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When a family member or loved one exhibits signs of severe mental illness or chemical dependency, the path to ensuring their safety and the safety of others can lead to the consideration of involuntary commitment. In North Dakota, the process is initiated through the filing of a Petition for Involuntary Commitment. This legal document, officially known as North Dakota Supreme Court SFN 17260 (GN-1) and revised in March 2006, serves as a formal request to the court to evaluate an individual—referred to as the respondent—for involuntary commitment due to mental illness or chemical dependency that poses a serious risk of harm. The form requires detailed information about the respondent, including personal and contact details, current living situation, and financial status. It also involves input on the respondent's history with mental health or chemical dependency issues, including any previous petitions for involuntary commitment. Critical to the petition is the testimony of the petitioner and witnesses, who must provide specific facts supporting the claim of immediate risk and the necessity of involuntary treatment. Furthermore, if immediate custody and emergency treatment are deemed necessary, the petitioner must describe specific overt acts that illustrate the imminent danger posed by the respondent. This initial step is crucial in safeguarding the welfare of the individual in question and protecting the community, while also ensuring a fair and just process that respects the individual's rights and dignity.

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PETITION FOR INVOLUNTARY COMMITMENT

NORTH DAKOTA SUPREME COURT

SFN 17260 (GN-1) (Rev. 03-2006)

STATE OF NORTH DAKOTA

County of

IN THE INTEREST OF

Name of Respondent::

Information about the respondent is as follow:

Address:

 

City:

 

State:

 

Zip Code:

 

 

 

 

 

 

 

Telephone:

 

 

 

 

 

 

 

 

 

 

 

 

 

The respondent's present whereabouts are as follow:

 

 

 

 

 

 

 

 

 

 

 

 

Age:

Date of birth:

Sex:

 

 

 

Marital Status:

 

 

G Male

G Female

 

 

 

 

 

 

 

 

Occupation:

 

 

 

 

 

 

 

 

 

 

Name of employer:

 

 

Approximate monthly earnings:

 

 

List the name, address, and relationship of respondent's relative or guardian, or, if none, a friend of the respondent:

 

 

 

 

 

 

 

Name:

 

Relationship:

 

 

 

Telephone:

 

 

 

 

 

 

 

Address:

 

City:

 

State:

 

Zip Code:

 

 

 

 

 

 

Name of attorney who most recently represented the respondent:

 

 

 

 

 

 

 

 

 

 

 

 

Address:

 

City:

 

State:

 

Zip Code:

 

 

 

 

 

 

Petitioner's relationship to respondent:

 

 

 

 

 

 

 

 

 

 

 

Date of most recent filing of petition for involuntary commitment of respondent:

 

 

 

 

 

 

 

 

 

County in which petition was filed:

Petition was

G granted.

G dismissed.

 

 

 

 

 

 

 

PETITION

The petitioner comes before the court and respectfully alleges:

1.That the petitioner is 18 years of age or older.

2.That the respondent presently resides in the below named county in the State of North Dakota.

County where respondent resides:

N.D.C.C. 27-03.1-08

North Dakota Supreme Court

 

SFN 17260 (GN-1) (Rev. 03-2006)

Page 2

3.That the petitioner believes that the respondent is

G mentally ill and as a result of such condition there is a reasonable expectation of a serious risk of harm if respondent is not treated.

G chemically dependent and as a result of such condition there is a reasonable expectation of a serious risk of harm if respondent is not treated.

4.That because of the foregoing condition, the respondent requires treatment.

5.That the assertions contained in paragraph 3 are based upon the following specific facts (attach additional sheets, if necessary):

6.That the names, addresses, and telephone numbers of witnesses who will verify these facts are as follows:

Name:

Telephone:

Address:

City:

State:

Zip Code:

Name:

Telephone:

Address:

City:

State:

Zip Code:

7. That petitioner believes that G is G is not necessary to take the respondent into immediate custody and emergency treatment. [Immediate custody should be requested only if the respondent is seriously mentally impaired or chemically dependent and is imminently likely to injure the respondent or other persons if allowed to remain at liberty.]

8.[Complete only if immediate custody and emergency treatment requested.] Overt act(s) of the respondent which indicate the respondent is likely to injure themself or other persons if allowed to remain at liberty are described as follows:

9.That to the petitioner's best knowledge G The respondent is indigent.

G The respondent is not indigent.

