Application For Appointment Of Guardian At Litem In Stalking Action For Minor Child And Order

Application For Appointment Of Guardian At Litem In Stalking Action For Minor Child And Order - Oregon

IN THE CIRCUIT COURT OF THE STATE OF OREGON

FOR THE COUNTY OF ___________________

In the Matter of :

)

Case No. ____________________

)

_____________________________,

)

Petitioner,

)

APPLICATION FOR APPOINTMENT

)

OF GUARDIAN AD LITEM IN

)

STALKING ACTION FOR MINOR

and

)

CHILD and ORDER

)

Under ORS 30.866

_____________________________,

)

Respondent.

)

APPLICATION

I wish to file a Stalking Petition to protect the following minor Child:

Name:____________________________________________________________

Age: __________________ Date of Birth:________________________

I am willing to serve as Guardian ad Litem in this matter and request that I be appointed.

I am a suitable person for this appointment because:______________________________

________________________________________________________________________

I am at least 18 years old and my relationship to the Child is (describe your relationship

with the child and how you know the child):

________________________________________________________________________

_______________________________________

Signature

_______________________________________

Print or Type Name

_________________________________________

Notary Public for _________________/Court Clerk

My Commission Expires: ____________________

PAGE 1 of 2 APPLICATION FOR GUARDIAN AD LITEM

Stalking: AppGuardianAdLitem- Ver02 (5/09)

Application For Appointment Of Guardian At Litem In Stalking Action For Minor Child And Order - Oregon