meals on Wheels Landscaper to keep property from looking vacant and alerting
criminals to an easy mark Phone (install a simple to dial adaptive phone and answering machine,
home aides should be instructed to review messages with individual and to write them down verbatim and advise guardian of messages so they don’t go unaddressed)
Emergency Contact List
12/3/2012
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Get a Record Maintain clear records of all physicians with contact information
and last seen dates Ailments and diagnosis as well as medications logs and
medical/surgical history Medical insurance copies of cards [Long term care insurance] Emergency Contacts Personal care aide logs Private Aides:
Issues: Workers compensation, reporting of income and other employment issues[Obtain TIN from IRS with an SS‐4 using individual’s SSN, Worker’s Comp coverage, address tax withholding, Medicare Tax, FICA NYC and NYS reporting, payroll taxes] [Tip, hire bookkeeper and accountant to set up reporting system before you hire aides]
Benefits and Entitlements Contact the Social Security Administration 1‐800‐772‐1213 www.ssa.gov,
complete form to be representative payee. Contact plan administrators for all pensions Contact HR and benefits department of prior employers and trade
unions Contact Medicare 1‐800‐Medicare (yes it has an extra digit)
www.medicare.gov Contact supplemental insurance provider Contact the VA 1‐800‐827‐1000 www.va.gov Determine eligibility for Medicaid, VA programs or other benefits. Reparations: Contact Austrian Consulate General or German Consulate
General in New York [Keep in a separate account] Verify prescription drug coverage and review for adequacy Consider EPIC www.health.ny.gov/health_care/epic/
The Tax Man Assemble all information for individual’s tax return for all states that individual is subject to income tax as well as federal
Meet with accountant shortly after appointment
Set up system to pay quarterly’s and to insure liquid assets are available
12/3/2012
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Creditors, Scammers and Predators, Oh My! Send change of address for mail/open P.O. Box
Contact major credit reporting agencies
Send letters to all known creditors
Contact Direct Mail Association
Remove from automatic credit offers
Do not call list
Block HSN etc with parental controls (v‐chip)
Set internet parameters and make sure individual does not have administrative rights to change browser options.
Free Credit Report (no pirate shirts or cool jingles) The amended Fair Credit Reporting Act permits consumers to request a free copy of their credit report once every 12 months from each of the three major credit reporting agencies (i.e., Equifax, Experian, Trans Union). You can order a free credit report:
www.annualcreditreport.com 1‐877‐322‐8228 Or complete the Annual Credit Report Request Form found at:
https://www.annualcreditreport.com/cra/requestformfinal.pdf ‐PDF and mail to:Annual Credit Report Request ServiceP.O. Box 105281Atlanta, GA 30348‐5281
For more information visit: www.ftc.gov
I vant to be alone Direct Mail Association opt out https://www.dmachoice.org/dma/member/home.action;jsessionid=907247906423DCB8779744ABEE46F2AA.tomcat2 DMA Mail Preference Service PO Box 643 Carmel, NY 10512 [send with check for $1.00 with name, address and signature, if you register as a caretaker there is no fee]
Contact individual companies and remove name from list.
Credit Card Bureau opt out list: 1‐888‐5‐OPT‐OUT or OptOutPrescreen.com . You'll need to provide your Social Security number and a few other pieces of identifying information.
12/3/2012
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Don’t call me no more Do not call list
https://www.donotcall.gov/
Telephone numbers placed on the National Do Not Call Registry will remain on it permanently due to the Do‐Not‐Call Improvement Act of 2007, which became law in February 2008.
Can’t say they didn’t know Write to the credit agencies and advise of guardianship and that no one is authorized to do a credit check or order a report other than guardian Equifax (www.equifax.com)P.O. Box 740241Atlanta, GA 30374‐02411‐800‐685‐1111
Experian(www.experian.com)P.O. Box 2104Allen, TX 75013‐09491‐888‐EXPERIAN (397‐3742)
Trans Union (www.transunion.com)P.O. Box 1000Chester, PA 190221‐800‐916‐8800
Peggy Barbanel is a sole practitioner whose law practice focuses exclusively on guardianship issues and proceedings. Ms. Barbanel is a Court Examiner appointed by the Presiding Justice of the Appellate Division, Second Department and, for the last 31 years, has been an associate of Court Examiners to examine the accounts and inventories filed in the Office of
the Clerk of Kings and Richmond Counties by Committees, Conservators and Guardians of
Incompetent Persons, Patients, Conservatees, and Incapacitated Persons pursuant to Section 81.32 and
former Sections 78.23, 79.17 and 77.29 of the Mental Hygiene Law. She has also been appointed as court evaluator, guardian, counsel for alleged incapacitated persons, and counsel in final proceedings. Ms. Barbanel has also represented petitioners in Article 81 proceedings and represents guardians in on-going guardianships. Ms. Barbanel has been a faculty member at Article 81 training programs for the Appellate Division Second Department, the Brooklyn Bar Association, the Association of the Bar of the City of New York, New York County Lawyers Association, Richmond County Lawyers Association and has spoken on behalf of the Elder Law Section of the New York State Bar Association on Decision Making Day. Additionally, Ms. Barbanel has conducted training programs for newly appointed Court Examiners in Kings County.
Ms. Barbanel was also an Administrative Law Judge for the NYC Taxi & Limousine Commission. A graduate of Syracuse University, Ms. Barbanel received a Masters Degree in Remedial Reading from Long Island University and a J.D. degree from New York Law School. She is admitted to the state bars of New York and New Jersey and the United States District Court for the District of New Jersey. Ms. Barbanel is also a Mediator for the New York Center for Interpersonal Development and a Trainer for ACT (Assisting Children Through Transition) . She is a member of the New York State Bar Association Elder Law Section and the Bay Ridge Lawyers Association.
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By: PEGGY BARBANEL, ESQ. - COURT EXAMINER PREPARING INITIAL AND ANNUAL REPORTS I. INITIAL REPORT (M.H.L. §81.30):
A. PURPOSE: to ensure that the Guardian is taking all necessary steps toward fulfilling his/her fiduciary responsibilities as set forth in the Order and Judgment Appointing Guardian (hereinafter referred to as “Order Appointing”);
B. DUE: 90 days from the date the “Commission ” is issued by the County Clerk;
C. FILE: The original must be signed and notarized and filed at the Count Clerk’s Office, and a copy must be sent to the Court Examiner. Guardian should attach a copy of the Order Appointing as well as a photocopy of the certificate showing completion of the Article 81 education requirement ;
D. CONTENTS: If you are the Guardian of the Person and well as the Property, the Initial Report should include the following information:
1. As to Person: The Initial Report should contain information relating to the I.P.’s current functional level, address and telephone number and should list the I.P,’s relatives. The Initial Report should include a list of dates that the Guardian visited the I.P.; the steps already taken to provide for the I.P.’s personal needs including medical, dental and mental health care information; the Guardian’s plans for providing on-going medical, dental and mental health care for the I.P.; a list of medications taken by the I.P. including purpose and quantity; what provisions Guardian has made for social and personal services for the I.P.; provide information relating to health and accident insurance as well as government benefits to which the I.P. may be entitled.
2. As to Property: The Initial Report should include a complete inventory of the I.P.’s assets and financial resources, including, but not limited to, bank accounts, stocks and securities, real estate, personal property, and income. The Guardian will also set forth the disbursements made on behalf of the I.P. and whether there are any claims and debts against the I.P. The Initial Report should also contain information relating to whether the I.P. has a Last Will and Testament.
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E. EXAMINATION BY COURT EXAMINER: The Court Examiner
will usually not meet with the Guardian to examine the Initial Report. The Court Examiner will compare the information contained in the Initial Report with all other documents to ensure that the Guardian is taking all necessary steps to fulfill his/her fiduciary duties.
1. Examining the Assets: The Court Examiner will ascertain the I.P.’s assets and financial resources from the Petition, the Order Appointing, and the Court Evaluator’s Report and will compare them to the assets and financial resources provided by the Guardian in the Initial Report;
PREPARATION TIP: When preparing the Initial Report, it is advisable to account for ALL the assets as listed in the Order Appointing and state what the current status of each asset it. For example, if the Order Appointing shows that the I.P. has a bank account in Bank A containing $200.00, and the Guardian determines that the account has been closed, it is advisable to list that account and state, “closed on (date).” In this way, the Court Examiner is assured that the Guardian has made an attempt to marshal that asset, and has thus accounted for it.
2. Examining the Income: The Court Examiner will make a similar comparison when examining the income collected by the Guardian.
PREPARATION TIP: When preparing the Initial Report, it is advisable to account for ALL the I.P.’s income as shown in the Order Appointing. For example, if the Order Appointing states that the I.P. gets Social Security Benefits of $850.00 per month, and the Guardian has not yet become the Representative Payee of the benefits, it is advisable to state in the Initial Report what STEPS HAVE BEEN TAKEN to marshal the income.
3. Examining the Disbursements: The Court Examiner will make a similar comparison when examining the disbursements contained in the Initial Report. It is advisable to pay all fees contained in the Order Appointing and list them in the Initial Report. Similarly, if the Guardian has a surety bond, the Court Examiner will be checking the disbursements to ensure that the bond premium has been paid.
4. Examining other powers/duties: Insofar as the Order Appointing sets forth all of the Guardian’s powers, duties and responsibilities, the Court
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Examiner will examine the Order and will look for directives specific to each case. The Court Examiner will then examine the Initial Report paying special attention to the steps the Guardian has taken to fulfill all responsibilities and to accomplish all directives. For example, if the IP is a party to an eviction proceeding and the Guardian is ordered to defend this action, the Court Examiner will want to see contained in the Initial Report the status of the eviction proceeding. Similarly, if the Order directs Guardian to relocate the I.P. to a safer, more appropriate residence, the Court Examiner will expect to see the Guardian’s progress with respect to relocating the I.P.
PREPARATION TIP: Remember, the Court Examiner is aware that the Guardian has only been commissioned to act as Guardian for 90 days; the Court Examiner will want the Guardian to list all steps taken to accomplish all mandates contained in the Order Appointing. The Court Examiner does not expect the Guardian to accomplish EVERYTHING in 90 days.
PREPARATION TIP: Be prepared to provide the Court Examiner with proof of all financial activity and personal needs data. The Court Examiner may ask the Guardian to provide the following:
- Bank Statements;
- Brokerage Statements;
- Evidence of all disbursements including cancelled checks, receipts, Paid bills;
- Tax Returns;
- Recent letter from medical care provider stating date and purpose of I.P.’s of last visit;
- Court Orders;
- Proof of insurance;
- Any other documentation that is relevant and necessary.
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II. ANNUAL REPORT (M.H.L. §81.31):
A. PURPOSE: To provide all financial and personal information for the calendar year.
B. DUE: During the month of May for the prior calendar year.
PREPARATION TIP: The very first accounting period for the Annual
Report is from the date of appointment through December 31st of that year. Thereafter, the Annual Report covers the period from January 1st through December 31st.
PREPARATION TIP: THE ANNUAL ACCOUNT IS NOT A CONTINUATION OF THE INITIAL REPORT--IT IS A SEPARATE DOCUMENT AND STANDS ALONE. IT RELATES BACK TO THE DATE OF APPOINTMENT.
C. FILE: The original must be signed and notarized and filed at the Count Clerk’s Office, and a copy must be sent to the Court Examiner.
D. CONTENTS: The contents of the Annual Report DIFFERS SIGNIFICANTLY from the contents of the Initial Report. While the purpose of the Initial Report is to ensure that the Guardian is taking all necessary steps toward fulfilling his fiduciary responsibilities and does contain portions devoted to assets marshaled, income collected and disbursements made, the Annual Report is detail oriented and contains financial schedules that must be precise and BALANCED.
- Most importantly, the Annual Report contains a RECAPITULATION/ SUMMARY section which must be mathematically correct.
- THE ANNUAL ACCOUNT CONSISTS OF SCHEDULES: As long as the Guardian is consistent from year to year, the schedules can be called A, B, C, or A, A-1, A-2, B, B-2, B-2, etc,. The following schedules are required:
Schedule A: Principal Marshaled Schedule B: Income Schedule C: Increases or Decreases to Principal (Realized and Unrealized)
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Schedule D: Disbursements Schedule E-1: Balance of Cash & Securities
SUMMARY/RECAPITULATION SCHEDULE Schedule E-2: Real Estate Schedule E-3: All other personal property Schedule F: Name and address of Surety Schedule G: As to the Incapacitated Person
1. PRINCIPAL MARSHALED SCHEDULE: Follow the Order Appointing, track each asset, use real numbers (make sure you change the title of the account “Mary Sample, Guardian of Jane Sample).
PREPARATION TIP: Follow the same procedure as setting forth the Assets marshaled for the Initial Report. Follow the list of assets set forth in the Order Appointing. In this case, since more time has usually elapsed, the Guardian has had the opportunity to marshal ALL assets. If Guardian has closed a bank account and deposited the funds into a Guardianship account in another bank, it is a good idea to state the prior Bank and account number so that Court Examiner is assured that the particular asset has been accounted for.
(a) As to bank accounts: Guardian should list each bank account separately and include the name of the bank, the account number, the title of the account, whether the account is joint and if so, with whom, the amount in the account the date the Guardian marshaled the account.
(b) As to stocks and bonds: Guardian should list each security with the number of shares (if stocks) and the value per share as of the date the Guardian marshaled the asset.
(c) As to security accounts: Guardian should list each account separately providing the name of the brokerage house and account number, the securities list and amounts as of the date the Guardian marshaled the asset.
(d) As to other assets marshaled: Guardian should list all other monies received, whether retroactive lump sum benefits or refunds, giving details as to name or source, amount received etc.
(e) There is a separate schedule for Real Estate.
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PREPARATION TIP: In the second year, your Schedule A PRINCIPAL MARSHALED SCHEDULE will become ASSETS ON HAND ON DATE OF LAST ACCOUNTING. Insofar as each accounting period ends December 31st, the next period begins on January 1st with the same assets that you ended the prior period with.
2. INCOME SCHEDULE: As in the Initial Report, Guardian should list ALL sources of income as stated in the Order Appointing. It is Important to distinguish between income received and increases to principal for purposes of computing Guardian’s commissions (depending on method of calculating commissions as set forth in order appointing, this distinction becomes critical).
PREPARATION TIP: REMEMBER: ALL DEPOSITS ARE NOT INCOME and TRANSFERS ARE NOT INCOME (transfers are nothing more than changing one type of asset for another)
(a) EXAMPLES OF INCOME: Social Security, Pension Benefits, Bank Account Interest, Stock Dividends, Bond Interest, Monthly Structured Settlement Payments (lump sums are considered Increases to Principal), Rental Income, I.P.’s income from employment, etc.
PREPARATION TIP: Items of income should be categorized
and subtotaled as follows: Social Security Benefits 10 months @ $200. $ 2,000.00 2 months @ $220. 440.00 $2,440.00
Bank Interest Chase, Checking #1234 $ 100.00
HSB, Savings #4567 650.00 $ 750.00
TOTAL INCOME RECEIVED: $3,190.00
3. INCREASES TO PRINCIPAL SCHEDULE: (ALSO “GAINS”):
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Generally occurs when you are receiving monies – not income. There are two types of Increases to Principal: Realized and Unrealized.
(a) “Realized Increase to Principal” – refers to monies received
on the sale of stocks and bonds that were sold; on monies received on the sale of real estate or other property (car, antiques, etc.) Also refers to reimbursements or refunds – monies that were previously expended (tax refunds, medical refunds) and are now being returned to the estate.
(b) “Unrealized Increase to Principal” – refers to the fluctuation of the market value of a securities account.
EXAMPLES OF INCREASES TO PRINCIPAL: - Proceeds of sale of property - Increases realized upon sale of Securities (bought stock for $5, sell at $7) - Tax Refunds - Insurance Premium Refunds - Newly discovered and marshaled asset - Inheritance - Capital gain - Unrealized increase to value of securities due to market fluctuation (worth more at end of period than was worth at beginning)
4. DECREASES TO PRINCIPAL SCHEDULE: (ALSO “LOSSES”)
There are also realized and unrealized decreases, as follows:
(a) “Realized Decrease” – includes loss of monies on the sale of stocks and bonds or other assets; also includes monies withdrawn to purchase real estate (pursuant to prior Court approval).
(b) “Unrealized” - refers to the fluctuation of the market value of a securities account – decrease in value of securities – less at end of period than was worth at beginning.
5. DISBURSEMENTS SCHEDULE: – monies you expend on behalf of the Incapacitated Person from the funds of the Incapacitated Person.
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GENERALLY – These are the expenses necessary for the everyday support and maintenance of the IP and maintenance of real property (and perhaps, for the support and maintenance of others dependent on the IP)
PREPARATION TIP: REMEMBER, : In the same way that all deposits are not income, ALL WITHDRAWALS ARE NOT DISBURSEMENTS. Some withdrawals are nothing more than withdrawing funds from one account and transferring the funds to another – again, transferring one type of asset for another. TRANSFERS ARE NOT DISBURSEMENTS.
(a) MOST COMMON CATEGORIES OF DISBURSEMENTS:
i. Payments pursuant to Court Order; Bond Premiums ii. Living Expenses (if lives with others, proportionate
share) - Rent - Food - Utilities (Gas, Electric, Phone) - Clothing - Household expenses: sundries, cleaning materials
iii. Medical Expenses - Doctors, hospitals, ambulance, medical tests - Medicines; Health Insurance
iv. Nursing Home Care v. Homecare Services (employer/employee – employee
taxes, including social security, medicare, withholding transmittals, unemployment insurance, disability insurance, worker’s compensation insurance
vi. Taxes: Federal, NYS, NYC vii. Real Estate Expenses
- Taxes and Insurances; Water and Sewer - Mortgage payments; - Repairs
**** PREPARATION TIP: DO NOT LIST YOUR DISBURSEMENTS CHRONOLOGICALLY BY CHECK # OR DATE ORDER. THE DISBURSEMENTS MUST BE CATEGORIZED AND SUB-TOTALED.
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**** PREPARATION TIP: DO NOT PAY ANY FEES TO ATTORNEYS OR ACCOUNTANTS WITHOUT PRIOR COURT APPROVAL. **** PREPARATION TIP: DO NOT MAKE ANY MAJOR PURCHASES or GIVE MONETARY GIFTS WITHOUT PRIOR COURT APPROVAL. (The $11,000 gift allowed by IRS is another issue and does not apply to guardianships.)
(b) EXAMPLE OF DISBURSEMENTS FORMAT:
Bond Premium $ 1,000.00
Payments Per Court Order Court Evaluator $ 2,000.00 Jane Doe, Esq. 3,000.00 Dr. Diamond 500.00 $
5,500.00
Rent, 12 mo. @ $1000.00 12,000.00
Home care Expenses Ms. Jones $10,000.00 Ms. Smith 5,000.00 15,000.00
Utilities: Telephone $ 500.00 Gas 750.00 Electric 550.00
1,800.00
TOTAL DISBURSEMENTS: $34,300.00
PREPARATION TIP: Some Guardians and Court Examiners find it preferable to list all payments in each category by date and check number and then give further subtotals, as follows:
Utilities: Nynex 1/12/03, check #124 $ 75.00 2/13/03, check #142 72.50 3/11/03, check #155 80.25 $ 227.75
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Whatever method you choose, as long as your disbursements are categorized and subtotaled, the Court Examiner will be able to make a determination as to whether the annual expenditures made on behalf of the I.P. were necessary and proper. REMEMBER: If you expend your own monies, do not include that $ in disbursement.
6. SCHEDULE OF ASSETS ON HAND (as of December 31st)
(a)List all assets on hand at the end of the examination period: - list each bank account separately providing: bank name,
Branch #, address, account #s, title of account, amount.
- list all stocks/bonds: name, # of shares, amount, inventory value and market value; - list all brokerage accounts providing: name, address, account
Number, investments, amount; - ADD UP ALL ASSETS AND PROVIDE A TOTAL.
** Make sure that there is a statement for each asset that shows exact
dollar amount AS OF DECEMBER 31ST.
7. SUMMARY/RECAPITULATION SCHEDULE
This may be one of the most important components of the annual account because it proves that the schedules are mathematically correct. This should balance so that the total of all assets on hand as of December 31st are the result of the following:
Principal Received Schedule Plus: Income Received Plus: Increases to Principal Less: Decreases to Principal Less: Disbursements EQUALS – the balance on hand as of December 31st.
If the balance that you reach after performing the above mathematical
calculations does not equal the actual balances on deposit in bank accounts, stocks,
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bonds, securities accounts, etc., this means that there are errors in one or more of the schedules and/or in the calculations. Your accounting must be corrected before filed.
