Mailing Address: 614 Division Street, MS-25 Port Orchard, WA 98366 (360) 337-7109 KITSAP COUNTY DISTRICT COURT, STATE OF WASHINGTON NO. __________________________________________, Petitioner(s), PETITION FOR APPOINTMENT AS GUARDIAN AD LITEM FOR MINORS __________________________________________, Minor(s), vs. __________________________________________, Respondent(s). COMES NOW the above-named petitioner and requests the court to appoint petitioner/respondent as guardian ad litem for the above-named minor(s) who are not competent to commence or defend the action herein because said minor(s) are under the age of eighteen (18). This petition is brought for the purpose of commencing/defending an action for: domestic violence antiharassment protection order other: _____________________________________________________________________. Dated this _______ day of ______________________________ 20_______. STATE OF WASHINGTON COUNTY OF KITSAP ) )§ ) PETITIONER The above-named petitioner on oath deposes and says: I am applying to be appointed to be the guardian ad litem for the above-named person(s) in this action because he/she is under the age of eighteen (18) and I am the ________________________________ [State nature of relationship to minor(s)] of the minor(s). I am applying for an order requesting the above-named respondent be appointed as guardian ad litem for the above-named minors and believe the respondent is the ________________________________ [State nature of relationship to minor(s)] of the minor(s). I know and have independently reviewed the facts upon which the minor(s) is claiming relief and believe them to be true and that the action commenced or defense asserted is justifiable. I certify under penalty of perjury under the laws of the State of Washington that the statements made herein are true to the best of my knowledge and belief. SIGNED AT ____________________, Washington, on the _____ day of ____________________ 20_____. PETITIONER Revised 02/16/00 American LegalNet, Inc. www.FormsWorkFlow.com