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Rule 13.35 Forms for Involuntary Commitment or Treatment of Persons with Substance Use Disorders

Form 1: Application Alleging Substance Use Disorder

Form 2: Affidavit in Support of Application Alleging Substance Use Disorder

Form 3: Application for Appointment of Counsel for Respondent and Financial Statement

Form 4: Application for Appointment of Counsel for Applicant and Financial Statement

Form 5: Physician’s Report of Examination

Form 6: Stipulation Regarding Respondent’s Presence

Form 7: Notice of Medication

Form 8: Application for Extension of Time for Evaluation

Form 9: Report of Substance Use Disorder Evaluation

Form 10: Periodic Report (Respondent Inpatient)

Form 11: Periodic Report (Respondent Outpatient)

Form 12: Report of Respondent’s Discharge

Form 13: Notice of Appeal from Findings of Magistrate or Judicial Hospitalization Referee

Form 14a: Claim for Attorney Fees

Form 14b: Claim for Physician Fees

Amendment history: Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024; August 22, 2025, effective October 21, 2025] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024] [Court Order August 17, 2022, effective November 1, 2022; April 29, 2024, effective July 1, 2024