PREPARATION TIP: After the first year, the beginning balance is the ending balance of the prior year. To reiterate, while Schedule A in the first year is called “Principal Received”, in subsequent years Schedule A is called “Balance on Hand” (this is the ending balance of the prior year)
8. REAL ESTATE SCHEDULE:
List all real estate owned by the Incapacitated Person. Describe the property providing the following details:
- address - fair market value; - title; - whether property is subject to a mortgage, and if so, provide details; - whether the property is income producing and if so, provide details as
to names of tenants, amount of monthly rent, whether the tenant has signed a lease and details;
- whether the property is covered by fire and liability insurance, and if so, provide details;
- whether all real estate taxes are paid to date;
9. OTHER PERSONAL PROPERTY:
List all other personal property belonging to the Incapacitated Person, including, but not limited to:
- automobiles; - jewelry – supply an appraisal - antique furniture - supply an appraisal - artwork - supply an appraisal - whether the I.P. has a safety deposit box and the contents thereof.
10. SCHEDULE AS TO INCAPACITATED PERSON:
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The Guardian will be asked to provide detailed information relating to the welfare of the Incapacitated Person, including but not limited to:
- address, telephone number; - medical information including last date and reason for doctor’s care,
medications, plan for medical, dental and mental hygiene care; - functional limitations;
- activities of daily living; - information relating to social skills; - social needs; - whether current residence is best; - whether there is any need to modify Guardian’s powers or terminate
guardianship - whether the I.P. has executed a Last Will and Testament and location
thereof
E. EXAMINATION BY COURT EXAMINER:
1. The Court Examiner prepares a “Testimony” based upon the information contained in the Annual Report. It is a question and answer document that expands on the information contained in the Report.
2. The Court Examiner will contact the Guardian to set up a mutually convenient hearing date.
3. The Guardian should expect the Court Examiner to conduct a hearing in his/her office and will expect the Guardian to appear with the following records:
- Cancelled checks and receipts for all expenditures;
- All bankbooks, bank statements, bonds, mortgage and other securities;
- Copies of court orders in Guardian’s possession;
- Insurance policies for your Ward;
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- Income tax returns filed on behalf of your Ward;
- Statement by physician, psychologist, nurse clinician, or social worker who has examined Ward within the 3 months prior to filing of the Report regarding evaluation of condition current functional level and medications taken.
PRACTICE TIP: It is a good idea to prepare in advance for
your meeting with the Court Examiner. Try to arrange your cancelled checks in the manner in which they appear in your accounting. Therefore, group the cancelled checks according to category. This will make the examination go more quickly and smoothly. It is also a good idea to circle the ending balances on the bank statements; if you have bank books, it is advisable to draw a line in the book where you stopped the period — December 31st. This will also help you determine where to begin your next accounting.
4. When the Court Examiner is able to certify, after his/her examination
of the Guardian and inquiry into the assets of the estate, the items of the income and the
expenditures made, that the assets are as stated in the Annual Report, that the items of
the income have been properly collected, that the payments stated to have been made
were proper payments and were appropriate and necessary to the administration of the
I.P.’s estate, then the Court Examiner will recommend to the Court that the account be
approved, and that an order to that effect be entered.
III. INITIAL & ANNUAL REPORTS: AFTER THE EXAMINATION
1. Once the Court Examiner determines that he/she should approve the accounting, the Court Examiner prepares a Report and proposed Court Order providing for the Court Examiner’s fee, Commissions to Guardian (if Guardian is entitled), Attorney and/or Accountant fees, and whether the Guardian should file an increased or decreased bond.
2. Since Article 81 requires that the Court Examiner serves the
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Guardian with a copy of his/her Report on 5 days notice to the Guardian (M.H.L. §81.32(e), the Guardian will receive a copy of the proposed Order and Report with a Notice of Settlement. The date that the Judge can review the Court Examiner’s Report is stated on the Notice of Settlement. If the Guardian objects to the proposed Order and Report, the Guardian has until the date on the Notice of Settlement to submit opposition papers. If there is no opposition, the Judge will sign the order and will fill in the appropriate fees.
3. When the Order is signed, the Court Examiner will serve the Guardian with a copy of the Order. The Guardian will then pay all fees as required, obtain an increased or decreased bond (if ordered) and file the increased/decreased bond at the County Clerk’s Office. IV. FINAL ACCOUNTS: Article 81 has recently been amended and has enacted Section 81.44 which provides that upon the death of the IP, the Guardian shall:
1. Within 20 days of death, file a Statement of Death; 2. Within 150 days of Death, file a Statement of Assets, Notice of
Claim and the Final Accounting.
Read Section 81.44 for ADDITIONAL DIRECTION and information. ____________________________________
1. The filing of a Final Account is appropriate in the following circumstances:
A. The death of the Incapacitated Person;
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B. The assets of the Incapacitated Person have become
depleted;
C. The Guardian can no longer act, and a Successor Guardian must be appointed;
D. The Incapacitated Person has capacity.
2. The Final Account differs from the Initial and Annual Accounts in several aspects:
A. Guardian must make application for permission to file a Final Account setting forth the reason(s) why a Final Account is necessary;
B. The period covered in a Final Account varies:
(a) If annual accounts have already been reviewed and approved, Guardian usually begins the Final Account from the date of the last examined and approved annual account and covers the period through the death of the Incapacitated Person;
(b) If annual accounts have already been reviewed and approved, Guardian may begin the Final account from the date of the last examined and approved annual account and cover the period through the date of preparation of the Final Account (this is usually done when a substantial amount of financial activity took place after the death of the Incapacitated Person (i.e., payment of outstanding nursing home bills, payment of funeral and related costs, etc.).
C. Depending upon your jurisdiction, the Court may require that you prepare your Final Account covering the period from the date of Guardian’s appointment through date of the Incapacitated Person’s
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death, even if all annual accounts have been filed, reviewed and approved by the Court. Please call your Court Examiner to ascertain which method your jurisdiction requires.
D. The Final Account must be judicially settled - notice must be given to all interested parties.
E. The Court usually appoints counsel to represent the Incapacitated Person; this individual reviews the final account and reports to the Court. The Final account is not necessarily reviewed by the Court Examiner.
3. In the case of depleted assets, it is recommended to petition the Court to file a Final account when the assets are reduced to approximately $25,000.00 (this amount varies). In this way, Guardian will retain sufficient funds to make final payments, i.e., Guardian’s commission, attorney/accountant fee, Court Examiner/counsel fee, etc.
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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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In the Matter of the Initial Report of
: INDEX
#: 123123/12
______MARY SAMPLE__________________
:
As Guardian For INITIAL
REPORT
____ JANE SAMPLE___________________ : OF GUARDIAN
:
COURT EXAMINER:
An Incapacitated Person. PEGGY BARBANEL
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I, ________MARY SAMPLE________________________________________residing at 120
Columbia Avenue, Brooklyn, New York 11201A,and with telephone #:718-241-4576, as Guardian for the
above named person, do hereby make, render and file the following Initial Report of Guardian as follows:
1. That the Guardian was appointment by Order of this Court on the 10th day of February, 2012.
That the Guardian has successfully completed all educational requirements under Section 81.39 of the Mental
Hygiene Law by attending class on the 5th day of April, 2012 sponsored by the Richmond County Bar
Association (attach a copy of Certificate issued to Guardian).
2. That the Guardian duly qualified as such Guardian by filing in the Clerk's Office of the County of
Kings a bond in the sum of $200,000.00 with bonding company American Surety Company, Bond
2
#AX234-1987, pursuant to the Order of this Court, and the Commission to Guardian was issued on March 10,
2012.
3. Date, time and place of visits with the Incapacitated Person:
Guardian resides with Incapacitated Person.
4. Provisions for medical, dental, mental health or related services:
- Medical care is provided by I.P,’s personal physician:
Dr. Sharp, 10 Madison Avenue, NY, NY
- IP has regular checkups every 3 months and as needed
- Dental care is provided by I.P.’s personal dentist:
Dr. Wilson, 25 Church Avenue, Brooklyn, NY
- IP visits Dr. Wilson periodically for gum treatments
- IP visits the Alzheimer’s Foundation for bi-monthly check-ups
5. Provisions for social and personal services:
- I.P. attends the JCC and participates in music programs and art programs
- I.P. eats lunch regularly at the JCC and socializes with her friends
- I.P. has physcial therapy once per week
- I.P. goes to the beauty parlor once per week
- I.P. has private home attendants who attend to her activities of daily living
3
6. Application of health and accident insurance as well as
government benefits:
- IP receives GHI health benefits
- IP already receives Social Security and Pension Benefits
7. The following is a true and full account of all assets of the Incapacitated Person that have been
marshaled by Guardian of the Property:
BANK ACCOUNTS:
(List name & address of institution, account numbers and amount of money on hand prior to liquidation by
Guardian):
Citibank, Acct. #26153121 $10,200.50
STOCKS AND SECURITIES:
(List name & address of company, number of shares and fair market value of stock or security as of the date
of appointment):
STOCKS:
100 shares A.T. & T. $ 4,300.00
500 shares Gen. Electric 10,350.00
500 shares Gen. Motors 5,600.00 20,250.00
SECURITIES ACCOUNT:
Merrill Lynch Acct. #25-632-911 135,139.50
4
REAL ESTATE
(List property address, description of property, approximate value, names of tenants, if any, rental income
collected, if any.)
1. Real Property located at
123 Columbia Avenue, Brooklyn, New York
2 family house, approx. value $250,000.00
2. Real Property located at
456 America Street, Staten Island, New York
1 family, approx. value $200,000.00
PERSONAL PROPERTY
(Set forth any jewelry, collectibles, automobiles and cash and set forth approximate value)
2008 Volvo, approximate value $5,000.00
INCOME
(Set forth and identify all sources of income the Incapacitated Person is entitled to receive.)
SOCIAL SECURITY BENEFITS @ 572.00 PER MONTH
Guardian has collected 2 months @ $572.00 so far.
N.Y.C. PENSION BENEFITS @ $385.00 PER MONTH
Guardian has not yet effectuated transfer of the NYC Pension Benefits. Letters have been
written and telephone communications with NYC Pension. Guardian expects to begin collecting the benefits very shortly.
5
DIVIDENDS
A.T. & T.
Gen. Electric
Gen. Motors
MERRILL LYNCH
Interest & Dividends
RENTAL INCOME (120 Columbia)
Guardian has collected 3 months @ $500.00 so far.
ASSETS NOT YET MARSHALED
(Set forth all bank accounts, stocks, securities, security accounts not yet marshaled.)
