Closest-Relative Conservatorship Position and Basis Statement

This concept form demonstrates the information a standardized relative response could place into the record. It is not an approved Tennessee pleading or court form.

Return to proposal

Court

Case number

Respondent

Petitioner

Relative’s full name

Relationship to respondent

Date of last in-person contact

Frequency of contact during prior 12 months

Position regarding the filing

I support the conservatorship in the scope requested. I believe assistance is necessary but disagree with the scope requested. I support a limited conservatorship only. I support less restrictive alternatives before removal of rights. I oppose the requested conservatorship. I lack sufficient current knowledge to take a position. I have a conflict that may affect my position.

Facts I personally observed

Information I received from other people

Medical records I personally reviewed

Financial records I personally reviewed

Rights I believe should be transferred and factual basis

Rights I believe the respondent should retain and factual basis

Less restrictive alternatives considered

Financial, inheritance, caregiving, litigation, or family conflicts

Documents attached or witnesses identified

I certify that this statement distinguishes my personal knowledge from information received from others and identifies material conflicts known to me. Any formal version should use certification language required by current Tennessee law and court rules.

Signature

Date