Fillable CIV-010 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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CIV-010 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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is
a.
b.
c.
d.
e.
f.
The person to be represented is:
a.
b.
c.
The court should appoint a guardian ad litem because:
a.
APPLICATION AND ORDER FOR APPOINTMENT
OF GUARDIAN AD LITEM—CIVIL
Code of Civil Procedure,
§ 372 et seq.
Form Adopted for Mandatory Use
Judicial Council of California
CIV-010 [Rev. January 1, 2008]
Page 1 of 2
Applicant (name):
the parent of
(name):
the guardian of
(name):
the conservator of
(name):
a party to the suit.
the minor to be represented (if the minor is 14 years of age or older).
another interested person
(specify capacity):
This application seeks the appointment of the following person as guardian ad litem state name, address, and telephone number):
The guardian ad litem is to represent the interests of the following person (state name, address, and telephone number):
a minor
(date of birth):
an incompetent person.
a person for whom a conservator has been appointed.
the person named in item 3 has a cause or causes of action on which suit should be brought
(describe):
Continued on Attachment 5a.
1.
2.
3.
4.
5.
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
BRANCH NAME:
CITY AND ZIP CODE:
STREET ADDRESS:
MAILING ADDRESS:
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
FOR COURT USE ONLY
CASE NUMBER:
EX PARTE
APPLICATION AND ORDER FOR APPOINTMENT
OF GUARDIAN AD LITEM—CIVIL
CIV-010
NOTE: This form is for use in civil proceedings in which a party is a minor, an incapacitated person, or a person for
whom a conservator has been appointed. A party who seeks the appointment of a guardian ad litem in a family law or
juvenile proceeding should use form FL-935. A party who seeks the appointment of a guardian ad litem in a probate
proceeding should use form DE-350/GC-100. An individual cannot act as a guardian ad litem unless he or she is
represented by an attorney or is an attorney.
TELEPHONE NO.:
FAX NO. (Optional):
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
ATTORNEY (Name, State Bar number, and address):
b.
c.
d.
The proposed guardian ad litem's relationship to the person he or she will be representing is:
a.
b.
(SIGNATURE OF ATTORNEY)
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
(SIGNATURE OF APPLICANT)
CONSENT TO ACT AS GUARDIAN AD LITEM
I consent to the appointment as guardian ad litem under the above petition.
(SIGNATURE OF PROPOSED GUARDIAN AD LITEM)
ORDER
EX PARTE
THE COURT FINDS that it is reasonable and necessary to appoint a guardian ad litem for the person named in item 3 of the
application, as requested.
for the reasons set forth in item 5 of the application.
JUDICIAL OFFICER
APPLICATION AND ORDER FOR APPOINTMENT
OF GUARDIAN AD LITEM—CIVIL
CIV-010 [Rev. January 1, 2008]
Page 2 of 2
more than 10 days have elapsed since the summons in the above-entitled matter was served on the person named
in item 3, and no application for the appointment of a guardian ad litem has been made by the person identified in
item 3 or any other person.
the person named in item 3 has no guardian or conservator of his or her estate.
the appointment of a guardian ad litem is necessary for the following reasons
(specify):
Continued on Attachment 5d.
related
(state relationship):
not related
(specify capacity):
The proposed guardian ad litem is fully competent and qualified to understand and protect the rights of the person he or she will
represent and has no interests adverse to the interests of that person. (If there are any issues of competency or qualification or
any possible adverse interests, describe and explain why the proposed guardian should nevertheless be appointed):
Continued on Attachment 7.
Date:
Date:
(TYPE OR PRINT NAME)
THE COURT ORDERS that (name):
is hereby appointed as the guardian ad litem for (name):
SIGNATURE FOLLOWS LAST ATTACHMENT
Date:
(TYPE OR PRINT NAME)
(TYPE OR PRINT NAME)
5.
6.
PLAINTIFF/PETITIONER:
DEFENDANT/RESPONDENT:
CASE NUMBER:
CIV-010
7.
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CIV-010 SUPERIOR COURT OF CALIFORNIA, COUNTY OF (California)

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Completed 8 February 2021

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