The petition for determination of ability to give informed consent for sterilization shall be executed under oath and shall set forth:

1. (1) The name, age and residence of the respondent.
2. (2) The names and residences of any parents, spouse, legal guardian or conservator of the respondent.
3. (3) A statement of the facts describing the respondent’s alleged inability to give informed consent for sterilization.
4. (4) A statement of facts indicating the likelihood or unlikelihood that the respondent will have the ability to make an informed decision about sterilization in the foreseeable future.
5. (5) A statement of the reasons for which sterilization is sought.
6. (6) The name, position and statement of interest of the person initiating the petition or any person assisting the respondent with a self-initiated petition.

[1983 c.460 §7]