IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR JOSEPHINE COUNTY SMALL CLAIMS DEPARTMENT Petitioner/Plaintiff Case No. vs. APPLICATION FOR APPOINTMENT OF GUARDIAN AD LITEM Respondent/Defendant I. APPLICATION is a resident of the County of , State of Oregon, and is the parent / other relative / or friend of . is a minor less than 18 years of age, to wit: years of age, and resides with . No general guardian has been appointed by any court for said minor. II. Applicant has been named as “ Plaintiff “ Defendant in a small claims action and the appointment of a Guardian ad litem is necessary for such purpose. III. is a resident of County, is over the age of 18 and is a suitable person to be appointed Guardian ad litem for abovenamed minor. WHEREFORE, applicant prays that be appointed Guardian ad litem to represent the above-named minor in proceedings of the above-entitled case. DATED this day of , 200 . Applicant -1- Guardian Ad Litem American LegalNet, Inc. www.USCourtForms.com IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR JOSEPHINE COUNTY SMALL CLAIMS DEPARTMENT Petitioner/Plaintiff Case No. vs. Respondent/Defendant ORDER APPOINTING GUARDIAN AD LITEM IT APPEARING to the Court that , is a minor under the age of 18 and that no general guardian has been appointed for said minor; that said minor has applied to this Court for appointment of as Guardian ad litem to represent said minor in a name change proceedings and the Court having further determined that it is necessary and in the best interests of said minor that a guardian be appointed to represent him/her during the pendency of this case, it is, therefore, ORDERED that be and he/she is appointed as guardian ad litem for , a minor, for the purpose of representing said minor in proceedings for the above-entitled action. DATED this day of , 200 . Circuit Court Judge -2- Guardian Ad Litem American LegalNet, Inc. www.USCourtForms.com