The petitioner believes that an evaluation of the respondent's condition should be made and involuntary commitment and treatment is required.

Signature of petitioner:

Date:

Telephone:

Address:

City:

State:

Zip Code:

North Dakota Supreme Court

 

SFN 17260 (GN-1) (Rev. 03-2006)

Page 3

 

 

State of North Dakota

)

)ss.

County of ________________________)

The undersigned, being first sworn, on their oath states that the undersigned is the petitioner in the above matter, and that the facts in this petition are true to the affiant's best information and belief

X____________________________________________________________

Petitioner

Dated this ________ day of ____________________ of ________, before me personally appeared ______________________________________________

______________________________________________ who having been sworn state that to the best of their knowledge and belief the statements in this

petition are true.

X____________________________________________________________

Notary Public

(Seal)

My commission expires __________________________________________

APPROVAL OF ATTORNEY

This petition was reviewed for probable cause and I approve the filing of the petition.

Dated this ________ day of __________________ of ________.

X______________________________________________________________

Attorney

_______________________________________________________________

County

File Attributes

Fact Name Detail
Form Title PETITION FOR INVOLUNTARY COMMITMENT NORTH DAKOTA SUPREME COURT SFN 17260 (GN-1)
Revision Date March 2003
Governing Law N.D.C.C. 27-03.1-08 (North Dakota Century Code)
Petitioner Requirements The petitioner must be 18 years of age or older and believes the respondent is either mentally ill or chemically dependent and poses a serious risk of harm if not treated.
Respondent Information Included Address, age, date of birth, sex, marital status, occupation, earnings, attorney, and contact information for a relative, guardian, or friend.
Emergency Custody and Treatment Includes an option to request immediate custody and emergency treatment if the respondent is deemed imminently likely to injure themselves or others.
Procedure for Filing The petition requires a signature from the petitioner, a notary public, and attorney approval verifying its content's truthfulness and conformity with North Dakota law.

How to Write Nd Petition For Involuntary Commitment

The process of filling out the North Dakota Petition for Involuntary Commitment form involves several diligent steps. This form is vital for initiating a legal process aimed at evaluating an individual's mental or chemical dependency condition and determining the necessity of involuntary commitment for treatment. It requires factual and specific information about the respondent, the individual in question, and a detailed explanation from the petitioner, who initiates the filing process. Following the guidelines strictly ensures that the petition is correctly presented to the court for consideration. Here's how to fill out the form:

  1. Start by entering the name of the respondent (the individual the petition is about) at the top of the form, under "IN THE INTEREST OF."
  2. Fill in the respondent's detailed information including their address, city, state, zip code, and telephone number.
  3. Provide the respondent's present whereabouts, including their age, date of birth, sex, marital status, occupation, and information about their employer and approximate monthly earnings.
  4. List the name, address, relationship, and telephone number of a relative, guardian, or if unavailable, a friend of the respondent.
  5. Insert the name and address of the attorney who most recently represented the respondent.
  6. State your relationship to the respondent and the date of the most recent filing of a petition for involuntary commitment of the respondent, including the outcome.
  7. On the second page, confirm that the petitioner is 18 years of age or older and specify the county where the respondent resides.
  8. Select the condition that applies to the respondent, either mentally ill and posing a serious risk of harm if not treated or chemically dependent with the same risks.
  9. Detail why the respondent requires treatment and cite specific facts to support the assertion. Attach additional sheets if necessary.
  10. Provide names, addresses, and telephone numbers of witnesses who can verify these facts.
  11. Declare whether you believe it is necessary to take the respondent into immediate custody for emergency treatment, depending on the severity of their impairment.
  12. If immediate custody is requested, describe specific overt acts by the respondent indicating a likelihood of injury to themselves or others if allowed to remain at liberty.
  13. Indicate whether the respondent is indigent and sign and date the petition, including your telephone number and address.
  14. Finally, there is a section for the state and county, where the petitioner, before a notary, swears that the facts stated in the petition are true to the best of their information and belief. The petitioner signs in the presence of the notary, who affixes their seal. The petition must also be approved by an attorney, who will sign and date the approval section.

After completing and signing the document, ensure to submit it to the appropriate North Dakota court for review. The court will then determine the next steps in the process based on the information provided in the petition. It is crucial to provide detailed and accurate information throughout the form to facilitate a smooth and effective review process.

