ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address, telephone number, and attorney State Bar number): Reserved for Clerk's File Stamp ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF ALAMEDA COURT ADDRESS PLAINTIFF DEFENDANT APPLICATION FOR APPOINTMENT OF GUARDIAN AD LITEM FOR MINOR AND ORDER IMPORTANT INFORMATION CASE NUMBER (1) Except in small claims cases, a person cannot serve as a guardian ad litem unless the person is a licensed attorney or is represented by a licensed attorney. (J.W. v. Superior Court (1993) 17 Cal.App.4th 958.) (2) The minor must sign the application if 14 years or older unless you answer yes to questions 7a and 7b below. (C.C.P. §373.) APPLICATION MINOR'S FULL NAME PROPOSED GUARDIAN'S NAME AND ADDRESS MINOR'S AGE MINOR'S BIRTH DATE 1. Applicant is the proposed guardian minor other (specify): 2. This application seeks the appointment of the person named above as guardian ad litem for the minor named above. The minor's age and birth date are shown above. 3. The minor is a plaintiff defendant in this case. If the minor is a plaintiff, attach a copy of the complaint or small claims claim of plaintiff or briefly describe the accident or other cause of action: 4. Does the minor have a general or testamentary guardian? Yes prosecute or defend this case on the minor's behalf? Yes guardian cannot prosecute or defend this case on minor's behalf. No. If yes, has the guardian refused to No. If no, explain why general or testamentary 5. The proposed guardian ad litem is related to the minor as follows: If friend or other relative, state reason why parent cannot be guardian: friend parent other relative (specify): 6. Is the proposed guardian also a party in this case? to this case cannot serve as guardian ad litem: Yes No. If yes, state reason why another adult not a party FORM NO. AC-002 (New 4-00) APPLICATION FOR APPOINTMENT OF GUARDIAN AD LITEM FOR MINOR AND ORDER C.C.P. §§116.410(b), 372, and 373 (Continued on reverse) AL-022 2002 © American LegalNet, Inc. 7. a. Is the minor 14 years or older and a defendant in this case? Yes No. b. If the answer to 7a is yes, has the minor failed to apply for appointment of a guardian ad litem within 10 days after service of summons or small claims claim of plaintiff on the minor? Yes No. If yes, specify date of service on minor: 8. Has a previous application for appointment of a guardian ad litem been submitted in this or in any other case on the minor's behalf? Yes No. If yes, identify case and specify the date and disposition (granted or denied) of the application: I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. DATE TYPE OR PRINT NAME APPLICANT'S SIGNATURE DATE TYPE OR PRINT NAME MINOR'S SIGNATURE CONSENT OF PROPOSED GUARDIAN I am fully competent and qualified to understand and protect the rights and interests of the minor. I have no interest adverse to the interests of the minor and I consent to appointment as guardian ad litem. I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. DATE TYPE OR PRINT PROPOSED GUARDIAN'S NAME PROPOSED GUARDIAN'S SIGNATURE ORDER THE COURT ORDERS the person named in the application appointed guardian ad litem of the minor. Date: Judge Commissioner FORM NO. AC-002 (New 4-00) APPLICATION FOR APPOINTMENT OF GUARDIAN AD LITEM FOR MINOR AND ORDER 2002 © American LegalNet, Inc.