COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : DNA-10 Doc. Code: OGAL Index No.No. Case : Calendar No. : County JUDICIAL SUBPOENA Rev. 9-02 Page 1 of 1 Plaintiff(s) Commonwealth of Kentucky Court of Justice www.kycourts.net -againstKRS 620.100; 625.080; 625.041 Court [ ] District [ ] Family [ ] Circuit Division ______________________ ORDER APPOINTING : GUARDIAN AD LITEM : IN THE INTEREST OF: ____________________________________________________________________, A CHILD : Birthdate Sex Defendant(s) : ...................................................... Race SSN IT IS HEREBY ORDERED that pursuant to KRS 620.100, 625.041 or 625.080: (name andPEOPLE OF GAL) STATE OF NEW YORK THE address of THE _________________________________________________________________ ________________________________________________________________________________________ a practicing attorney of this Court is hereby appointed Guardian Ad Litem to protect the interest of the aboveTO named child(ren) until the disposition of the case or unless sooner discharged by the Court. IT IS ALSO ORDERED that said Guardian Ad Litem shall serve effective immediately and shall receive fees GREETINGS: and costs as provided in KRS 620.100 and 625.080. WE COMMAND YOU, that all business and shall: IT IS FURTHER ORDERED that the Guardian Ad Litem excuses being laid aside, you and each of you attend before , the Honorable at the Court 1. Be allowed access to the child by the caretaker of the child whether caretakers are individuals, authorized located at County of agencies or health care providers; in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 2. Have, upon presentation of this Order to any agency, hospital, organization, school , individual or office, including, but not limited to the Clerk of this Court, human services and/or child caring agencies, public or private institutions and/or facilities, medical and mental health professionals, law enforcement agencies Your failure to comply with this subpoena and receive as a contempt records, notes make you liable and the Attorney General, the authority to inspect is punishable copies of any of court and will and electronic to the party on whose behalf child that are was issued for a proceedings filed under this chapter without the as a recordings concerning the this subpoena relevant to the maximum penalty of $50 and all damages sustained result of the child or comply. consentof your failure toindividuals and authorized agencies who have control of the child; Witness, Honorable one not disclose the same 3. Hold any information received from any such source as confidential, and, shallof the Justices of the Court to the Court and where allowed by the Court, to other parties to this case and where provided by in County, day of , 20 except law; 4. Be given notice of all hearings and proceedings including, but not limited to,above and type name below) civil, (Attorney must sign administrative, family, criminal, grand juries or appellate; and all conferences including, but not limited to, multi-disciplinary team meetings, individual educational program meetings or inter-agency cluster meetings involving the child; Attorney(s) for 5. Appear at all hearings, court proceedings and monitor or attend case planning conferences to protect the best interest of the child unless otherwise directed by the Court; and 6. Have party status in any agreement or plan entered into on behalf of the child. Office and P.O. Address ________________________________________________ Telephone No.: Facsimile No.: JUDGE E-Mail Address: ________________________________________________ Mobile Tel. No.: DATE American LegalNet, Inc. www.USCourtForms.com