Your Questions, Answered

  1. What is the purpose of the Nd Petition for Involuntary Commitment form?

    The purpose of the Nd Petition for Involuntary Commitment form is to request a court order for the involuntary commitment of an individual, referred to as the respondent, who is believed to be either mentally ill or chemically dependent, and poses a serious risk of harm to themselves or others if not treated. This form initiates the legal process required to compel the individual to undergo evaluation and treatment involuntarily.

  2. Who can file a Nd Petition for Involuntary Commitment?

    Any person who is 18 years of age or older can file a Nd Petition for Involuntary Commitment. The petitioner must believe that the respondent is either mentally ill or chemically dependent and poses a serious risk of harm. It is also required that the petitioner details the specific facts supporting this belief and provides the names, addresses, and telephone numbers of witnesses who can verify these facts.

  3. What conditions must be met for the petition to be granted?

    For the petition to be granted, the petitioner must convincingly argue that the respondent is mentally ill or chemically dependent and that this condition leads to a reasonable expectation of serious risk of harm if the respondent is not treated. Specific facts and witness testimonies that support these claims must be provided. Additionally, if immediate custody and emergency treatment are requested, overt acts indicating the respondent's likelihood to injure themselves or others must be described.

  4. Can the respondent have legal representation?

    Yes, the respondent can have legal representation. The form asks for the name of the attorney who most recently represented the respondent, indicating the legal system's acknowledgment of the respondent's rights to legal representation in these proceedings. This ensures that the respondent's rights are protected throughout the process.

  5. What happens after the petition is filed?

    After the petition is filed, it will be reviewed by an attorney for probable cause and, if found sufficient, will proceed to a court hearing. During the hearing, both the petitioner and the respondent will have the opportunity to present evidence and testimony. The court will then make a determination based on the evidence presented whether to order the involuntary commitment of the respondent for evaluation and treatment.

Common mistakes

Filling out the North Dakota Petition for Involuntary Commitment form necessitates careful attention to detail and an understanding of the procedural requirements. Nonetheless, several common mistakes can derail the process, potentially impacting the outcome of the petition. Recognizing and avoiding these errors can significantly streamline the procedure and enhance the chances of a favorable deliberation.

One of the first and most critical mistakes is inaccurate or incomplete information about the respondent. Details such as the respondent's address, occupation, and contact information are vital for establishing the identity and current situation of the individual in question. Mistakes or omissions in this section can lead to delays or even dismissal due to lack of clarity about the respondent's identity or whereabouts.

Another frequent oversight is failing to provide detailed supporting facts for the allegations made against the respondent's condition. The form explicitly requests specific facts that support the claim of mental illness or chemical dependency and the associated risks. A mere statement without concrete evidence or examples weakens the petition and may lead to its rejection.

Improperly documenting the relationship and information of the petitioner to the respondent is also a common error. This information establishes the standing of the petitioner to file the request and contextualizes their concerns. Neglecting this detail can obscure the petitioner's perspective and motivation, potentially causing the court to question the validity of the petition.

The list of errors also includes the misunderstanding of the request for immediate custody. This section requires a careful evaluation of necessity based on specific circumstances that indicate an imminent risk. Overlooking the gravity and implication of this request can lead to undesired consequences, especially if the situation does not warrant such an urgent measure.

Additionally, petitioners often neglect to accurately list the names, addresses, and telephone numbers of witnesses. This oversight can hinder the court's ability to verify the claims made, as these witnesses are crucial for corroborating the facts presented in the petition.

  1. Inaccurate or incomplete respondent information.
  2. Lack of detailed supporting facts for the allegations.
  3. Improper documentation of the petitioner's relationship to the respondent.
  4. Misunderstanding of the immediate custody request.
  5. Neglecting to accurately list witnesses.
  6. Forgetting to complete the attorney approval section.
  7. Not properly verifying the petition in the presence of a notary.

Another oversight includes forgetting to complete the attorney approval section. Although this might seem like a minor formality, it is a critical step in the process that affirms the legal foundation of the petition. An unapproved petition can lead to immediate dismissal, as it lacks the required legal vetting.

Lastly, a common mistake is not properly verifying the petition in the presence of a notary. This formal procedure is not just a bureaucratic step; it legally affirms the truthfulness and seriousness of the petition. Failing to properly execute this step can question the authenticity of the document and the sincerity of the petitioner’s intentions.

