NORTH CAROLINA WAKE COUNTY IN THE GENERAL COURT OF JUSTICE DISTRICT COURT DIVISION FILE NO. ________________ Assigned Judge: In the matter of: The undersigned MOTION FOR APPOINTMENT OF GUARDIAN AD LITEM FOR A PARENT Assistant Wake County Attorney, Counsel of record for __________________________, the parent of the juvenile, Guardian ad Litem for ____________________________, the parent of juvenile, Guardian ad Litem-Attorney Advocate, moves the Court to appoint a Guardian ad Litem for ___________________________, the parent of the juvenile. As a basis for appointment, the undersigned alleges that: ___________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ ____________ _________________________________________________ Date Print Name ______________________________________________ Signature ORDER After a hearing in which __________________ was was not present, the Court finds does not find that there is a reasonable basis to believe that ____________________, the parent of the child, is incompetent or has diminished capacity and cannot adequately act in his or her own interest. ______________________, the parent of the child, consents to the entry of this Order. Further findings: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ NCGS §7B-1101.1(c), the Court appoints _________________________ to Pursuant to NCGS §7B-602(c), represent ____________________ , the parent of the child. ____________ __________________________________________ Date JUDGE PRESIDING WAKE-JUV (AND)-4 (NEW 2/05) (PAGE 1 OF 1) American LegalNet, Inc. www.USCourtForms.com