AFFIDAVIT AND ORDER TO APPREHEND Affidavits in support of order issued by the Judge of the Probate Court under Section  b and Section  b of the Official Code of Georgia Annotated

AFFIDAVIT AND ORDER TO APPREHEND Affidavits in support of order issued by the Judge of the Probate Court under Section b and Section b of the Official Code of Georgia Annotated - Description

STATE OF GEORGIA COUNTY OF EMANUEL AFFIDAVITS COME NOW who has resided at for mos yrs and who has resided at for mos yrs We are legal residents of County or Counties and th State of Georgia We have known age who resides at over a period of mos yrs ID: 36191 Download Pdf

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AFFIDAVIT AND ORDER TO APPREHEND Affidavits in support of order issued by the Judge of the Probate Court under Section b and Section b of the Official Code of Georgia Annotated

STATE OF GEORGIA COUNTY OF EMANUEL AFFIDAVITS COME NOW who has resided at for mos yrs and who has resided at for mos yrs We are legal residents of County or Counties and th State of Georgia We have known age who resides at over a period of mos yrs

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AFFIDAVIT AND ORDER TO APPREHEND Affidavits in support of order issued by the Judge of the Probate Court under Section b and Section b of the Official Code of Georgia Annotated




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AFFIDAVIT AND ORDER TO APPREHEND Affidavits in support of order issued by the Judge of the Probate Court, under Section 37 41(b) and Section 37 41(b) of the Official Code of Georgia Annotated. STATE OF GEORGIA COUNTY OF EMANUEL AFFIDAVITS COME NOW who has resided at for (mos.) (yrs.) and who has resided at for (mos.) (yrs.). We are legal residents of County or Counties, and th State of Georgia. We have known age , who resides at over a period of (mos.) (yrs.), and both of us have had the opportunity to observe his/her demeanor and conduct by actually s eeing him/her within the

preceding 48 hours. Predicated on what we have actually observed him/her do or heard him/her say, it is our confirmed lay opinion that he/she is: (1) A MENTALLY ILL person requiring involuntary treatment and (a) who represents a substantial risk of imminent harm to himself or others as manifested by either recent overt acts or recent expressed threats of violence which present a probability of physical injury to himself or to other persons, or (b) who is so unable to care for his/her own physical health and safety as to create an Imminently life endangering crisis, (2) An A LCOHOLIC requiring

involuntary treatment and (a) who represents a substantial risk of imminent harm to himself or others as manifested by either recent overt acts or recent expressed threats of violence which present a probability of physical injury to himself or to other persons, or (b) who is incapacitated by alcohol on a recurring basis, (3) A DRUG DEPENDENT individual or a drug dealer req uiring involuntary treatment and (a) who represents a substantial risk of imminent harm to himself or others as manifested by either recent overt acts or recent expressed threats of violence which present a probability of

physical injury to himself or to other persons, or (b) who is incapacitated by drugs on a recurring basis,
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To be more particular, the aforesaid Has actually done or said the following things which form the basis for this declaration, to wit: First Affiant says And the second Affiant says The condition is so serious that he/she should be examined fo rthwith at an Emergency Receiving Facility according to law. We have offered ourselves as witnesses for examination before the Probate Court of this county, so that the truth and particular facts of these allegations may be more

fully explored by said Pr obate Court. We understand that this document is a sworn statement and we further understand that the Official Code of Georgia Ann. Section 16 43 provides that a person who maliciously causes the confinement of a sane person, knowing such person to be s ane, in any asylum, public or private, shall upon conviction be punished by imprisonment for not less than one nor more than ten years. SWORN TO, this the April 4, 2011 ___________________________________ ___ (Signature of Affiant) ______________________________________ (Signature of Affiant) The above persons, after

being sworn by me, affixed their signatures hereto on the above date. ____________________________ __________ Clerk of Probate Court Referral made to the Probate Court by Other information concerning referral: