Superior Court of Washington County of__________________ No. _______________________ In the Guardianship of: Incapacitated Person Motion/Declaration to: Modify a Guardianship Terminate a Guardianship; Replace a Guardian; or Modify a Guardian's Authority under RCW 11.88.120 (Optional Use) (MTAF) Clerk's Action Required. My name is ______________________________. My relationship to the incapacitated person is _________________________________________. I ask the court to: Modify a guardianship. Terminate a guardianship. Replace a guardian. Modify the guardian's authority. If this is a motion to modify or terminate a guardianship, I have filed or will file proof that the incapacitated person was given reasonable notice of the hearing and of his or her right to be represented at the hearing by counsel of his or her own choosing. I also ask the court to: Enter an order requiring (name) __________________________________________ to appear at a hearing to show cause why the court should not order the relief requested in this motion. Appoint a guardian ad litem to: Investigate the issues raised by this motion. Take emergency action as ordered by the court. Mt/Decl to Modity/Terminate a Guardianship (MTAF)- Page 1 of 3 Replace Guardian/Modify Guardian's Authority WPF GDN 08.0300 (07/2015) RCW 11.88.120 American LegalNet, Inc. www.FormsWorkFlow.com Take any emergency action the court deems necessary to protect the incapacitated person until the court can hold a hearing. Specifically, I ask for the following emergency action: _______________________________________________________________________ _______________________________________________________________________ ______________________________________________________________________. Other . These facts support my requests. Please be as specific as possible. You can use more paper or attach documents if you want: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ___________________________________________________________________________________. (Attach more sheets of paper if you need more space to write.) The court should find that emergency action is necessary because: ____________________________________________________________________________________ ____________________________________________________________________________________ ___________________________________________________________________________________. If you want the court to know about a guardian ad litem report, medical or psychological reports, social security representative payee report, or financial records, serve those records on the other party and file them with the court using form WPF GDN 03.0200, Sealed Confidential Guardianship Document Cover Sheet. If filed separately using the cover sheet, the records will be sealed to protect your privacy (although they will be available to all parties in the case, their attorneys, court personnel and certain state agencies and boards.) See GR 22(C)(2). Dated: _________________________________ ______________________________________ Signature of person making this motion/lawyer ______________________________________ Print Name WSBA No. I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at _____________________________ (City and State) on _________________ (Date). Signature of person making this motion Print name of person making this motion, WSBA CPG# Mt/Decl to Modity/Terminate a Guardianship (MTAF)- Page 2 of 3 Replace Guardian/Modify Guardian's Authority WPF GDN 08.0300 (07/2015) RCW 11.88.120 American LegalNet, Inc. www.FormsWorkFlow.com Address City State, Zip Code *Telephone/Fax Number Email Address *Privacy notice: If you do not want your personal phone number on this public form, you may list your telephone number on a separate form which may be available to parties and the court, as well as its staff and volunteers, but will not be made available to the public. Use Form WPF GDN 03.0100, Guardianship Confidential Information form (Telephone Numbers), for this purpose. Mt/Decl to Modity/Terminate a Guardianship (MTAF)- Page 3 of 3 Replace Guardian/Modify Guardian's Authority WPF GDN 08.0300 (07/2015) RCW 11.88.120 American LegalNet, Inc. www.FormsWorkFlow.com