COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : : : Defendant(s) : ...................................................... SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ THE PEOPLE OF THE STATE OF NEW YORK JUVENILE COURT TOSTATE OF WASHINGTON v. NO: GREETINGS: MOTION FOR ASSIGNMENT OF LAWYER (MT) Respondent(s). D.O.B.: COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before WE , the Honorable at the Court located at County of I. MOTION at in room , on the day of , 20 , o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the 1. I, ______________________________________________, hereby move the court for an order appointing a lawyer to represent me at public expense. I am named in the above-captioned case as a q respondent/child q parent of respondent/child q guardian or custodian of said respondent/child. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 andto myself or to my 2. I am financially unable to obtain a lawyer without causing substantial hardship all damages sustained as a result of your failure to comply. family. Witness, Honorable Court in __________________________ County, day of Dated: , one of the Justices of the , 20 _____________________________________________ Signature _____________________________________________ (Attorney must sign above and type name below) Title/Agency _____________________________________________ Relationship Attorney(s) for Office and P.O. Address Telephone No.: No.: E-Mail Address: Mobile Tel. No.: MOTION FOR ASSIGNMENT OF LAWYER (MT) - Page 1 of 1 Facsimile WPF JU 09.0100 (9/2000) - RCW 13.32A.160; 13.34.090; 13.40.080, .140 American LegalNet, Inc. www.USCourtForms.com