Form 112 "Order Appointing Guardian Ad Litem" - Kansas

What Is Form 112?

This is a legal form that was released by the Kansas District Courts - a government authority operating within Kansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on March 26, 2015;
  • The latest edition provided by the Kansas District Courts;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 112 by clicking the link below or browse more documents and templates provided by the Kansas District Courts.

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Download Form 112 "Order Appointing Guardian Ad Litem" - Kansas

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3/26/15
112
IN THE DISTRICT COURT OF ________________ COUNTY, KANSAS
IN THE INTEREST OF:
Name __________________________________
Case No. _____________________
Year of Birth ____________ A □ male □ female
ORDER APPOINTING GUARDIAN AD LITEM
Pursuant to K.S.A. 38-2205
NOW, on this ______ day of _______________, _______, ______________________ is
appointed guardian ad litem for the child named above. The guardian ad litem’s contact
information is shown below. The guardian ad litem shall make an independent investigation of the
facts upon which the Petition is based and shall appear for and represent the best interests of the
child throughout the proceedings.
1.
The guardian ad litem shall be served with copies of all pleadings and documents filed
herein.
2.
The guardian ad litem shall comply with Supreme Court Rule 110A.
3.
The following are hereby ordered to permit the guardian ad litem to inspect and copy any
records in their possession relating to the child named above and/or the child’s parents,
___(Name parents)___ : school and school district; Clerk of the Court; law enforcement
agency; health care provider or facility; mental health care provider or facility; substance
abuse treatment provider or facility; social worker; any agency, organization, person or
office in possession of records relating to the child or parents.
4.
The guardian ad litem is authorized to meet with, interview and obtain information from
school teachers, staff and administrators, and all others named above. The guardian ad
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112
IN THE DISTRICT COURT OF ________________ COUNTY, KANSAS
IN THE INTEREST OF:
Name __________________________________
Case No. _____________________
Year of Birth ____________ A □ male □ female
ORDER APPOINTING GUARDIAN AD LITEM
Pursuant to K.S.A. 38-2205
NOW, on this ______ day of _______________, _______, ______________________ is
appointed guardian ad litem for the child named above. The guardian ad litem’s contact
information is shown below. The guardian ad litem shall make an independent investigation of the
facts upon which the Petition is based and shall appear for and represent the best interests of the
child throughout the proceedings.
1.
The guardian ad litem shall be served with copies of all pleadings and documents filed
herein.
2.
The guardian ad litem shall comply with Supreme Court Rule 110A.
3.
The following are hereby ordered to permit the guardian ad litem to inspect and copy any
records in their possession relating to the child named above and/or the child’s parents,
___(Name parents)___ : school and school district; Clerk of the Court; law enforcement
agency; health care provider or facility; mental health care provider or facility; substance
abuse treatment provider or facility; social worker; any agency, organization, person or
office in possession of records relating to the child or parents.
4.
The guardian ad litem is authorized to meet with, interview and obtain information from
school teachers, staff and administrators, and all others named above. The guardian ad
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litem shall maintain information received from any source named above as confidential
and shall not disclose that information except in reports to the Court, to the parties to this
case and counsel, as directed by the Court, and as necessary to carry out the purposes of the
code.
5.
The guardian ad litem is hereby vested with all powers, privileges and responsibilities
necessary for the full and effective performance of the duties and obligations to the child as
set forth in this order.
6.
All providers of services, treatment or care for the child and family, even if not specifically
referred to herein, shall provide information to the guardian ad litem as requested. This
order encompasses and is in compliance with the provisions of the Privacy Rule of the
Health Insurance Portability and Accountability Act of 1996 (HIPAA), 45 C.F.R.
164.512(e)(1).
7.
The captioned matter is set for ______________________ hearing on the ______ day of
__________________, _______, at ________ a.m. p.m.
IT IS SO ORDERED.
_________________________
Judge of the District Court
Attorney name: _____________________________
Address:
______________________________
______________________________
Phone:
________________
FAX:
________________
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3/26/15
Authority
K.S.A. 38-2205.
Notes on Use
Upon the filing of a Child in Need of Care petition, the court is required to appoint an
attorney to serve as guardian ad litem for the child who is the subject of the petition. The attorney
shall make an independent investigation of the case and appear for and represent the best interests
of the child. This form serves as a court order for release of information, which is required by most
agencies. The form may be changed as needed, and specific agencies or providers may be inserted.
The guardian ad litem shall inform the court when the child’s position is not consistent
with the guardian ad litem’s determination of the child’s best interest. The guardian ad litem or the
child may request that a second attorney be appointed, to serve as attorney for the child. The
attorney for the child may require that communication between the child and the guardian ad litem
occur in the attorney’s presence. The guardian ad litem shall continue to represent the child’s best
interest throughout the proceedings, including any appellate proceedings, unless relieved by the
court upon a showing of good cause, or upon transfer of venue. The fees for the guardian ad litem
may be assessed as an expense in the proceedings to be paid by the complaining witness, a person
initiating the proceedings, a party or an interested party, other than the state, as determined by the
court. Upon transfer of venue, the transferring court shall send to the receiving court a statement
of expenses paid from the general fund of the transferring county.
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