Dime Savings, #11-2510622 $ 21,300.36
DISBURSEMENTS MADE ON BEHALF OF INCAPACITATED PERSON:
(Including disbursements Court Ordered in Order
Appointing Guardian)
Pursuant to Order Appointing dated 2/10/2012
John Ford, Esq., $ 1,500.00
Robert Frost, Court Evaluator 1,000.00
Bond Premiums 1,450.00
Food 100.00
6
CLAIMS AND DEBTS AGAINST THE ESTATE:
n/a
ACTIVITIES PERFORMED ON BEHALF OF I.P.
PURSUANT TO ORDER APPOINTING GUARDIAN:
(EXAMPLE: Relocating IP; Defending IP in legal
proceedings; Performing special tasks including, but not
limited to, housecleaning, Spend down for Medicaid,
home-care services, Temporary Restraining Orders,
Investigations relating to financial exploitation of IP, etc.)
Guardian is in process of making application to sell
property at 456 America Street, Brooklyn, New York
Guardian is also involved in Estate proceeding for
deceased Aunt Jean Smith wherein the IP will
inherit funds
7
STATE OF NEW YORK )
: ss.
COUNTY OF KINGS )
I, ____MARY SAMPLE_________________________________________ being duly sworn, say that
I am the Guardian for the above-named Incapacitated Person; the foregoing initial account and inventory
contain, to the best of my knowledge and belief, a full and true statement of all receipts of the Incapacitated
Person; and of all money and other personal property of said Incapacitated Person which have come to my
hands or have been received by any other persons, by my Order of authority, or for my use since my
appointment, and of the value of all property. I do not know of any error or omission in the Report to the
prejudice of said Incapacitated Person.
___________________________________
GUARDIAN
Sworn to before me this
day of , 2012
____________________________
Notary Public
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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In the Matter of the Examination of the
INITIAL REPORT
INDEX NO. 123123/12
MARY SAMPLE NOTICE OF
SETTLEMENT
Guardian of the Person and Property of
JANE SAMPLE
An Incapacitated Person
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S I R S :
PLEASE TAKE NOTICE, that the within is a true copy of a Report and Order that will
be presented for settlement to the Honorable Judge, one of the Justices of the above-named Court, at
the Courthouse thereof, 360 Adams St., Brooklyn, New York on the 11th day of August, 2013, at 9:30
a.m.
Dated: Brooklyn, New York
August 1, 2013
Yours, etc.,
ROBERT EXAMINER
Court Examiner
26 Court Street, Suite 1405
Brooklyn, New York 11242
(718) 625-1234
TO:
MARY SAMPLE
120 Columbia Avenue
Brooklyn, New York 11201A
Bonding Company
American Surety Company
123 Surety Bond Road
Anywhere, USA 12334
HRA (If IP resides in nursing facility or SNT)
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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In the Matter of the Examination of the
INITIAL REPORT
INDEX NO. 123123/12
MARY SAMPLE
REPORT OF EXAMINER
Guardian of the Person and Property of
JANE SAMPLE
An Incapacitated Person
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TO THE JUSTICE PRESIDING
The undersigned Supreme Court Examiner has reviewed the Initial Report filed by the
Guardian of the above-named Incapacitated Person in accordance with Sec. 81.30 of the Mental
Hygiene Law.
The Initial Report sets forth the following information:
ADDRESS OF INCAPACITATED PERSON:
Jane Sample
120 Columbia Avenue
Brooklyn, New York 11201A
GUARDIAN'S NAME AND ADDRESS:
Mary Sample
120 Columbia Avenue
Brooklyn, New York 11201A
DATE OF APPOINTMENT:
February 10, 2012
BOND AMOUNT:
$200,000.00
SURETY:
American Surety Company
COMMISSION ISSUED:
March 10, 2012
INITIAL REPORT DATED:
June 10, 2012
MARSHALED ASSETS: Citibank, Acct. #26153121 $10,200.50
STOCKS:
100 shares A.T. & T. $ 4,300.00
500 shares Gen. Electric 10,350.00
500 shares Gen. Motors 5,600.00 20,250.00
SECURITIES ACCOUNT:
Merrill Lynch Acct. #25-632-911 135,139.50
REAL ESTATE
1. Real Property located at
123 Columbia Avenue, Brooklyn, New York
2 family house, approx. value $250,000.00
2. Real Property located at
456 America Street, Staten Island, New York
1 family, approx. value $200,000.00
PERSONAL PROPERTY
2008 Volvo, approximate value $5,000.00
INCOME
SOCIAL SECURITY BENEFITS @ 572.00 PER MONTH
Guardian has collected 2 months @ $572.00 so far.
N.Y.C. PENSION BENEFITS @ $385.00 PER MONTH
Guardian has not yet effectuated transfer of the NYC Pension Benefits. Letters have been written and telephone
communications with NYC Pension. Guardian expects to begin collecting the benefits very shortly.
Continued...
DIVIDENDS
A.T. & T.
Gen. Electric
Gen. Motors
MERRILL LYNCH
Interest & Dividends
RENTAL INCOME (120 Columbia)
Guardian has collected 3 months @ $500.00 so far.
ASSETS NOT YET MARSHALED
Dime Savings, #11-2510622 $ 21,300.36
DISBURSEMENTS MADE ON BEHALF OF INCAPACITATED PERSON:
(Including disbursements Court Ordered in Order
Appointing Guardian)
Pursuant to Order Appointing dated 2/10/2012
John Ford, Esq., $ 1,500.00
Robert Frost, Court Evaluator 1,000.00
Bond Premiums 1,450.00
Food 100.00
EDUCATIONAL REQUIREMENTS COMPLETED ON:
April 5, 2012
AS TO PERSONAL NEEDS:
All provisions for social, personal, home care and/or homebound services are provided by
Guardian who resides with the IP; IP has private home attendants who attend to her
activities of daily living. She attends the JCC and participates in music and art programs;
she also eats lunch at the JCC and socializes with her friends. Ms. Sample receives physical
therapy once per week and has regularly schedules medical and dental appointments. She
also visits the Alzheimer’s Foundation for bi-monthly check-ups.
Based upon such examination, the undersigned believes that the said Guardian has properly
complied with the applicable statutes and approves said Initial Report, subject to a more formal
review of the required Annual Account.
Dated: August 1, 2012
_____________________________________
ROBERT EXAMINER,
Supreme Court Examiner
At an IAS, Part 76 of the
Supreme Court, held at
the County Courthouse, KINGS
County, on the day
of 2012.
P R E S E N T :
HON. JUDGE’S NAME ,
Justice.
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In the Matter of the Examination of the
INITIAL REPORT
INDEX NO. 123123/10
MARY SAMPLE O R D
E R
Guardian of the Person and Property of
JANE SAMPLE
An Incapacitated Person
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On reading and filing the Report of ROBERT EXAMINER, one of the Court Examiners duly
appointed by Order of the HONORABLE A. GAIL PRUDENTI, Presiding Justice of the Appellate
Division, Second Department, dated the 8th day of December, 2012 and filed in the Office of the
Clerk of the County of Kings on the 9th day of December, 2012, to examine the accounts and
inventories filed in the Office of the Clerk of Kings County by Committees, Conservators and
Guardians of Incompetent Persons, Patients, Conservatees, and Incapacitated Persons pursuant to
Section 81.32 and former Sections 78.23, 79.17 and 77.29 of the Mental Hygiene Law, which Report
is dated August 12, 2012 duly verified August 12, 2012, hereto annexed, from which it appears that
Upon reading and filing the foregoing, it is
ORDERED, that the Initial Report is approved; and it is further
ORDERED, that MARY SAMPLE, Guardian of the Person and Property of JANE SAMPLE,
pay to ROBERT EXAMINER, Court Examiner, from the funds of the Incapacitated Person, the sum
of $_________________ as compensation for his services in the examination of the Initial Report.
______________________________________
J.S.C.
AFFIDAVIT OF SERVICE BY MAIL
STATE OF NEW YORK )
COUNTY OF KINGS ) ss.:
_____________________, being duly sworn, deposes and says:
That deponent is not a party to the within action, is over the age of 18 years and resides in
Brooklyn, New York.
That on the 12th day of August, 2012, deponent served copies of the within Order and Report
upon the individuals/entities at the addresses designated by said individuals/entities for that purpose,
by depositing true copies thereof enclosed in post-paid, property addressed wrappers in an official
depository under the exclusive care and custody of the United States Postal Service within the State of
New York:
MARY SAMPLE
120 Columbia Avenue
Brooklyn, New York 11201A
Bonding Company
American Surety Company
123 Surety Bond Road
Anywhere, USA 12334
(If IP resides in nursing facility or SNT)
HRA OFFICE OF REVENUE & INVESTIGATION
Civil Litigation Division
180 Water Street, 18th Floor
New York, New York 10038
______________________________
Sworn to before me this
12th day of August, 2012
1
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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In the Matter of the Annual Inventory ANNUAL ACCOUNT FOR 2012
and Account of
Index No.: 123123/12
MARY SAMPLE
As the Guardian of the Person
and Property of
JANE SAMPLE,
An Incapacitated Person.
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TO THE SUPREME COURT OF THE STATE OF NEW YORK, COUNTY OF KINGS:
1. I, MARY SAMPLE, as Guardian of the above named Incapacitated Person, do hereby make, render, and file the following
annual inventory and account.
2. On February 10, 2012, I was duly appointed Guardian of the Person and Property of JANE SAMPLE, by Order of this
Court granted by HON. GEORGE JUDGE, and I qualified to act as such Guardian by giving a bond with the American Surety Company
(Bond #AX234-1987) as surety thereon, pursuant to the aforesaid Order in the penal sum of $200,000.00. The surety is in as good financial
standing as when the bond was given.
3. I have acted as Guardian since the date of my qualification and continue to so act.
4. The following is a true and full account of all said Guardian's receipts and disbursements for the period commencing
February 10, 2012 through December 31, 2012.
2
5. SCHEDULE "A" hereto annexed is a statement that sets forth the principal amount as of the date of appointment, February
10, 2012.
6. SCHEDULE "A-1" hereto annexed is a statement of all income which came into my hands on or after February 10, 2012.
7. SCHEDULE "A-2" hereto annexed is a statement of all increases to principal which occurred during the accounting period.
8. SCHEDULE "B" hereto annexed is a statement of all administrative expenses paid by me during the accounting period.
9. SCHEDULE "B-1" hereto annexed is a statement of all disbursements, debts and expenses for care and maintenance paid by
me during the accounting period.
