IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE THIRD JUDICIAL DISTRICT Juvenile Department ) ) ) ______________________________________, ) A Ward. ) In the Matter of: No. _________________ MOTION TO ESTABLISH GUARDIANSHIP [ORS 419B.366] [ ]Father [ ]Mother [ ]CASA [ ]DHS [ ]Ward [ ]Intervenor [ ]person with limited right of participation Moves the Court for an Order establishing a Guardianship pursuant to ORS 419B.366-.379, and further moves and alleges as follows: 1. The facts that support this motion are [ ]set forth in the attached affidavit [ ]are set forth below: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ [ ]see attached page for additional factual allegations. 2. [ ]ICWA does not apply in this case. [ ]ICWA does apply and, [ ] this guardianship is in an Indian home or a tribal approved home; or [ ] custody to the parents or Indian custodian will result in serious emotional or physical harm to the ward. 3. [ ] The Court has found that Guardianship is the appropriate plan in this case. [ ]The Court should find that Guardianship is the appropriate plan in this case. The ward cannot safely return to a parent within a reasonable time; adoption is not an appropriate plan for the ward; the proposed guardian is suitable to meet the needs of the ward and is willing and able to accept the duties and authority of a guardian. 4. Guardianship is in the best interests of the ward. [ ]The ward supports the formation of this guardianship. [ ]The Court is asked to inquire of the ward if the ward supports the guardianship. 5. The proposed guardian(s) and relevant information is as follows: Name of Proposed Guardian: ____________________________________________________ Date of Birth: _______________. Address:_____________________________________________________________________. Home Phone: ________________ Office phone: _________________ Page 1 of 3 JF20-MOTION TO ESTABLISH GUARDIANSHIP / OJIN: PTGD / FC (6/20/08) American LegalNet, Inc. www.FormsWorkFlow.com Relationship, if any, to ward:_____________________________________________________. 6. Further moves the Court for appointment of the Proposed Guardian(s) and for issuance of Letters of Guardianship. 7. [ ]A hearing is requested, estimated time for hearing is: __________ hours. Moved this ____ day of _______________________, 20_____. __________________________________________ Signature of Moving Party or [ ]Attorney __________________________________________ Printed Name of Moving Party or [ ]Attorney Name, Address and Phone of Moving Party: _____________________________________ _____________________________________ _____________________________________ _____________________________________ Phone:________________________________ Name, Address and Phone Number of Attorney: _____________________________________ _____________________________________ _____________________________________ _____________________________________ Phone:________________________________ Page 2 of 3 JF20-MOTION TO ESTABLISH GUARDIANSHIP / OJIN: PTGD / FC (6/20/08) American LegalNet, Inc. www.FormsWorkFlow.com Notice: a certified true copy of this motion must be served on every party and every person granted rights of limited participation in this case. Proof of such serviceI certify that I mailed true copies of this motion to the following persons by US First Class Mail on the ______ day of _________________________, 20_______: [List names and addresses of parties served by mail below:] ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ __________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ __________________________________________ Signature of Moving Party/Attorney __________________________________________ Printed Name of Moving Party/Attorney Page 3 of 3 JF20-MOTION TO ESTABLISH GUARDIANSHIP / OJIN: PTGD / FC (6/20/08) American LegalNet, Inc. www.FormsWorkFlow.com