Minor Settlement Forms
Below you will find a list of commonly used minor settlement forms.
One word of caution: If you choose to use any of the forms provided here in MS Word format, please be advised that the appearance, page breaks, margins, fonts, and other aspects of the document that you prepare may be affected by the version of Word you are using. Please be sure that the completed document conforms to all rules governing acceptable document format, particularly those stated in General Rule 14. This includes but is not limited to the requirement that writing/printing shall appear on one side of the page only.
If you have questions about any of these forms, please contact the Ex Parte Department.
Minor Settlement Forms
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| Forms |
MS Word |
PDF |
| Forms for use in Minor Settlements |
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| Addendum Regarding Blocked Account, Annuity, or Trust Deposit |
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| Letter to Financial Institution to Establish or Deposit to a Blocked Financial Account |
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| Motion, Declaration, and Order Dispensing with Settlement Guardian ad Litem |
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| Order Appointing Settlement Guardian ad Litem |
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| Order Approving Settlement and for Disbursement of Funds |
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| Order on Request for Withdrawal From Blocked Account/Order Terminating Guardianship |
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| Petition and Order Discharging Settlement Guardian ad Litem |
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| Petition, Declaration and Order Discharging Settlement Guardian ad Litem |
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| Petition for Approval of Settlement |
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| Petition for Appointment of Settlement Guardian ad Litem |
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| Petition & Declaration for Withdrawal from Blocked Account |
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| Proof of Annuity Acquisition |
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| Receipt of Funds into Blocked Financial Account |
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| Receipt of Funds from Blocked Financial Account |
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| Receipt of Funds from Blocked Financial Account/Minor |
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| Settlement GAL Report |
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