10. SCHEDULE "B-2" hereto annexed is a statement of all decreases to principal which occurred during the accounting period.
11. SCHEDULE "C" hereto annexed is a statement of all assets remaining in my hands as of December 31, 2012.
12. SCHEDULE "D" hereto annexed is a statement of claims against the estate which are limited to unpaid administration
expenses.
13. SCHEDULE "E" hereto annexed is a statement of all changes to the principal account.
14. SCHEDULE "F" hereto annexed is a statement of all personal property and real estate belonging to the Incapacitated Person.
15. SCHEDULE "G" hereto annexed is a statement as to the surety bond.
16. SCHEDULE "H" hereto annexed is personal information relating to the well-being of the Incapacitated Person.
3
SUMMARY STATEMENT
Schedule "A" - PRINCIPAL ACCOUNT $186,890.36
Schedule "A-1" - INCOME RECEIVED $ 27,473.50
Schedule "A-2" - INCREASES TO PRINCIPAL $239,036.70
TOTAL SCHEDULES A, A-1 AND A-2 $453,400.56
Schedule "B" - ADMINISTRATIVE EXPENSES $ 3,950.00
Schedule "B-1" - DISBURSEMENTS $ 55,263.55
Schedule "B-2" - REALIZED LOSSES $ 1,850.00
TOTAL SCHEDULES B, B-2 AND B-2 $ 61,063.55
Schedule C - BALANCE ON HAND $ 392,337.01
Schedule D - CLAIMS AGAINST THE ESTATE
4
SCHEDULE "A"
(Assets As of 2/10/2012)
Assets Marshaled:
A. CASH ON DEPOSIT WITH:
Citibank, Acct. #26153121 $10,200.50
Dime Savings, #11-2510622 21,300.36 $ 31,500.86
B. STOCKS:
100 shares A.T. & T. $ 4,300.00
500 shares Gen. Electric 10,350.00
500 shares Gen. Motors 5,600.00 20,250.00
C. SECURITIES ACCOUNT:
Merrill Lynch Acct. #25-632-911 135,139.50
$186,890.36
ADDITIONAL ASSETS:
1. Real Property located at
120 Columbia Avenue
Brooklyn, New York
2 family house, approx. value $250,000.00
2. Real Property located at
456 America Street
Staten Island, New York
1 family, approx. value $200,000.00
5
SCHEDULE "A-1"
(Income Received)
BANK INTEREST THROUGH 12/31/12
Citibank $ 532.60
Dime Savings 809.40 $ 1,342.00
SOCIAL SECURITY BENEFITS
4 mo. @ $572. $ 2,288.00
6 mo. @ $585. 3,510.00 $ 5,798.00
N.Y.C. PENSION BENEFITS
4 mo. @ $385. $ 1,540.00
6 mo. @ $390. 2,340.00 $ 3,880.00
DIVIDENDS
A.T. & T. $ 205.00
Gen. Electric 533.00
Gen. Motors 380.50 $ 1,118.50
MERRILL LYNCH
Interest & Dividends (Reinvested) $10,335.00
RENTAL INCOME (123 Columbnia)o
10 mo. @ $500. $ 5,000.00
TOTAL INCOME RECEIVED: $27,473.50
6
SCHEDULE "A-2"
(Increases to Principal)
INCREASES TO PRINCIPAL
1. Pursuant to Court Order dated 6/26/12
Sale of 456 America Street, Staten
Island, New York:
Net Amount Received: $185,000.00
2. Inheritance received from deceased
Aunt, Jean Smith 12.500.00
3. "Realized" increase on sale of:
100 shares A.T. & T.
Received on sale: $6,400.00
Inventory value: - 4,300.00
GAIN OF: 2,100.00
4. "Unrealized" increase in value
of Merrill Lynch account due
to market fluctuations: 39,200.50
5. NYS 2011 Income Tax Refund 200.00
6. Refund from telephone company: 36.20
TOTAL INCREASES TO PRINCIPAL: $239,036.70
7
SCHEDULE "B"
(Administrative Expenses)
Pursuant to Order Appointing 2/10/12
John Ford, Esq., $ 1,500.00
Robert Frost, Court Evaluator 1,000.00
Bond Premiums 1,450.00
TOTAL ADMINISTRATIVE EXPENSES: $ 3.950.00
8
SCHEDULE B-1
(Disbursements)
Real Estate Expenses, 120 Columbia Ave.
Real Estate Taxes $ 4,590.00
Con Edison 2,200.00
Brooklyn Union Gas (heat) 3,000.00
Verizon Telephone 350.50
Gardener 180.00
Repairs 90.00 $10,410.50
Incapacitated Person's Living Expenses
Food $ 2,000.00
Clothing 1,400.00
Entertainment 262.30
Transportation to Doctors 312.85 $ 3,975.15
Medical Expenses
Dr. Sharp $ 150.00
Prescriptions 2,352.35
Dr. Wilson (dentist) 1,680.00
Diet Foods & Supplements 500.55
Coney Island Hospital 665.00
Podiatrist 150.00 $ 5,497.90
Home Health Aides
Lucy Doe $12,360.00
Roberta Love 14,455.00
Susan Rogers 1,565.00 $28,380.00
John Ford, Esq., Re: Sale
9
of 456 America St., Staten
Island, NY, per C.O. 6/26/12 $ 7,000.00
TOTAL DISBURSEMENTS: $55,263.55
10
SCHEDULE B-2
(Decreases to Principal)
1. Realized Decrease on sale of:
500 shares Gen. Electric
Inventory value $10,350.00
SOLD FOR - 9,100.00
LOSS OF: ($1,250.00)
2. "Unrealized" Decrease due to
market fluctuations":
500 shares Gen. Motors
Inventory value $ 5,600.00
Value 12/31/10: 5,000.00
LOSS OF: ($ 600.00)
TOTAL DECREASE TO PRINCIPAL: ($1,850.00)
11
SCHEDULE "C"
(Balance on Hand as of 12/31/2012)
A. CASH ON DEPOSIT WITH:
Citibank, #26153121 $53,141.69
Dime, #11-2510622 80,520.32
EAB, #77261514 (opened 12/1/12) 69,000.00 $202,662.01
B. STOCKS
500 shares General Motors 5,0000.00
C. SECURITIES:
Merrill Lynch Securities Account
#25-632-911 184,675.00
TOTAL ASSETS: $392,337.01
12
SCHEDULE "D"
(Claims Against the Estate)
1. COMMISSION TO GUARDIAN
To be computed based on SCPA Section 2307
2. LEGAL FEES:
John Ford, Esq., Attorney for Guardian, to be fixed by
the Court.
13
SCHEDULE "E"
(Changes to Principal Accounts)
A. New Account at EAB, #77261514 (Savings
account, opened 12/1/12)
14
SCHEDULE "F"
(Personal Property and Real Estate)
(1) Real Property located at:
120 Columbia Avenue, Brooklyn,
New York 11201, 2 Family House;
1 apartment occupied by Incapacitated Person
and Daughter/Guardian;
Title is in name of Incapacitated Person;
1 apartment is rented to PBSmith for $500 per month;
APPROXIMATE VALUE: $250,000.00
(2) 2008 Volvo, Approx. Value $ 5,000.00
(3) Metropolitan Life Insurance Company
Policy, #3235066
Face Value $ 10,000.00
Beneficiary: Daughter
16
SCHEDULE "G"
(Name and Address of Surety)
AMERICAN SURETY
Attn: BETTY ROBERTO
111 John Street
New York, New York 10038
$200,000.00 BOND #AX234-1987
17
SCHEDULE "H"
(As to the Incapacitated Person)
(List here the present address of the I.P.; his/her age; his/her state of health; frequency of visits; changes, if any, in next of kin; whether I.P. has made a Will or executed a Power of Attorney; any
other information necessary for the proper administration of this matter.)
A. PRESENT ADDRESS:
120 Columbia Avenue
Brooklyn, New York 11201
(where she has resided during the entire period under review.)
B. JANE SAMPLE'S AGE:
Ms. Sample is 88 years old, born on 10/1/24.
C. JANE SAMPLE'S STATE OF HEALTH: Ms. Sample suffers from dementia of the Alzheimer's type, hypertension and diabetes. She takes
prescription drugs for high blood pressure and is on a restricted diet for the diabetes. She takes drugs for depression.
D. PRESENT MEDICATION: ABC drug, 250 mg, 2x/day; DEF drug, 50 mg., 3x/day; GHI drug, 250 mg. 1x/day
E. NEXT OF KIN: (name, relationship & address)
MARY SAMPLE, daughter & Guardian, 120 Columbia Avenue, Brooklyn, New York 11201
JOE SAMPLE, son, 100 Dolphin Road, Miami, Florida 33321
F. CHANGES, IF ANY, IN NEXT OF KIN DURING THIS EXAMINATION PERIOD:
There has been no change in next of kin during this period.
G. WHETHER I.P. HAS MADE A WILL: Yes, filed with Surrogate's Court, Kings County
H. WHETHER I.P. HAS EXECUTED A POWER OF ATTORNEY: No.
I. ANY OTHER INFORMATION NECESSARY FOR PROPER ADMINISTRATION: n/a
18
VERIFICATION
STATE OF NEW YORK )
) ss.:
COUNTY OF KINGS )
MARY SAMPLE, being duly sworn, deposes and says:
I am the Guardian of the Person and Property for the above-named person. The foregoing account and inventory contains, to the best of
my knowledge and belief, a full and true statement of all my receipts and disbursements on account of said person for the period February 10, 2012
through December 31, 2012; and of all money and other personal property of said person which have come to my hands or have been received by any
other persons by my order or authority since February 10, 2012, the commencement date of the within accounting, and of the value of all such property,
together with a full and true statement and account of the manner in which I have disposed of the same and of all property remaining in my hands at the
time of filing this account and inventory; also a full and true description of the amount and nature of each investment made by me since my appointment
or since the filing of my last account and inventory.
I do not know of any error or omission in the account and inventory to the prejudice of said person.
_______________________
MARY SAMPLE
Sworn to before me this
_____day of October, 2013.
______________________
________________________________
Notary Public
19
Index No. 123123/2010
SUPREME COURT
COUNTY OF KINGS
============================
IN THE MATTER OF
THE ANNUAL INVENTORY
AND ACCOUNT OF
MARY SAMPLE
AS GUARDIAN OF PERSON AND PROPERTY & PERSON OF
JANE SAMPLE
AN INCAPACITATED PERSON
=============================
ANNUAL INVENTORY AND ACCOUNT FOR
2/10/12 - 12/31/12
=============================
Filed May 1, 2013
−1−
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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In the Matter of the Annual Inventory TESTIMONY
and Account of
Index No.:
123123/12
MARY SAMPLE
As the Guardian of the Person
and Property of
JANE SAMPLE,
An Incapacitated Person.
