__[Attorney name]__
__Address]__
__Telephone number]__

Attorney for Plaintiff, __[name]__


            _ _ _ _ _ _ Court, County of _ _ _ _ _ _
                   __[_ _ _ _ _ _ District]__



_ _ _ _ _ _ _ _ _ _ _ _ _  )   No. _ _ _ _ _ _
                                               Plaintiff)
By __[name]__;               ) PETITION FOR APPOINTMENT OF
__[his/her]__ guardian     )   GUARDIAN AD LITEM FOR PLAINTIFF
ad litem                                 )
                                                                          )
vs.                                                        )
                                                                          )
_ _ _ _ _ _ _ _ _ _ _ _ _  )
                               Defendant(s))
_________________________  )

Petitioner, __[name]__, declares:
     1.   I am __[a minor over age 14, born __[date]__, and am
the plaintiff in this action/identify petitioner, showing any
relationship to ward]__.
              [Add if petitioner is not plaintiff]
     2.   Plaintiff, __[name of ward]__, is __[e.g., a minor
under age 14/an incompetent person who is unable, without
assistance, to conduct this proceeding]__, born __[date]__.
                           [Continue]
     [3.] Plaintiff has a cause of action against defendant,
__[name]__, arising out of __[briefly state facts giving rise to
proceeding]__.
     [4.] No previous petition for appointment of a guardian ad
litem has been filed in this matter.
                      [Add if appropriate]
__[Name]__ was appointed __[guardian of the estate/conservator]__
for plaintiff by the Superior Court of _ _ _ _ _ _ County on
__[date]__, but has __[declined/failed]__ to pursue this claim.
                           [Continue]
     [5.] __[I am/Name of proposed guardian ad litem is]__
qualified to serve as guardian ad litem for plaintiff for the
following reasons: __[Specify]__.
     I declare under penalty of perjury under the laws of the
State of California that the foregoing is true and correct.
Date: _ _ _ _ _ _                                       [Signature]
                                                                                                         ___________________________
                                                                                                                                            __[Typed name]__
                                                                                                                                            Petitioner

    [Add if ward is age 14 or older or is incompetent person
                  who is capable of consenting]
     I consent to the appointment of __[name]__ as my guardian ad
litem in this proceeding.

Date: _ _ _ _ _ _                                       [Signature]
                                                                                                         ___________________________
                                                                                                                                            __[Typed name]__

      [Add if proposed guardian ad litem is not petitioner]
                             CONSENT
     I consent to act as guardian ad litem for __[name of minor
or incompetent]__ in the above action.

Date: _ _ _ _ _ _                                       [Signature]
                                                                                                         ___________________________
                                                                                                                                            __[Typed name]__

      

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Legal Forms : Set Two