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Guardian Ad Litems Statement Of Qualifications Form. This is a Washington form and can be use in Spokane Local County.
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Tags: Guardian Ad Litems Statement Of Qualifications, 04, Washington Local County, Spokane
(Copy Receipt)
(Clerk’s Date Stamp)
SUPERIOR COURT OF
WASHINGTON
COUNTY OF ___________________
CASE NO. __________________________
In the Guardianship of:
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:
1. Level of formal education: ________________________________________________
2. Training related to Guardian ad Litem duties: _________________________________
______________________________________________________________________
3. Number of years’ experience as Guardian ad Litem: ____________________________
4. Number of prior appointments as Guardian ad Litem (as of today’s date):
(a) This County: ________________________
(b) Other Counties: _____________________________________________________
5. Criminal history (as defined in RCW 9.94.A.030): ______________________________
6. Knowledge or experience in needs of:
(a) Impaired elderly: _____________________________________________________
(b) Persons with physical disabilities: _______________________________________
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(c) Persons with mental illness: ____________________________________________
(d) Persons with developmental disabilities: __________________________________
(e) Other incapacitated persons: ____________________________________________
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:
1.
Yes
No
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 certify (or declare) under penalty of perjury under the laws of the State of Washington that
to the best of my knowledge the statements above are true and correct.
Signature of Petitioner
Printed Name of Petitioner
Address
Telephone/Fax Number
City, State, Zip Code
Email Address
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