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Brooklyn, New York
Hearing before ROBERT EXAMINER, Court Examiner, appointed pursuant to an Order of the HONORABLE A. GAIL PRUDENTI,
Presiding Justice of the Appellate Division, Second Department, dated December 8, 2012, and filed in the Office of the Clerk of the County of Kings on
December 8, 2012, whereby under the provisions of Section 81.32 of the Mental Hygiene Law, said Court Examiner was directed to examine the
inventories and accounts filed in the Office of the County Clerk of Kings by the conservators, by the committees of the property of incompetent persons,
by the guardians for the incompetent wards of the Veterans Administration and by guardians, in accordance with former Sections 77.29, 78.23 and 78.25
of the Mental Hygiene Law.
The Court Examiner states that he has taken the oath required by law and has procured from the files of the Clerk of the County of Kings, the
accounts filed for the period from February 10, 2012 to December 31, 2012, the Court Examiner's report upon the previous account, if any, and all other
necessary papers.
APPEARANCES: MARY SAMPLE, Guardian of the Person and Property.
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MARY SAMPLE, being first duly sworn, testifies as follows:
Q. You are the Guardian of the Person and Property of JANE SAMPLE, an Incapacitated Person. Are you related?
A. Yes, I am her daughter.
Q. What is your address?
A. 120 Columbia Avenue, Brooklyn, New York 11201
Q. What is your home telephone number?
A. 718-123-4567.
Q. What is your business telephone number?
A. 212-321-7654.
Q. What is your occupation?
A. I am a Registered Nurse at NYC Medical Center.
COURT EXAMINER: It appears from the records on file in the Kings County Clerk's Office that the Guardian was duly appointed by
Order of the Supreme Court, Kings County, dated February 10, 2012, and pursuant thereto, filed the following bonds with AMERICAN
SURETY (#AX234-1987) appointed by Justice Carmine Jones, J.S.C.):
Amount Date Filed
$200,000.00 March 1, 2012
Q. How old is the Incapacitated Person?
A. She is 88 years of age, born on October 1, 1924.
Q. What is her marital status?
A. She is a widow.
Q. What was her occupation prior to her illness?
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A. She was a teacher in the NYC school system.
Q. Where is the Incapacitated Person at the present time?
A. She resides in her own home located at 120 Columbia Avenue, Brooklyn, New York
11201 with 24 hour home health aides.
Q. Who are the heirs at law and next of kin of the Incapacitated Person?
A. Myself, her daughter and Guardian, resides with IP
JOE SAMPLE, son, 100 Dolphin Road, Miami, Florida 33321
Q. Has there been any change in next of kin during this period?
A.
Q. What is the Incapacitated Person's telephone number?
A.
Q. If the I.P. resides in a nursing home or similar facility, what is the name, address, and telephone number of the facility and the name of the chief executive officer or person otherwise responsible for the IP’s care? A. n/a Q. What is the nature and duration of the I.P.'s illness or incapacity? A. Q. Please list the medications and/or treatments taken by the Incapacitated Person? A.
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Q. Has there been any substantial change in medication and/or treatment during this period? If so, please explain and state who has authorized such change? A. Q. Have there been any major changes in the physical or mental condition of the I.P. during this period? If so, please explain. A. Q. Please state the date that the I.P. was last examined or otherwise seen by a physician and the purpose of that visit? A. Q. Pursuant to Article 81, Section 81.31(b)(5), have you provided a statement by a physician, psychologist, nurse clinician, or social worker, or other person that has evaluated or examined the I.P. within the 3 months prior to the filing of your report regarding an evaluation of the I.P.'s condition and the current functional level of the I.P.? A. Q. Please state whether the current residential setting is best suited to the current needs of the I.P.? A. Q. Please list any professional medical treatment given to the I.P. in the preceding year? A. Q. Please state the plan for medical, dental, and mental health treatment, and related services for the coming year? A.
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Q. What social and personal services are currently being utilized by the I.P.? A. Q. What are the social skills of the I.P.? A. Q. What are the social needs of the I.P.? A. Q. What activities have you performed on behalf of the I.P. during this examination period? A. Q. Do you know of any facts indicating the need to terminate your appointment as Guardian or for any alteration in the powers as Guardian (what specific authority is requested or what specific authority of your powers as Guardian will be affected)? A. Q. Have you sent a copy of the annual report to the I.P. by mail and have you filed a copy of the annual report at the Clerk's Office? A. Q. If the I.P. resides in a facility, have you sent a duplicate of your annual report to the chief executive officer of that facility and the mental hygiene legal service of the judicial department in which the residence is located? A. n/a
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COURT EXAMINER: It further appears from the records on file in the Kings County Clerk's Office that the Guardian filed an inventory and account as follows:
On May 31, 2013
COURT EXAMINER: Court Examiner examines Order Appointing Guardian and the Report of the Court Evaluator which states the Incapacitated Person’s assets to be:
Bank Accounts with Citibank and Dime Savings with approximate amount on deposit of: $30,000.00.
Stocks and bonds: unknown number of shares of AT&T, General Electric, General Motors Value unknown
Merrill Lynch Securities Account $132,000.00.
Real Property
Q. What money and/or property did you receive belonging to the Incapacitated Person? A. CASH ON DEPOSIT WITH: Citibank, Acct. #26153121 $10,200.50 Dime Savings, #11-2510622 21,300.36 $ 31,500.86 B. STOCKS: 100 shares A.T. & T. $ 4,300.00 500 shares Gen. Electric 10,350.00 500 shares Gen. Motors 5,600.00 20,250.00 C. SECURITIES ACCOUNT: Merrill Lynch Acct. #25-632-911 135,139.50
$186,890.36 ADDITIONAL ASSETS: 1. Real Property located at 120 Columbia Avenue, Brooklyn, New York 2 family house, approx. value $250,000.00
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2. Real Property located at 456 America Street, Staten Island, New York 1 family, approx. value $200,000.00 Q. What income did you receive during this examination period? A. As follows: BANK INTEREST THROUGH 12/31/12 Citibank $ 532.60 Dime Savings 809.40 $ 1,342.00 SOCIAL SECURITY BENEFITS 4 mo. @ $572. $ 2,288.00 6 mo. @ $585. 3,510.00 $ 5,798.00 N.Y.C. PENSION BENEFITS 4 mo. @ $385. $ 1,540.00 6 mo. @ $390. 2,340.00 $ 3,880.00 DIVIDENDS A.T. & T. $ 205.00 Gen. Electric 533.00 Gen. Motors 380.50 $ 1,118.50 MERRILL LYNCH Interest & Dividends (Reinvested) $10,335.00 RENTAL INCOME (123 Columbia) 10 mo. @ $500. $ 5,000.00 TOTAL INCOME RECEIVED: $27,473.50 Q. Please state the name of the tenant and whether the tenant has signed a lease. If the tenant has signed a lease, what are the terms thereof? A.
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Q. Where there any increases to principal during this examination period? A. Yes, as follows: 1. Pursuant to Court Order dated 6/26/12 Sale of 456 America Street, Staten Island, New York:
Net Amount Received: $185,000.00 2. Inheritance received from deceased Aunt, Jean Smith 12,500.00 3. "Realized" increase on sale of:
100 shares A.T. & T. Received on sale: $6,400.00 Inventory value: - 4,300.00
GAIN OF: 2,100.00
4. "Unrealized" increase in value of Merrill Lynch account due to market fluctuations: 39,200.50 5. NYS 2007 Income Tax Refund 200.00 6. Refund from telephone company: 36.20 TOTAL INCREASES TO PRINCIPAL: $239,036.70 Q. Do you expect any further distributions from the Estate of Jean Smith, deceased aunt of the Incapacitated Person? If so, when and what amount? A.
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Q. Were there any decreases to principal during this examination period? A. Yes, as follows: 1. Realized Decrease on sale of:
500 shares Gen. Electric
Inventory value $10,350.00 SOLD FOR - 9,100.00
LOSS OF: ($1,250.00) 2. "Unrealized" Decrease due to market fluctuations":
500 shares Gen. Motors
Inventory value $ 5,600.00 Value 12/31/02: 5,000.00 LOSS OF: ($ 600.00) TOTAL DECREASE TO PRINCIPAL: ($1,850.00) Q. Who is in possession of the stock certificates? A.
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Q. What were your disbursements during the period under review? Pursuant to Order Appointing 2/10/12 John Ford, Esq., Petitioner’s Attormey $ 1,500.00 Robert Frost, Court Evaluator 1,000.00 Bond Premiums 1,450.00 Real Estate Expenses, 120 Columbia Ave. Real Estate Taxes $ 4,590.00 Con Edison 2,200.00 Brooklyn Union Gas (heat) 3,000.00 Verizon Telephone 350.50 Gardener 180.00 Repairs 90.00 $10,410.50 Incapacitated Person's Living Expenses Food $ 2,000.00 Clothing 1,400.00 Entertainment 262.30 Transportation to Doctors 312.85 $ 3,975.15 Medical Expenses Dr. Sharp $ 150.00 Prescriptions 2,352.35 Dr. Wilson (dentist) 1,680.00 Diet Foods & Supplements 500.55 Coney Island Hospital 665.00 Podiatrist 150.00 $ 5,497.90 Home Health Aides Lucy Doe $12,360.00 Roberta Love 14,455.00 Susan Rogers 1,565.00 $28,380.00 John Ford, Esq., Re: Sale of 456 America St., Staten Island, NY, per C.O. 6/26/08 $ 7,000.00 TOTAL DISBURSEMENTS: $59,213.55 Q. Please give details of the $1,400.00 expended on clothing during this period?
−11−
A. Q. Do utility bills represent IP’s proportionate share of the bills or 100%? If 100% of the
utility bills were paid by the IP, please explain. A. Q. The balance with which the Guardian is chargeable
as of February 10, 2012 of: $186,890.36
Plus the income for this period: + 27,473.50 $214,363.86
Plus: Increases to Principal: +239,036.70
$453,400.56
Less: Decreases to Principal: -( 1,850.00) $451,550.56
Less the disbursements for this period: - 59,213.55 Leaves a balance with which the Guardian is chargeable as of December 31, 2012 of: $392,337.01
Is that correct?
