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Guardian Ad Litems Statement Of Qualifications Form. This is a Washington form and can be use in King Local County.
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Tags: Guardian Ad Litems Statement Of Qualifications, 47, Washington Local County, King
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IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON
IN AND FOR THE COUNTY OF KING
In the Guardianship of:
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______________________________,
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An Alleged Incapacitated Person.
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Case No.:
GUARDIAN AD LITEM’S
STATEMENT OF QUALIFICATIONS
RCW 11.88.090(3)
(ST)
GUARDIAN AD LITEM STATEMENT OF QUALIFICATIONS
This statement is presented as required by RCW 11.88.090(3):
A. Requisite areas of background, knowledge, training, and experience are detailed below:
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1. Level of formal education: ______________________________
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2. Training related to Guardian ad Litem duties: _____________________________
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3. Number of years’ experience as Guardian ad Litem: _______________________
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4. Number of prior appointments as Guardian ad Litem (as of today’s date):
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(a) This County: ______________________________
(b) Other Counties: ______________________________
5. Criminal history (as defined in RCW 9.94.A.030):
6. Knowledge or experience in needs of:
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(a) Impaired elderly: ______________________________
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(b) Persons with physical disabilities: ______________________________
GUARDIAN AD LITEM STATEMENT OF
QUALIFICATIONS- 1
12/2005 GUARDIANSHIP FORMS
American LegalNet, Inc.
www.USCourtForms.com
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(c) Persons with mental illness: ______________________________
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(d) Persons with developmental disabilities: _____________________________
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(e) Other incapacitated persons: _______________________________________
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7. Familiarity and experience with legal procedures involving Guardianships:
__________________________________________________________________
8. Familiarity and experience in dealing with the provisions of Chapter(s) 11.88 and
11.92 RCW: ______________________________________________________
B. I have been removed as a Guardian ad Litem:
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1. [
] Yes
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[
] No
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2. If yes, please explain each instance on a page attached hereto.
C. I have successfully completed the model Guardian ad Litem training program of this
County on ____________________[month/day], __________[year] at
______________________________.
I DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE
STATE OF WASHINGTON THAT THE FOREGOING IS TRUE AND CORRECT.
Signed at ________________, Washington, ___________, ____200__.
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Signature
Printed Name
Address
Telephone/Fax Number
City, State, Zip Code
Email Address
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GUARDIAN AD LITEM STATEMENT OF
QUALIFICATIONS- 2
12/2005 GUARDIANSHIP FORMS
American LegalNet, Inc.
www.USCourtForms.com
