CACI VF-4000 Conservatorship—Verdict Form

VF-4000 Conservatorship—Verdict Form

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Select one of the following two options:

12 jurors find that [name of respondent] is presently gravely disabled due to [a mental disorder/impairment by chronic alcoholism].

9 or more jurors find that [name of respondent] is not presently gravely disabled due to [a mental disorder/impairment by chronic alcoholism].

[If you have concluded that [name of respondent] is gravely disabled due to [a mental disorder/impairment by chronic alcoholism] then answer the following:

Do all 12 jurors find that [name of respondent] is disqualified from voting because [he/she/nonbinary pronoun] cannot communicate, with or without reasonable accommodations, a desire to participate in the voting process?

Yes  No]

After [this verdict form has/all verdict forms have] been signed, notify the [clerk/bailiff/court attendant] that you are ready to present your verdict in the courtroom.

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