A. Yes, Consisting of the following: CASH ON DEPOSIT WITH: Citibank, #26153121 $53,141.69 Dime, #11-2510622 80,520.32 EAB, #77261514 (opened 12/1/00) 69,000.00 $202,662.01 B. STOCKS 500 shares General Motors 5,0000.00 C. SECURITIES: Merrill Lynch Securities Account #25-632-911 184,675.00 TOTAL ASSETS: $392,337.01
−12−
ADDITIONAL ASSETS (1) Real Property located at:
120 Columbia Avenue, Brooklyn, New York 11201, 2 Family House; 1 apartment occupied by Incapacitated Person & Guardian; Title is in name of Incapacitated Person; 1 apartment is rented to PB Smith for $500 per month APPROXIMATE VALUE: $250,000.00
(2) 2003 Volvo, Approx. Value $ 5,000.00 (3) Metropolitan Life Insurance Company
Policy, #3235066 Face Value $ 10,000.00 Beneficiary: Daughter
COURT EXAMINER: Guardian produces bankbooks and statement of accounts shown above, in name of MARY SAMPLE, as Guardian of the Person and Property of JANE SAMPLE, an Incapacitated Person, showing the interest and balance to be as reported herein.
COURT EXAMINER: C.O. 2/10/12: Guardian authorized to pay John Ford, Esq., $1,500.00 fee as Petitioner’s attorney;
Guardian authorized to pay Robert Frost, Esq., Court Evaluator fee of $1,000.00.
Q. Are all real estate taxes paid to date? A. Q. Is property covered by fire and liability insurance? If so, please explain why your
accounting does not reflect payment of the insurance premiums? A. Q. Have you filed a Notice of Pendency? If so, when? If not, please explain.
−13−
A. Q. How often do you visit the Incapacitated Person?
A. Guardian resides with the Incapacitated Person.
Q. Does the Incapacitated Person own any other real estate, jewelry, or other valuables?
A.
Q. Do you know of any other money and/or property likely to come into your hands as Guardian, other than that already mentioned?
A.
Q. Does your attorney, John Ford, Esq., request a reasonable fee for the preparation of the 2/10/12 to 12/31/12 inventory and account? A.
NOTE: PLEASE ANNEX AN AFFIRMATION OF LEGAL SERVICES, IF REQUESTED.
Q. Does he also request a fee for extraordinary legal services rendered during this period under review? If so, in what amount?
A.
NOTE: PLEASE ANNEX A SEPARATE AFFIRMATION OF EXTRAORDINARY LEGAL SERVICES, IF REQUESTED.
−14−
Q. Do you wish to claim commissions for this period?
A.
IF SO, PLEASE STATE: Your Social Security Number: _____________ Your Telephone Number: ___________ Number of hours__________expended during this examination period with respect to your Guardianship.
Q. Have you evidence of disbursements made during this examination period?
A. Yes.
COURT EXAMINER: Guardian produces evidence of disbursements made during this examination period.
I recommend and shall provide in the proposed Order that the Guardian be directed to file an additional bond of $220,000.00.
_____________________________________ MARY SAMPLE, Guardian
Sworn to before me this day of , 2013 __________________________________ COURT EXAMINER
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SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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In the Matter of the Annual Inventory COURT EXAMINER’S REPORT
and Account of
Index No.:
123123/12
MARY SAMPLE
As the Guardian of the Person
and Property of
JANE SAMPLE,
An Incapacitated Person.
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TO THE JUSTICE PRESIDING AT SPECIAL
TERM, PART VI OF THE SUPREME COURT:
ROBERT EXAMINER, one of the Court Examiners, duly appointed by order of the HONORABLE A. GAIL PRUDENTI, Presiding Justice
of the Appellate Division, Second Department, pursuant to the provisions of Section 81.32 of the Mental Hygiene Law, dated Dec. 8, 2012, and filed in
the Office of the County Clerk on Dec. 9, 2012, to examine the annual inventories and accounts filed in the Office of the County Clerk, by Committees
and Conservators of Incompetent Persons, Patients and Conservatees, pursuant to Article 81 and former sections 78.23, 79.17 and 77.29 of the Mental
Hygiene Law.
DO RESPECTFULLY REPORT
That before proceeding with the examination and hearing of the matter so referred to me, I duly took and subscribed the statutory oath as
Court Examiner, which is hereto annexed.
That the account mentioned in this Report was filed in the Office of the County Clerk on May 31, 2012.
−2−
MARY SAMPLE, Guardian of the Person and Property, was appointed on February 10, 2012, and is presently bonded in the total sum of
$200,000.00, said bonds being more fully referred to in the Testimony on page two.
Guardian filed an annual inventory and account on May 1, 2013, and appeared before me on July 1, 2013, and was examined by me as to the
receipts and disbursements during this period and especially as to the assets of the estate, and I caused such testimony to be reduced to writing and
subscribed and sworn to by the Guardian, and respectfully annex the same, to this, my Report.
AS TO THE INCAPACITATED PERSON
It appears from the Testimony that the Incapacitated Person is 88 years of age, born on October 1, 1924, she is a widow, and prior to her
illness, Ms. Sample was employed by the NYC Board of Education as a teacher. She presently suffers from dementia of the Alzheimer’s type,
hypertension and diabetes. Ms. Sample resides in her own home with her daughter/Guardian located at 123 Columbia Avenue, Brooklyn, New York
11201, where she is attended to by 24 hour home attendants.
AS TO THE HEIRS AT LAW AND NEXT OF KIN:
It appears from the Testimony that the following are the heirs at law and next of kin of the
Incapacitated Person:
Mary Sample, her daughter and Guardian,120 Columbia Ave., Brooklyn, New York 11201A
Joe Sample, son, 100 Dolphin Road, Miami, Florida 33321
There has been no change of kin during this examination period.
AS TO THE ACCOUNT:
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From my examination of the accounts filed as aforesaid as to the monies received and the income and disbursements therein set forth, and my
further examination of the assets of the Estate and the Guardian under oath, I find and state the said account as follows:
GUARDIAN SHOULD BE CHARGED WITH:
Balance chargeable as of Feb. 10, 2012 of: $186,890.36
Consisting of the following:
A. CASH ON DEPOSIT WITH:
Citibank, Acct. #26153121 $10,200.50
Dime Savings, #11-2510622 21,300.36 $ 31,500.86
B. STOCKS:
100 shares A.T. & T. $ 4,300.00
500 shares Gen. Electric 10,350.00
500 shares Gen. Motors 5,600.00 20,250.00
C. SECURITIES ACCOUNT:
Merrill Lynch Acct. #25-632-911 135,139.50
$186,890.36
ADDITIONAL ASSETS:
1. Real Property located at
120 Columbia Avenue, Brooklyn, New York
2 family house, approx. value $250,000.00
2. Real Property located at
456 America Street, Staten Island, New York
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1 family, approx. value $200,000.00
FORWARD $186,890.36
INCOME RECEIVED FROM FEBRUARY 10,
2012 THROUGH DECEMBER 31, 2012
BANK INTEREST THROUGH 12/31/12
Citibank $ 532.60
Dime Savings 809.40 $ 1,342.00
SOCIAL SECURITY BENEFITS
4 mo. @ $572. $ 2,288.00
6 mo. @ $585. 3,510.00 $ 5,798.00
N.Y.C. PENSION BENEFITS
4 mo. @ $385. $ 1,540.00
6 mo. @ $390. 2,340.00 $ 3,880.00
DIVIDENDS
A.T. & T. $ 205.00
Gen. Electric 533.00
Gen. Motors 380.50 $ 1,118.50
MERRILL LYNCH
Interest & Dividends (Reinvested) $10,335.00
RENTAL INCOME (123 Columbia)
10 mo. @ $500. $ 5,000.00
−5−
TOTAL INCOME RECEIVED: $ 27,473.50
FORWARD $214,473.50
FORWARD $214,473.50
CHANGES DURING THIS PERIOD:
INCREASES TO PRINCIPAL:
1. Pursuant to Court Order dated 6/26/12
Sale of 456 America Street, Staten
Island, New York:
Net Amount Received: $185,000.00
2. Inheritance from deceased Aunt, J.Smith 12,500.00
3. "Realized" increase on sale of:
100 shares A.T. & T.
Received on sale: $6,400.00
Inventory value: - 4,300.00
GAIN OF: 2,100.00
4. "Unrealized" increase in value
of Merrill Lynch account due
to market fluctuations: 39,200.50
5. NYS 2007 Income Tax Refund 200.00
6. Refund from telephone company: 36.20
TOTAL INCREASES TO PRINCIPAL: $239,036.70
−6−
$453,400.56
DECREASES TO PRINCIPAL:
1. Realized Decrease on sale of:
500 shares Gen. Electric
Inventory value $10,350.00
SOLD FOR - 9,100.00
LOSS OF: ($1,250.00)
2. "Unrealized" Decrease due to
market fluctuations":
500 shares Gen. Motors
Inventory value $ 5,600.00
Value 12/31/10: 5,000.00
LOSS OF: ($ 600.00)
TOTAL DECREASE TO PRINCIPAL: ($ 1,850.00)
FORWARD $451,550.56
FORWARD $451,550.56
GUARDIAN SHOULD BE CHARGEABLE WITH
DISBURSEMENTS DURING SAME PERIOD:
Pursuant to Order Appointing 2/10/2012:
John Ford, Esq., $ 1,500.00
Robert Frost, Court Evaluator 1,000.00
Bond Premiums 1,450.00
Real Estate Expenses, 120 Columbia Ave.
