(Copy Receipt) (Clerk’s Date Stamp) SUPERIOR COURT OF WASHINGTON COUNTY OF SPOKANE In the Guardianship of: _____________________________________ An Alleged Incapacitated Person CASE NO. ________________________ NOTICE OF GUARDIANSHIP PETITION RCW 11.88.030(4)(b) (NT) TO: ______________________________________, Alleged Incapacitated Person TO: ______________________________________, Guardian ad Litem IMPORTANT NOTICE – PLEASE READ CAREFULLY A PETITION TO HAVE A GUARDIAN APPOINTED FOR YOU HAS BEEN FILED IN THE ___________________ COUNTY SUPERIOR COURT BY _____________________. IF A GUARDIAN IS APPOINTED, YOU COULD LOSE ONE OR MORE OF THE FOLLOWING RIGHTS: 1. TO MARRY OR DIVORCE; 2. TO VOTE OR HOLD AN ELECTED OFFICE; 3. TO ENTER INTO A CONTRACT OR MAKE OR REVOKE A WILL; #02-NOTICE OF GUARDIANSHIP PETITION PAGE 1 OF 3 Revised 3/07 American LegalNet, Inc. www.FormsWorkflow.com 4. TO APPOINT SOMEONE TO ACT ON YOUR BEHALF; 5. TO SUE AND BE SUED OTHER THAN THROUGH A GUARDIAN; 6. TO POSSESS A LICENSE TO DRIVE; 7. TO BUY, SELL, OWN, MORTGAGE, OR LEASE PROPERTY; TO CONSENT TO OR REFUSE MEDICAL TREATMENT; 8. TO DECIDE WHO SHALL PROVIDE CARE AND ASSISTANCE; 9. TO MAKE DECISIONS REGARDING SOCIAL ASPECTS OF YOUR LIFE. UNDER THE LAW, YOU HAVE CERTAIN RIGHTS. YOU HAVE THE RIGHT TO BE REPRESENTED BY A LAWYER OF YOUR OWN CHOOSING. THE COURT WILL APPOINT A LAWYER TO REPRESENT YOU IF YOU ARE UNABLE TO PAY OR PAYMENT WOULD RESULT IN SUBSTANTIAL HARDSHIP TO YOU. YOU HAVE THE RIGHT TO ASK FOR A JURY TO DECIDE WHETHER OR NOT YOU NEED A GUARDIAN TO HELP YOU. YOU HAVE THE RIGHT TO BE PRESENT IN COURT AND TESTIFY WHEN THE HEARING IS HELD TO DECIDE WHETHER OR NOT YOU NEED A GUARDIAN. YOU HAVE THE RIGHT TO REQUEST THAT THE COURT REPLACE THE GUARDIAN AD LITEM. A HEALTH CARE PROFESSIONAL MUST PREPARE A MEDICAL REPORT REGARDING YOUR ALLEGED INCAPACITY. IF YOU OPPOSE THE HEALTH CARE PROFESSIONAL SELECTED BY THE GUARDIAN AD LITEM, YOU MAY SELECT #02-NOTICE OF GUARDIANSHIP PETITION PAGE 2 OF 3 Revised 3/07 American LegalNet, Inc. www.FormsWorkflow.com YOUR OWN TO PREPARE A REPORT. THE GUARDIAN AD LITEM MAY ALSO OBTAIN A SUPPLEMENTAL EXAMINATION. Dated: ______________________________ Signature of Petitioner/Attorney Printed Name of Petitioner/Attorney, WSBA/CPG# Address City, State, Zip Code *Telephone/Fax Number Email Address *Under GR 22 (b) (6), parties’ personal telephone number(s) are confidential information. If you do not want your personal phone number(s) on this public form, complete form #S2Sealed Confidential Information and file in the confidential fille. #02-NOTICE OF GUARDIANSHIP PETITION PAGE 3 OF 3 Revised 3/07 American LegalNet, Inc. www.FormsWorkflow.com