To avoid such errors, petitioners are urged to meticulously review their submissions, ensure completeness and accuracy of all sections, and seek legal guidance when necessary. By avoiding these common mistakes, individuals can significantly improve the procedural integrity and effectiveness of their petitions for involuntary commitment.

Documents used along the form

In the legal process of managing involuntary commitments, several forms and documents are often required to support the Nd Petition For Involuntary Commitment. These documents facilitate a more comprehensive view of the respondent’s situation and ensure all legal and procedural requirements are met. Below is a brief overview of these commonly used forms and documents.

  • Medical Evaluation Report: This document provides a detailed assessment of the respondent's mental and physical health condition, performed by a qualified healthcare professional.
  • Notice of Hearing: A document that informs the respondent about the time, date, and place of the court hearing regarding their involuntary commitment.
  • Witness Statement(s): Written accounts from individuals who can testify about the respondent's behavior and condition, supporting the need for involuntary commitment.
  • Order for Involuntary Commitment: A judge’s ruling on the petition, stating whether the respondent should be committed involuntarily for treatment.
  • Affidavit of Service: Proof that the Notice of Hearing and other relevant documents were served to the respondent, ensuring they are aware of the legal proceedings.
  • Physician's Certificate: A certification by one or two physicians substantiating the claims of mental illness or chemical dependency and the need for involuntary treatment.
  • Emergency Detention Order: If immediate action is necessary, this order allows for the temporary detention of the respondent for evaluation without their consent.
  • Financial Statement: Details about the respondent's financial situation, aiding in decisions about who will bear the costs of evaluation and treatment.
  • Release of Information Form: Allows the sharing of the respondent’s health information among healthcare providers, courts, and legally authorized individuals for the purpose of the commitment proceedings.

Each of these documents plays a crucial role in the involuntary commitment process, ensuring that all decisions are made with due consideration of the respondent's rights and health needs. Together, they create a structured approach to addressing situations where individuals may pose a risk to themselves or others due to their mental state or substance dependency.

Similar forms

The Nd Petition For Involuntary Commitment form is similar to other legal documents that seek a decision or action through the judicial system, particularly in its structure and purpose. A few examples of these documents include the Petition for Guardianship and the Application for Protective Order. Each of these documents shares common elements with the Nd Petition For Involuntary Commitment, such as providing detailed personal information, stating the relationship between the petitioner and respondent, and describing the circumstances that necessitate the filing.

Firstly, the Petition for Guardianship bears semblance to the Nd Petition For Involuntary Commitment in several ways. Both petitions require detailed information about the respondent including their current living situation, mental and physical health status, and financial position. They also necessitate stating the petitioner’s relationship to the respondent and reasons for the petition, backed by factual evidence and witness testimony. These documents are designed to protect the interests of individuals who are unable to take care of themselves, by appointing someone to act on their behalf.

Similarly, the Application for a Protective Order shares common features with the Nd Petition For Involinary Commitment. These include the necessity to provide detailed identification of the parties involved, the presentation of specific incidents or behaviors that justify the request, and a section for the petitioner to express the urgency of the situation. Both documents require a formal review by legal authorities and ultimately seek a court’s intervention to prevent harm, either to the individual in question or to others, by imposing certain restrictions or obligations on the respondents.

Though these documents differ in their specific legal context—guardianship, protective orders, and involuntary commitment—they all function to safeguard individuals in vulnerable situations through legal means. The detailed requirements, such as providing personal information and evidence to support the claims, are fundamental to the judicial process in ensuring adequate review and a fair decision.

Dos and Don'ts

When you're filling out the North Dakota Petition for Involuntary Commitment form, navigating the process with care and precision is imperative. To assist, here’s a combined list of do’s and don’ts designed to guide you effectively through this crucial journey.

  • Do ensure you’re eligible to file the petition by verifying that you are 18 years of age or older.
  • Do gather detailed and accurate information about the respondent, including their current address, age, and employment details, to avoid any delays.
  • Do provide specific facts supporting the belief that the respondent is mentally ill or chemically dependent and poses a serious risk of harm.
  • Do list the names, addresses, and telephone numbers of witnesses who can verify the facts of the situation as this will strengthen the petition.
  • Do clarify whether you believe immediate custody and emergency treatment are necessary, backed by a clear explanation of the respondent's condition.
  • Don't leave any sections incomplete. If a section does not apply, indicate this clearly instead of leaving it blank.
  • Don't provide vague or general statements in the petition. Specific and detailed information is crucial for a clear understanding of the situation.
  • Don't forget to sign and date the petition and ensure that the notary public also signs it, as an unsigned petition might not be processed.

