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Petition for Appointment of Conservator and/or Protective Order
Probate

pc639.pdf

Form Instructions

INSTRUCTIONS: MICHIGAN PETITION FOR APPOINTMENT OF CONSERVATOR AND/OR PROTECTIVE ORDER (Form PC 639)

The form discussed in this article is filed to request that a conservator be appointed or a protective order issued for a Michigan adult who is mentally or physically disabled or a minor. This document can be obtained from the website maintained by the Michigan Courts system.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 1: Where indicated, enter the file number.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 2: On line A, enter the name of the individual alleged to need protection and their Social Security number.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 3: On line B, enter your name and your relation to the individual alleged to need protection or interest in them.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 4: On line C, enter the date on which the individual alleged to need protection was born, their county of residence, their address, city, state, zip code and the county in which they own property.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 5: On line D, check the box if an action within the jurisdiction of the family division of circuit court involving the family or family members of the above individual has been previously filed. If so, enter the court number, case number and judge name, as well as indicating with a check mark whether the case remains or is no longer pending.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 6: On line E, indicate with a check mark if the individual has a power of attorney, guardian or representative payee for Social Security. Specify the name and address of this person below.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 7: On line F, indicate the type of individual with a check mark.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 8: On line G, enter support for your claim on line F. Attach additional sheets as necessary.

Michigan Petition For Appointment Of Conservator And/Or Protective Order PC 639 Step 9: Complete the rest of the form as instructed.

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