Superior Court of Washington County of ________________ No. ___________________ In the Guardianship of: _______________________________, Incapacitated Person Provisional Order Granting (ORGMT) Denying (ORDYMT) Petition to Transfer Guardianship to the Receiving State RCW 11.90.400 I. Findings 1.1 A petition has been filed seeking transfer of this guardianship from Washington to: _________________________________________ (county and state). A hearing was held on ____________________ (date). Notice of this petition was given to those persons who would be entitled to notice of a petition in this state for the appointment of a guardian. RCW 11.90.400(2). There has not been an objection to the transfer. There has been an objection to the transfer. The objector: has not established that the transfer would be contrary to the interests of the incapacitated or protected person. has established that the transfer would be contrary to the interests of the incapacitated or protected person. 1.2 1.3 1.4 1.5 The court is or jurisdiction. is not satisfied that the court of the other state is likely to accept Prov. Order Granting/Denying Petition to (ORGMT, ORDYMT) - Page 1 of 2 Transfer Guardianship to Receiving State WPF GDN 02.0180 (07/2015) RCW 11.90.400 American LegalNet, Inc. www.FormsWorkFlow.com 1.6 The incapacitated person to allow transfer: does or does not have sufficient ties to the other state The incapacitated person is physically present in the other state; or The incapacitate person is reasonably expected to move permanently to the other state; or. The request is to transfer only the guardianship of the estate and the Incapacitated person had a significant connection to the other state, considering the factors in RCW 11.90.200(2). 1.7 Plans for care and services for the incapacitated person in the other state not reasonable and sufficient. are are 1.8 If transferring guardianship of the estate: Proposed arrangements for management of the protected person's property are are not adequate. II. Order 2.1 The Petition to Transfer Guardianship is provisionally granted. The guardian shall petition for guardianship in the other state. The Petition to Transfer Guardianship is denied and dismissed. 2.2. Dated: _________________________ Judge/Court Commissioner Presented by: Signature of Petitioner/Attorney Printed Name of Petitioner/Attorney, WSBA/CPG# 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. Prov. Order Granting/Denying Petition to (ORGMT, ORDYMT) - Page 2 of 2 Transfer Guardianship to Receiving State WPF GDN 02.0180 (07/2015) RCW 11.90.400 American LegalNet, Inc. www.FormsWorkFlow.com