Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17)

There are all sorts of forms executors, beneficiaries, and probate court clerks have to fill out and correspond with during probate and estate settlement, including affidavits, letters, petitions, summons, orders, and notices.

Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17) is a commonly used form within Connecticut. Here’s an overview of what the form is and means, including a breakdown of the situations when (or why) you may need to use it:

Atticus Fast Facts About Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17)

Sometimes it’s tough to find a quick summary— here’s the important details you should know about Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17):

• This form pertains to the State of Connecticut

• The current version of this form was last revised on April 1, 2017

Government forms are not typically updated often, though when they are, it often happens rather quietly. While Atticus works hard to keep this information about Connecticut’s Form PC-852 - Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17) up to date, certain details can change from time-to-time with little or no communication.

Step 1 - Download the correct Connecticut form based on the name and ID if applicable

Double check that you have both the correct form name and the correct form ID. Some Connecticut probate forms can look remarkably similar, so it’s best to double, even triple-check that you’re using the right one! Keep in mind that not all States have a standardized Form ID system for their probate forms.

Step 2 - Complete the Document

Fill out all relevant fields in Form PC-852, take a break, and then review. Probate and estate settlement processes in CT are long enough to begin with, and making a silly error can push your timeline even farther back. No thank you!

Note: If you don’t currently know all of the answers and are accessing Form PC-852 online, be sure to avoid closing the browser tab and potentially losing all your progress (or use a platform like Atticus to help avoid making mistakes).

Step 3 - Have Form PC-852 witnessed or notarized (if required)

Some States and situations require particular forms to be notarized. If you have been instructed to get the document notarized or see it in writing on the document, then make sure to hire a local notary. There are max notary fees in the United States that are defined and set by local law. Take a look at our full guide to notary fees to make sure you aren’t overpaying or getting ripped off.

Step 4 - Submit Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17) to the relevant office

This is most often the local probate court where the decedent (person who passed away) is domiciled (permanently resides) or the institution involved with this particular form (e.g. a bank). Some offices allow you to submit forms online, other’s don’t, and we while we generally recommend going in-person to expedite the process, sometimes that simply isn’t an option.

It’s also a generally good idea to establish a positive working relationship with any probate clerk (unfortunately there’s enough people & process out there making things more difficult and unnecessarily confusing for them), so a best practice is to simply ask the probate clerk proactively exactly how and where they’d prefer you to submit all forms.

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Different probate forms or processes can require different deadlines or response times for completing the appropriate form.

While some steps in the process are bound to specific deadlines (like petitioning for probate, having to submit an inventory of assets, or filing applicable notices to creditors and beneficiaries), many probate forms or processes are not tied to a specific deadline since the scope of work can vary based on situational factors or requirements involved.

Either way, there are a bunch of practical reasons why personal representatives should work to complete each step as thoroughly and quickly as possible when completing probate in Connecticut.

5 reasons you should submit PC-852 as quickly as possible:

1. The sooner you begin, the faster Connecticut can allow heirs and beneficiaries to get their share of assets subject to probate. Acting promptly can also decrease the costs & overall mental fatigue through an otherwise burdensome process.
   
   Helpful Context: What’s the Difference Between Probate and Non-Probate Assets?

2. In general, creditors of an estate usually have around 3-6 months from the time you file notice to creditors to file any claims for debt against the deceased’s assets. If they don’t, then that debt is forfeited (and more importantly, the executor won’t be held personally responsible). So doing this sooner means you have a better idea of who is owed what and ensures you won’t get a surprise collector months later.

3. Not filing a will within 30 days (on average) could mean that the probate process proceeds according to intestate laws (laws that govern what happens to someone's stuff without a will) or is subject to unnecessary supervision by the probate court. And if you aren't directly related to the deceased (a.k.a. next of kin), this could also mean you lose your inheritance.

4. It’s important to file any necessary state tax returns on behalf of the deceased or estate by the following tax season in Connecticut. If you don’t, you could owe penalties and interest. This also includes any necessary federal tax returns such as Forms 1040, 1041, or even a Form 706 estate tax return.

5. If a house in the State of Connecticut is left empty (or abandoned) for a while, insurance can get dicey. For example, if the house burns down and no one has been there for a year, an insurance company may get out of paying your claim.

If you’re not using Atticus to get specific forms, deadlines, and timelines for Connecticut probate, then try and stay as organized as possible, pay close attention to the dates mentioned in any correspondence you have with the State’s government officials, call the local Connecticut probate clerk or court for exact answers regarding Form PC-852, and when in doubt— consult a qualified trust & estates lawyer for that area.

Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17) is one of the many probate court forms available for download through Atticus.

It may also be available through some Connecticut probate court sites, such as . In order to access the latest version, be updated with any revisions, and get full instructions on how to complete each form, check out the Atticus Probate & Estate Settlement software or consider hiring a qualified legal expert locally within Connecticut.

