(1) Petition. A social services official may
petition a supreme or county court of appropriate venue for an order
authorizing the provision of short-term involuntary protective services
pursuant to section 473-a of the Social Services
Law.
(2) The petition shall state,
to the extent the facts can be determined with reasonable diligence,
considering the need to provide services expeditiously:
(i) the name, age and physical description of
the allegedly endangered adult; and
(ii) the address or other location where the
allegedly endangered adult can be found.
(3) The petition shall state facts showing:
(i) that the adult who is the subject of this
petition is an endangered adult as defined in paragraph (a)(1) of this
section;
(ii) the specific
short-term involuntary protective services petitioned for, how such services
would remedy the situation or condition which poses an imminent risk of death
or imminent risk of serious physical harm to the allegedly endangered adult,
and why such services are not overbroad as to scope or duration;
(iii) that the short-term involuntary
protective services being applied for are necessitated by the situation or
condition described in paragraph (a)(1) of this section;
(iv) that other voluntary protective services
have been tried and have failed to remedy the situation, and that a future,
voluntary, less restrictive alternative would not be appropriate or would not
be available;
(v) if a change in
the allegedly endangered adult's physical location is being applied for, that
remedy of the dangerous situation or condition described in paragraph (a)(1) of
this section is not appropriate in existing physical surroundings of the
allegedly endangered adult;
(vi)
any inconsistency known to petitioner between the proposed short-term
involuntary protective services and the allegedly endangered adult's religious
belief;
(vii) that the petitioner
shall not knowingly apply for medical evaluations or medical treatment pursuant
to section 473-a of the Social Services Law for a
competent adult for the sole reason that such person relies upon or is being
furnished treatment by spiritual means through prayer, in lieu of medical
treatment, in accordance with the tenets and practices of a recognized church
or religious denomination of which the adult is a member or bona fide
adherent;
(viii) that is it
reasonably appears that the allegedly endangered adult does not understand the
English language, that reasonable efforts have been made to communicate with
the allegedly endangered adult in a language he or she understands;
(ix) that no prior application has been made
for the relief requested in the petition or for any similar relief, or if prior
application has been made, the determination thereof, and the new facts, if
any, that were not previously shown which warrant a renewal of the
application.
(4) The
petition shall be verified. Any allegations which are not based upon the
personal knowledge of the petitioner shall be supported by affidavits provided
by a person or persons having such knowledge. Such affidavits shall be attached
to the petition.