Approaching the form with a thorough understanding of what is required can streamline the process, ensuring that your petition is both complete and compelling. The ultimate aim is to aid the respondent in receiving the necessary care and treatment in a manner that is both respectful and legally sound.

Misconceptions

Understanding the nuances and addressing common misconceptions about the North Dakota Petition for Involuntary Commitment form is essential for individuals navigating through this challenging process. Below are seven misconceptions that need clarification:

  • Misconception 1: The form is universally applicable for any involuntary commitment case. This form is specific to the State of North Dakota and is designed to comply with the state's laws regarding involuntary commitment for mental illness or chemical dependency. Each state has its own procedures and forms.
  • Misconception 2: Anyone can file the petition. Only individuals who are 18 years of age or older can file the petition. It's critical that the petitioner has a legitimate concern for the respondent's well-being and safety due to mental illness or chemical dependency.
  • Misconception 3: The petition can only address mental illness. While mental illness is a significant concern, the form also provides the option to allege that the respondent is chemically dependent and, as a result, poses a serious risk of harm if not treated.
  • Misconception 4: Personal medical or psychological evaluations of the respondent need to be attached. The petition requires the petitioner to allege specific facts supporting their belief that the respondent is mentally ill or chemically dependent and poses a risk. While professional evaluations support such a petition, the initial submission does not mandate them.
  • Misconception 5: The respondent needs to be indigent. The form asks the petitioner to indicate whether they believe the respondent is indigent. However, the financial status of the respondent, whether indigent or not, does not determine the legitimacy of the petition. The primary concern is the respondent's mental health or chemical dependency and the associated risks.
  • Misconception 6: Filing the petition guarantees immediate custody and emergency treatment. Filing the petition is the first step in the legal process of involuntary commitment. Whether immediate custody and emergency treatment are granted depends on the review of the petition and possibly a court hearing. The decision is based on the evidence and the law, not merely the act of filing the petition.
  • Misconception 7: Once the petition is dismissed, it cannot be filed again. If a petition for involuntary commitment is dismissed, it does not prevent a petitioner from filing another petition in the future, should the respondent's condition change or if there is new evidence to support the need for involuntary commitment.

Correcting these misconceptions can help ensure that individuals are better prepared to navigate the process of filing a Petition for Involuntary Commitment in North Dakota, providing them with a clearer understanding of the legal requirements and the steps involved.

Key takeaways

Filling out the North Dakota Petition for Involuntary Commitment form is a crucial step in ensuring the safety and well-being of individuals who may be experiencing severe mental health or chemical dependency issues. Here are six key takeaways to remember when completing this form:

  • Age Requirement for the Petitioner: The form clearly specifies that the petitioner must be 18 years of age or older. This requirement underscores the legal responsibility involved in filing such a petition.
  • Residency: It's essential to confirm that the respondent (the person being petitioned for involuntary commitment) currently resides in the county where the petition is being filed. This ensures that the petition is filed in the appropriate jurisdiction.
  • Mental Illness or Chemical Dependency: The petitioner must believe that the respondent is either mentally ill or chemically dependent and that this condition poses a serious risk of harm if not treated. This belief should be based on reasonable expectations and not mere speculation.
  • Requirement for Treatment: There must be a legitimate belief that due to the respondent's condition, they require professional treatment. This component is critical for the court to consider the necessity of involuntary commitment.
  • Specific Facts and Witnesses: The petition must include specific facts supporting the petitioner's beliefs and provide the names, addresses, and telephone numbers of witnesses who can verify these facts. The inclusion of detailed information and external verification strengthens the basis for the petition.
  • Immediate Custody and Emergency Treatment: If the petitioner believes immediate custody and emergency treatment are necessary, they must indicate this on the form and describe specific overt acts by the respondent that demonstrate the likelihood of harm to themselves or others. This critical information helps the court assess the immediacy and severity of the situation.

Completing the Nd Petition For Involuntary Commitment form with thoroughness and precision is vital for the legal process of involuntary commitment to proceed smoothly. It's not only about filling out a form but taking a step that could significantly impact an individual's life and health. Therefore, every detail provided should be accurate and backed by genuine concern for the respondent's well-being.

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