While Atticus automatically provides the latest forms, be sure to choose the correct version of Form PC-852 - Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17) f using any other site or resource in order to avoid having to re-complete the form process and/or make another trip to the Connecticut probate court office.

Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17) is a .pdf, so opening it should be as simple as clicking “View Form” from within the Atticus app or by clicking the appropriate link found on any Connecticut-provided government platform. Once you’ve opened the form, you should be able to directly edit the form before saving or printing.

Here’s the text, verbatim, that is found on Connecticut Form PC-852 - Physician's Certificate/involuntary Commitment/alcohol And/or Drug Dependency (Rev. 4/17). You can use this to get an idea of the context of the form and what type of information is needed.

PHYSICIAN’S CERTIFICATE INVOLUNTARY COMMITMENT/ ALCOHOL AND/OR DRUG DEPENDENCY CONNECTICUT PROBATE COURTS PC-852 REV. 4/17 CONFIDENTIAL Physician’s Certificate/Involuntary Commitment/Alcohol and/or Drug Dependency PC-852 Page 1 of 2 RECEIVED: Instructions: 1) A Connecticut licensed physician must complete this form in connection with a petition for involuntary commitment for alcohol and/or drug dependency. The physician must have personally examined the patient within 2 days prior to the date the petition is filed in court. 2)The contents of this form will be used by the Probate Court in determining a) whether the patient is an alcohol-dependent and/or a drug-dependent person who is dangerous to himself or herself, dangerous to others when intoxicated or who is gravely disabled and b) the type and length of treatment that would be beneficial to the patient. 3)For more information, see C.G.S. sections 17a-680 and 17a-685. 4)Type or print the form in ink. Use an additional sheet, or PC-180, if more space is needed. Probate Court Name District Number Patient (N ame and present address.) Date Date of Examination Physician (N ame, address and telephone number.) Connecticut Medical License No. Employer 1. Medical history. 2. Current findings, including clinical observations or information. 3.Tr eatment recommendations, including a specific recommendation regarding the type and length of treatment that would be beneficial to the patient. 4.Recommendation of available inpatient facilities, if known. PHYSICIAN’S CERTIFICATE INVOLUNTARY COMMITMENT/ ALCOHOL AND/OR DRUG DEPENDENCY CONNECTICUT PROBATE COURTS PC-852 REV. 4/17 CONFIDENTIAL Physician’s Certificate/Involuntary Commitment/Alcohol and/or Drug Dependency PC-852 Page 2 of 2 Patient Name: I hereby certify that the above-named individual was examined by me on the date of the evaluation shown above. As a result of my examination, and based on the reasons stated above, it is my opinion that t he patient is: alcohol-dependent drug-dependent AND is dan gerous to self or others when intoxicated OR gr avely disabled as defined in C.G. S. section 17a-680. The individual needs and is likely to benefit from treatment of the type and length indicated above. I am not employed by a private facility to which the individual is to be committed. The representations made in this certificate are made under penalty of false statement. Signature of Examining Physician Type or Print Name Date Sec. 17a-685 (Formerly Sec. 19a-126e). Petition for involuntary commitment. Notice of hearing. Order of Commitment. Recommitment. Discharge. Petition for termination of commitment or recommitment and discharge. (a) Any person, including the spouse, a relative, or a conservator of a person sought to be committed, a physician issuing a certificate under subsection (b) of this section, or the administrator of a treatment facility may make application to the probate court to commit a person to an inpatient treatment facility for treatment for alcohol dependency or drug dependency. The application shall be brought to the probate court for the district in which the respondent resides, or, if his residence is out of state or unknown, for the district in which he is at the time of the filing of the application. In any case in which the person is being treated in a facility, and an application is filed in accordance with the provisions of this section, jurisdiction shall be vested in the probate court for the district in which the facility where such person is a patient is located. If the respondent is confined to a facility, notwithstanding the provisions of Section 45a-7, the judge of probate for the district in which the application was filed shall hold the hearing on the application at the facility where such person is confined. (b) The application shall allege that the person is an alcohol-dependent person or a drug-dependent person who is dangerous to himself or herself or dangerous to others when he or she is an intoxicated person or who is gravely disabled. The application shall contain a statement that the applicant has arranged for treatment in a treatment facility. A statement to that effect from such facility shall be attached to the application. At or before the hearing on the application, there shall be filed with the court a certificate of a licensed physician who has examined the person within two days before submission of the application. The physician's certificate shall set forth the physician's findings, including clinical observation or information, or the person's medical history, in support of the allegations of the application, and a finding of whether the person presently needs and is likely to benefit from treatment, and shall include a recommendation as to the type and length of treatment and inpatient facilities available for such treatment. A physician employed by the private treatment facility to which the person is to be committed is not eligible to be the certifying physician. An application filed by a person other than the certifying physician shall set forth the facts and information upon which the applicant bases his or her allegations and the names and addresses of all physicians. Upon filing of an application under this section, the court may issue an order for the disclosure of the medical information required pursuant to this subsection.