FL-935 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) or GOVERNMENTAL AGENCY: FOR COURT USE ONLY TELEPHONE NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CHILD'S NAME: PETITIONER: RESPONDENT: OTHER PARENT: APPLICATION AND ORDER FOR APPOINTMENT OF GUARDIAN AD LITEM OF MINOR--FAMILY LAW EX PARTE CASE NUMBERS: NOTE: This form is for use in family law proceedings with the exception of dissolution proceedings. For appointment of a guardian ad litem in civil proceedings, use form CIV-010. For appointment of a guardian ad litem in probate proceedings, use form DE-350/GC-100. 1. I (name): a. attorney for (1) minor. parent of the minor. (2) (3) other interested person (specify name and relationship): b. parent of the minor. other interested person. c. d. minor (answer all that apply to you): (1) My date of birth is (specify): (2) I live with my mother father legal guardian am the other (specify name and relationship): , and her address is: , and his address is: (3) My mother's name is (specify): (4) My father's name is (specify): (5) I have a legal guardian. My legal guardian's name is (specify): or her address is: The guardianship was established in: , and his County, case no. (if known): 2. I ask the court to appoint the following personas guardian ad litem for the minor (state name, address, and telephone no.): 3. The relationship of the person listed in item 2 to the minor is a. parent b. other (specify): 4. Appointment of a guardian ad litem is necessary because (specify): Continued on Attachment 4 (describe in detail, attach additional pages if necessary). Page 1 of 2 Form Approved for Optional Use Judicial Council of California FL-935 [Rev. January 1, 2008) APPLICATION AND ORDER FOR APPOINTMENT OF GUARDIAN AD LITEM OF MINOR--FAMILY LAW Code of Civil Procedure, § 373; Family Code, § 7635 American LegalNet, Inc. www.FormsWorkflow.com CHILD'S NAME: PETITIONER: RESPONDENT: OTHER PARENT: CASE NUMBERS: 5. The proposed guardian ad litem is fully competent to understand and protect the rights of the minor and has no interests conflicting with those of the minor. Date: (TYPE OR PRINT NAME) (SIGNATURE OF APPLICANT) CONSENT TO ACT AS GUARDIAN AD LITEM I consent to the appointment as guardian ad litem and agree to assume the responsibilities. Date: (TYPE OR PRINT NAME) (SIGNATURE OF PROPOSED GUARDIAN) CONSENT TO GUARDIAN BY MINOR 14 YEARS OF AGE OR OLDER I, (name): (name): reasons set forth in items 4 and 5 of this application. Date: , am (specify age): years of age and hereby nominate to be my guardian ad litem to represent my interests for the (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) ORDER EX PARTE THE COURT FINDS It is reasonable and necessary to appoint a guardian ad litem for the person named in the application, as requested above. THE COURT ORDERS that (name): litem of (name): forth in item 4 of the application. Application for Appointment of Guardian ad Litem filed (date): a. is denied. b. is granted. c. is set for hearing on (date): is hereby appointed guardian ad for the purposes set at (time): Date: JUDICIAL OFFICER SIGNATURE FOLLOWS LAST ATTACHMENT FL-935 [Rev. January 1, 2008] APPLICATION AND ORDER FOR APPOINTMENT OF GUARDIAN AD LITEM OF MINOR--FAMILY LAW Page 2 of 2