Superior Court of Washington County of In re Parentage: No. Petitioner, and Respondent Order Appointing Guardian ad Litem (ORAPGL) and Respondent. Use this form to appoint a guardian ad litem for a minor or incapacitated respondent. To appoint a guardian for the child(ren), use form WPF PS 10B.0850. A motion for order appointing a guardian ad litem for respondent has been filed. It appears that good cause exists to appoint a guardian ad litem for certain limited purposes, therefore, It is Ordered: 1. Appointment of Guardian ad Litem That ______________________________ [Name] is appointed guardian ad litem for the respondent, ____________________________________ [Name], as required by RCW 4.08.050 regarding infants or by RCW 4.08.060 regarding incapacitated persons. 2. Termination of Appointment [] [] 3. This appointment shall terminate upon entry of an order determining parentage if it includes a court approved residential plan or provision therefore. Other: Other Provisions Ord Appointing Guardian ad Litem (ORAPGL) - Page 1 of 2 WPF PS 10A.0850 (6/2006) - RCW 26.26, 4.08.050, .060 American LegalNet, Inc. www.USCourtForms.com The undersigned guardian ad litem agrees to this appointment, understands the nature of this action and accepts the following responsibilities: (a) (b) (c) 4. To protect the legal interests of the minor respondent throughout the course of this action; and To explain to the minor respondent the substance of the petition, all documents and correspondence regarding this parentage action; and To comply with all court orders and to attend all meetings and court hearings that are scheduled in this action with the minor respondent. Payment of Fees and Costs The guardian ad litem fee is $____________ per hour up to $___________, the maximum the guardian ad litem may charge without additional court review and approval. The fees and costs of the guardian ad litem shall be paid as follows: [] [] ____ % by ___________________________, ______% by ____________________, ____ % by ________________________________ Other: The total amount awarded shall be at the discretion of the court up to the maximum amount allowed after the guardian ad litem files an itemized statement of time with the court, along with a specific request for fees and a proposed Order. Guardians ad litem who are not volunteers shall provide the parties with an itemized account of their time and billing for services each month. 5. Other Dated: Judge/Commissioner Presented by: Approved as to form: Notice of presentation waived: Signature of Party or Lawyer/WSBA No. Signature of Guardian ad Litem or Lawyer/WSBA No. Print or Type Name Signature of Respondent or Lawyer/WSBA No. Ord Appointing Guardian ad Litem (ORAPGL) - Page 2 of 2 WPF PS 10A.0850 (6/2006) - RCW 26.26, 4.08.050, .060 American LegalNet, Inc. www.USCourtForms.com