Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness)

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.

Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness) is a commonly used form within Kansas. 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:

This form is not one which will be prepared by counsel. This “Application for Emergency Admission For Observation and Treatment” or one similar to it, is the form necessary to admit a person involuntarily for mental health treatment on an emergency basis to a treatment facility other than a state hospital. Pursuant to the provisions of K.S.A. 59-2953(a) or 59-2954(c)(7), the application must be supported by the attachment of Form 2102 “Certificate of a Physician, Psychologist, or a Designated Qualified Mental Health Professional” or something similar, and, in any case where admission to a state psychiatric hospital is sought, this application must be accompanied by Form 2105 “Statement from a Qualified Mental Health Professional Authorizing Admission to a State Psychiatric Hospital.” This documentation, the applicant’s statements contained within the application form, along with the signature of the applicant, serve as the legal basis upon which the treatment facility may involuntarily detain and begin treatment of the patient

Atticus Fast Facts About Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness)

Sometimes it’s tough to find a quick summary— here’s the important details you should know about Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness):

• This form pertains to the State of Kansas

• The relevant probate statute or Kansas laws related to this form include: K.S.A. 59-2954(b), K.S.A. 59-2954(c), S. Ct. Rule 123

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 Kansas’s Form 2112 - Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness) up to date, certain details can change from time-to-time with little or no communication.

Step 1 - Download the correct Kansas 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 Kansas 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 2112, take a break, and then review. Probate and estate settlement processes in KS 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 2112 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 2112 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 Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness) 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 Kansas.

5 reasons you should submit 2112 as quickly as possible:

1. The sooner you begin, the faster Kansas 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 Kansas. 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 Kansas 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 Kansas 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 Kansas probate clerk or court for exact answers regarding Form 2112, and when in doubt— consult a qualified trust & estates lawyer for that area.

Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness) is one of the many probate court forms available for download through Atticus.

It may also be available through some Kansas 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 Kansas.

While Atticus automatically provides the latest forms, be sure to choose the correct version of Form 2112 - Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness) 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 Kansas probate court office.

Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness) 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 Kansas-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 Kansas Form 2112 - Application For Emergency Admission To A Treatment Facility Other Than A State Hospital (For Observation And Treatment Of Mental Illness). You can use this to get an idea of the context of the form and what type of information is needed.

2011 2100-20 Kansas Probate Forms 3d 2112 APPLICATION FOR EMERGENCY ADMISSION (FOR OBSERVATION AND TREATMENT) Pursuant to K.S.A. 59-2954(b) or (c) Patient: ______________________________ ___________ ____ ____ (name) (year of birth) (age) (sex) ____________________________________ ________________ (home address) (SSN - last 4 digits) _______________________________ ________________________ (city, state, zip) (county of residence) _______________________________ ________________________ (name of spouse or nearest relative) (telephone no.) ________________________________________________________ (address if different from patient’s) I request admission of the above named person for EMERGENCY OBSERVATION and TREATMENT upon the following circumstances: (check and complete as applicable) (1)  I am a law enforcement officer having custody of this person pursuant to the provisions of K.S.A. 59-2953, and:  I will file a petition seeking the involuntary commitment of this person with the District Court of County, not later than the close of business on (date), or;  I have been informed by that s/he will file such a petition. This individual may be contacted at: . (2)  I am not a law enforcement officer, but I am familiar with what the circumstances of this person were immediately preceding this application, and I will file a petition seeking the involuntary commitment of the patient with the District Court of __________________ County, not later than the close of business on ________________(date). (3)  I believe this patient to be a mentally ill person subject to involuntary commitment for care and treatment (as defined in K.S.A. 59-2946(f)) and likely to cause harm to self or others if not immediately detained. In 2011 2100-21 Kansas Probate Forms 3d support I state that: __________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ __________________________________________________________ (4)  The following criminal charges are known by me to be pending against this patient:_________________________________________________ __________________________________________________________  none,  it is unknown by me whether any changes are pending against this person. (5)  Because this application is for admission to a treatment facility other than a state psychiatric hospital, and is being made by someone other than a law enforcement officer, the required written statement of a PHYSICIAN, PSYCHOLOGIST or QMHP finding the patient likely to be a mentally ill person subject to commitment is attached. (6)  Other documentation, medical records or reports concerning this patient are attached. (7)  Other documentation, medical records or reports concerning this patient may be found and consulted at: ________________________________ __________________________________________________________ X (date) (Signature) .m. (time) (printed name) (L.E.O. badge #) (address) (telephone no.) (city, state, zip) Reference K.S.A. 59-2954 (b) or (c); S. Ct. Rule 123. Comment This form is not one which will be prepared by counsel. Two versions of this form have been prepared; one for emergency admissions to a state psychiatric hospital (2111), and one for emergency admissions to a treatment facility other than a state hospital (2112). In either case, this “Application for Emergency Admission For Observation and Treatment” or one similar to it, is the form necessary to admit a person involuntarily for mental health treatment on an emergency 2011 2100-22 Kansas Probate Forms 3d basis. Pursuant to the provisions of K.S.A. 59-2953(a) or 59-2954(c)(7), the application must be supported by the attachment of Form 2102 “Certificate of a Physician, Psychologist, or a Designated Qualified Mental Health Professional” or something similar, and, in any case where admission to a state psychiatric hospital is sought, this application must be accompanied by Form 2105 “Statement from a Qualified Mental Health Professional Authorizing Admission to a State Psychiatric Hospital.” This documentation, the applicant’s statements contained within the application form, along with the signature of the applicant, serve as the legal basis upon which the treatment facility may involuntarily detain and begin treatment of the patient. These forms are suggested formats. They each provide for the information required to be included on an application form by K.S.A. 59-2954. Any particular treatment facility may revise this “generic” form and create its own version. Treatment facilities are also invited to reprint and use this format, but are not required to do so. The application used at any one of the state’s psychiatric hospitals will be substantially in this same format. The application forms actually used by the state hospitals, and those used by most of the other treatment facilities in any given service area, should be available at, and may actually be completed at, the local community mental health center as part of the screening process done there. The center will either forward the completed application form to the admissions office of the facility to which the patient is referred, or staff at the mental health center should be able to give advice as to what forms and other documents will be encountered at the treatment facility to which the patient is being referred. The form is designed in a “fill in the blanks” and “check the appropriate boxes” format. Optional informational paragraphs are provided. Non-applicable paragraphs should be “deleted” by not checking the “boxes” associated with that paragraph and not filling in that paragraph’s blanks. Otherwise, all applicable paragraphs need to be checked and the information called for completed. The application will then be submitted to the treatment facility and will be retained by that facility. A copy is not required to be filed with the Petition to Determine a Person to be a Mentally Ill Person Subject to Involuntary Commitment for Care and Treatment [for Ex Parte Emergency Custody Order and for a Temporary Custody Order] (Form 2121); however, a copy may be used as a supporting document at the attorney’s discretion. See Form 504 for required cover sheets and information about the use of personal identifiers in pleadings.