​​​M Civ JI 222.11 form of Verdict: Appointment of Conservator of Adult

We, the jury, make the following answers to the questions submitted by the Court:

QUESTION NO. 1: Is [ name of respondent ] [ mentally ill / mentally deficient / physically ill or disabled / a chronic user of drugs / chronically intoxicated / confined / detained by a foreign power / disappeared / [ other ] ] ?

Answer: ____ (yes or no)

If your answer is “no,” do not answer any further questions.

QUESTION NO. 2: Due to [ insert alleged malady or situation ] is [ name of respondent ] unable to manage [ his / her ] property and business affairs effectively?

Answer: ____ (yes or no)

If your answer is “no,” do not answer any further questions.

*QUESTION NO. 3: Will [ name of respondent ]’s property be wasted or dissipated unless proper management is provided?

Answer: ____ (yes or no)

*QUESTION NO. 4: Is money needed for the support, care, and welfare of [ name of respondent ] or those entitled to be supported by [ him / her ] and is protection necessary or desirable to obtain or provide money?

Answer: ____ (yes or no)

Signed,

_______________________ _______________________

Foreperson Date

Note on Use

*The court should select Questions No. 3, 4, or both, whichever are applicable to the case.

History

M Civ JI 222.11 was added January 1985. Amended June 2000.