Real Estate Taxes $ 4,590.00
Con Edison 2,200.00
Brooklyn Union Gas (heat) 3,000.00
Verizon Telephone 350.50
Gardener 180.00
Repairs 90.00 $10,410.50
−7−
Incapacitated Person's Living Expenses
Food $ 2,000.00
Clothing 1,400.00
Entertainment 262.30
Transportation to Doctors 312.85 $ 3,975.15
Medical Expenses
Dr. Sharp $ 150.00
Prescriptions 2,352.35
Dr. Wilson (dentist) 1,680.00
Diet Foods & Supplements 500.55
Coney Island Hospital 665.00
Podiatrist 150.00 $ 5,497.90
Home Health Aides
Lucy Doe $12,360.00
Roberta Love 14,455.00
Susan Rogers 1,565.00 $28,380.00
John Ford, Esq., Re: Sale
of 456 America St., Staten
Island, NY, per C.O. 6/26/12 $ 7,000.00
TOTAL DISBURSEMENTS: $59,213.55
Leaves a balance with which the Guardian is
chargeable as of December 31, 2012 of: $392,337.01
CONSISTING OF THE FOLLOWING:
CASH ON DEPOSIT WITH:
Citibank, #26153121 $53,141.69
Dime, #11-2510622 80,520.32
EAB, #77261514 (opened 12/1/12) 69,000.00 $202,662.01
−8−
B. STOCKS
500 shares General Motors 5,0000.00
C. SECURITIES:
Merrill Lynch Securities Account
#25-632-911 184,675.00
TOTAL ASSETS: $392,337.01
ADDITIONAL ASSETS
(1) Real Property located at:
120 Columbia Avenue, Brooklyn,
New York 11201, 2 Family House;
1 apartment occupied by Incapacitated Person
And daughter/Guardian;
Title is in name of Incapacitated Person;
1 apartment is rented to PBSmith for $500 per month;
APPROXIMATE VALUE: $250,000.00
(2) 2008 Volvo, Approx. Value $ 5,000.00
(3) Metropolitan Life Insurance Company
Policy, #3235066
Face Value $ 10,000.00
Beneficiary: Daughter
Guardian produced evidence of all disbursements made during this examination period.
CONCLUSIONS AND RECOMMENDATIONS
Pursuant to SCPA 2307, I compute the commissions for this examination period to be as follows:
−9−
On Income of $27,473.50 @ 2-1/2% $ 686.84
In Disbursements of $59,213.55 @ 2-1/2% $ 1,480.34
On Principal Received
& Disbursed of $31,740.05 @ 2-1/2% $ 793.50
On Rental Income $ 5,000.00 @ 5% $ 250.00
TOTAL COMMISSIONS: $ 3,210.68
which sum is allowed to the Guardian subject to the approval of this Court, either upon an intermediate or final accounting.
John Ford, Esq., requests a reasonable fee for the preparation of the inventory and account for period 2/10/12 to 12/31/2012 and requests
$_____ for extraordinary legal services rendered, as set forth in his Affirmation of Extraordinary Legal Services, annexed hereto.
Referee's Disbursements: photocopies
I recommend and shall provide in the proposed Order that the Guardian be directed to file an additional bond of $220,000.00.
−10−
I find and certify, after my examination of the Guardian and inquiry into the assets of the estate, the items of the income and the
expenditures made, that the assets are as stated herein, that the items of the income have been properly collected, that the payments stated to have been
made are proper payments and are appropriate and necessary to the administration of the Incapacitated Person's estate. I accordingly recommend that
the said account as stated by me be approved, and that an order to that effect be entered herein.
ALL OF WHICH IS RESPECTFULLY SUBMITTED.
Dated: Aug. 1, 2013
_______________________________
COURT
EXAMINER
At an IAS, Part 76 of the
Supreme Court, held at
the County Courthouse, Kings
County, on the
day of
2013.
P R E S E N T :
HON. CARMINE JONES,
Justice.
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -x
In the Matter of the Examination of the
Annual Inventory and Account of INDEX NO.
123123/12
MARY SAMPLE
O R D E R
Guardian of the Person and Property of
JANE SAMPLE
An Incapacitated Person
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - x
On reading and filing the Report of ROBERT EXAMINER, one of the Court Examiners duly
appointed by Order of the HONORABLE A. GAIL PRUDENTI, Presiding Justice of the Appellate
Division, Second Department, dated the 8TH
day of December, 2012, and filed in the Office of the Clerk of the
County of Kings on the 9th day of December, 2012, to examine the accounts and inventories filed in the
Office of the Clerk of Kings County by Committees, Conservators and Guardians of Incompetent Persons,
Patients, Conservatees, and Incapacitated Persons pursuant to Section 81.32 and former Sections 78.23, 79.17
and 77.29 of the Mental Hygiene Law, which Report is dated August 1, 2013, and on reading and filing the
Affidavit of said Court Examiner as to his services in this matter, duly verified August 1, 2013, hereto
annexed, from which it appears that the assets of the estate are MORE than FIVE THOUSAND DOLLARS, it
is
ORDERED, that the Report of said Court Examiner, be and the same is in all respects confirmed, and
it is further
ORDERED, that MARY SAMPLE, Guardian of the Person and Property of JANE SAMPLE, an
Incapacitated Person, pay to ROBERT EXAMINER from the funds of said Incapacitated Person, in her hands
as Guardian, the sum of $______________ DOLLARS, which sum is allowed to him as Court Examiner for
his services, and $50.00 for stenographic services and disbursements, in such examination of said account for
the period from Feb. 10, 2012 to December 31, 2012, as provided by Section 81.32 and former Section 78.25
of the Mental Hygiene Law, and it is further
ORDERED, that the Guardian's Commissions for period Feb. 10, 2012 to December 31, 2012 be and
the same are hereby fixed in the sum of $3,210.68, and the Guardian is authorized and permitted to withdraw
said amount; and it is further
ORDERED, that the Guardian is authorized and permitted to pay to JOHN FORD, ESQ. the sum of
$_______________ for the preparation of the inventory and account for period Feb. 10, 2012 to December 31,
2012; and it is further
ORDERED, that the Guardian is authorized and permitted to pay to JOHN FORD, ESQ., the
additional sum of $_________________ for extraordinary legal services rendered during this examination
period as set forth in his Affirmation of Extraordinary Legal Services; and it is further
ORDERED, that the Guardian is directed to file an additional bond of $220,000.00, provided,
however, that the total aggregate premium shall not exceed that of a $420,000.00 bond.
E N T E R
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -X
In the Matter of the Examination of the AFFIDAVIT
Annual Inventory and Account of
OF
COURT EXAMINER
MARY SAMPLE
Guardian of the Person and Property of
JANE SAMPLE
An Incapacitated Person
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - X
STATE OF NEW YORK - COUNTY OF KINGS: ss.:
ROBERT EXAMINER, being duly sworn, deposes and says:
I am one of the Court Examiners duly appointed by Order of the HONORABLE A. GAIL PRUDENTI,
dated Dec. 8, 2012, and filed in the Office of the Clerk of Kings County on Dec. 9, 2012, to examine the
annual accounts of Committees, Conservators, and Guardians of Incompetents, Patients, Conservatees, and
Incapacitated Persons.
The Guardian filed an account covering the period under review and attended before me and was
examined by me under oath, in regard to all matters relating thereto.
I caused such examination to be reduced to writing and subscribed and sworn to by said fiduciary. I
have examined the receipts for disbursements made during the period by the fiduciary and the Securities, if
any, in which funds are invested. I have prepared by Report, which with the Testimony taken is submitted
herewith.
The assets of the estate amounts to $392,337.01.
Sworn to before me this
___ day of _____________________, 2013
_______________________________ _______________________________
NOTARY PUBLIC COURT EXAMINER
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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In the Matter of the Examination of the
Annual Inventory and Account of COURT
EXAMINER'S OATH
MARY SAMPLE
Guardian of the Person and Property of
JANE SAMPLE
An Incapacitated Person
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STATE OF NEW YORK - COUNTY OF KINGS: ss.:
ROBERT EXAMINER, a Court Examiner duly appointed pursuant to the provisions of Section 81.32
and former Section 78.25 of the Mental Hygiene Law, by Order of the HONORABLE A. GAIL PRUDENTI,
Presiding Justice of the Appellate Division of the Supreme Court, for the Second Judicial Department, dated
December 8, 2012, and filed in the Office of the County Clerk on December 9, 2012, to examine the accounts
and inventories filed or required to be filed in the Office of the County Clerk, according to Article 81 and
former Sections 77.29, 78.23, 78.25, and 79.17 of the Mental Hygiene Law, by Committees, Conservators,
and Guardians of Incompetent Persons, Patients, Conservatees, and Incapacitated Persons, which have not
been previously examined or judicially settled.
DO SOLEMNLY SWEAR, that I will faithfully and fairly perform all duties as Court Examiner under
said aforementioned order and will faithfully and fairly determine the questions referred to me, and make a
just and true report, according to the best of my understanding.
Sworn to before me this
___ day of ______________, 2013
___________________________ __________________________
NOTARY PUBLIC COURT
EXAMINER
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF KINGS
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In the Matter of the Examination of the
Annual Inventory and Account of INDEX NO.
123123/08
MARY SAMPLE
NOTICE OF
SETTLEMENT
Guardian of the Person and Property of
JANE SAMPLE
An Incapacitated Person
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S I R S :
PLEASE TAKE NOTICE, that the within are true copies of an Order and Report that will be
presented for settlement to the Honorable Carmine Jones, one of the Justices of the above-named Court, at the
Courthouse thereof, 360 Adams Street, Brooklyn, New York on the ___ day of ______________, 2013, at
9:30 a.m.
Dated: Brooklyn, New York
__________________
Yours, etc.,
ROBERT EXAMINER, ESQ.
Court Examiner
26 Court Street, Suite 3232
Brooklyn, N.Y. 11242
(718) 852-4567
TO:
MARY SAMPLE
AFFIDAVIT OF SERVICE BY MAIL
STATE OF NEW YORK )
COUNTY OF KINGS ) ss.:
ROBERT CAMEO, being duly sworn, deposes and says:
That deponent is not a party to the within action, is over the age of 18 years and resides in Brooklyn,
New York.
That on the ___ day of ______________, 2013, deponent served copies of the within Order and
Report upon MARY SAMPLE, Guardian of JANE SAMPLE, at 120 Columbia Avenue, Brooklyn, New York
11201A, and the SURETY (plus address) the address designated by said Guardian and Surety for that
purpose, by depositing true copies thereof enclosed in post-paid, properly addressed wrappers in an official
depository under the exclusive care and custody of the United States Postal Service within the State of New
York.
______________________________
ROBERT CAMEO
Sworn to before me this
___ day of ________________, 2013
________________________
NOTARY PUBLIC
WILKINS, LOTTIE E.
Justice Wilkins is a graduate of CCNY and Columbia Law School. She was admitted to practice law in New York State, the
Southern and Eastern Districts of New York, and before the United States Supreme Court.
Her previous legal experience included Civil Court, City of New York; assigned to Bronx Civil and Bronx Supreme Court;
private practice for eight (8) years, extensive trial practice in Civil, Family, Housing Courts and Civil Litigation; Law Clerk to various
Supreme Court Justices including Justice Bruce M. Wright and Justice Alvin Schlessinger.
She was first elected to the NY Civil Court in 1989 and then elected to the NY Supreme Court in 1991, and re-elected in 2006.
She has been assigned to Guardianship matters for the last five (5) years.