Form GDN M202 "Emergency Minor Guardianship Petition" - Washington

What Is Form GDN M202?

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

Form Details:

  • Released on January 1, 2021;
  • The latest edition provided by the Washington Superior Court;
  • 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 GDN M202 by clicking the link below or browse more documents and templates provided by the Washington Superior Court.

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Download Form GDN M202 "Emergency Minor Guardianship Petition" - Washington

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Superior Court of Washington, County of
In the Guardianship of:
No.
Emergency Minor Guardianship Petition
Respondent/s (minors/children)
(PTAPEMG)
[ ] Clerk's action required: 5, 23
Emergency Minor Guardianship Petition
Use this form to appoint an emergency guardian by agreement, or if no one is willing and
has authority to act in the circumstances. A child or an interested party may file the petition.
Use this form together with:
 Notice of Hearing for Emergency Minor Guardianship Petition (form GDN M 201)
 Criminal History Cover Sheet (form GDN M 407)
 Motion and Order to DCYF to Release CPS Information (form GDN M 404 and form GDN M 405).
If needed:
 Motion for Immediate Order (Ex Parte) – Emergency Minor Guardianship and Restraining Order
(form GDN M 204)
 Immediate Order (Ex Parte) and Hearing Notice – Emergency Minor Guardianship and Restraining
Order (form GDN M 205)
Emergency guardianships normally only last 60 days. If you need the guardianship to last longer
than 60 days, you should also file a Minor Guardianship Petition (form GDN M 102).
1.
Emergency guardianship request
I ask the court to appoint an emergency guardian for the children (under age 18) listed in
2
Section
who have the same legal parents.
2.
Children
Child’s Name
Age
Child’s Name
Age
1.
2.
3.
4.
Important! Don’t list more than one child unless they have all the same parents. If they have
RCW 11.130.225
Emergency Minor Guardianship
(01/2021)
Petition
GDN M 202
p. 1 of 11
Superior Court of Washington, County of
In the Guardianship of:
No.
Emergency Minor Guardianship Petition
Respondent/s (minors/children)
(PTAPEMG)
[ ] Clerk's action required: 5, 23
Emergency Minor Guardianship Petition
Use this form to appoint an emergency guardian by agreement, or if no one is willing and
has authority to act in the circumstances. A child or an interested party may file the petition.
Use this form together with:
 Notice of Hearing for Emergency Minor Guardianship Petition (form GDN M 201)
 Criminal History Cover Sheet (form GDN M 407)
 Motion and Order to DCYF to Release CPS Information (form GDN M 404 and form GDN M 405).
If needed:
 Motion for Immediate Order (Ex Parte) – Emergency Minor Guardianship and Restraining Order
(form GDN M 204)
 Immediate Order (Ex Parte) and Hearing Notice – Emergency Minor Guardianship and Restraining
Order (form GDN M 205)
Emergency guardianships normally only last 60 days. If you need the guardianship to last longer
than 60 days, you should also file a Minor Guardianship Petition (form GDN M 102).
1.
Emergency guardianship request
I ask the court to appoint an emergency guardian for the children (under age 18) listed in
2
Section
who have the same legal parents.
2.
Children
Child’s Name
Age
Child’s Name
Age
1.
2.
3.
4.
Important! Don’t list more than one child unless they have all the same parents. If they have
RCW 11.130.225
Emergency Minor Guardianship
(01/2021)
Petition
GDN M 202
p. 1 of 11
different parents, fill out a separate Petition for each child.
County – I am filing in this county because (check all that apply):
[ ] the children live here or are present in this county now.
[ ] there is another case involving custody or parental rights already in progress here.
Lawyer for children – The children (check one):
[ ] do not have a lawyer
[ ] are represented by (lawyer's name):
Lawyer's address:
3.
Petitioner/s
My name is:
.
[ ] I am the child seeking a guardian.
[ ] I am interested in the welfare of the children. My relationship to the children
in this case:
My home address (principal residence):
My street address (if different):
[ ] Co-Petitioner (If there is another Petitioner in this case)
My name is:
. I am interested in
the welfare of the children.
My relationship to the children in this case:
My home address (principal residence):
My street address (if different):
4.
Who should be emergency guardian?
[ ] I ask the court to appoint me (and any Co-Petitioner) emergency guardian of the
children.
[ ] I ask the court to appoint (name/s):
emergency guardian of the children.
Proposed guardian’s address:
5.
Other guardianship cases
[ ] None
RCW 11.130.225
Emergency Minor Guardianship
(01/2021)
Petition
GDN M 202
p. 2 of 11
[ ] A Minor Guardianship Petition or Standby Guardianship Petition has already been filed
in this county in case number:
. I ask for the emergency
guardianship order to last until final orders are entered in that case.
Clerk's action required. Relate (link) the minor guardianship case with this case.
6.
Why do the children need an emergency guardian?
Appointment of an emergency guardian is likely to prevent substantial harm to the
children’s health, safety, or welfare AND no one else appears to have the authority and
willingness to act in the current circumstances.
Explain the risk of harm:
(Attach additional pages if necessary)
Explain why no one else has the authority or willingness to act:
(Attach additional pages if necessary)
 People
7.
Parents
[ ] All parental rights have been terminated.
[ ] The children's legal parents are listed below:
Parent 1 (Name):
[ ] Parent 1 is deceased.
[ ] Parent 1 has a lawyer.
Lawyer's name:
Lawyer's address:
RCW 11.130.225
Emergency Minor Guardianship
(01/2021)
Petition
GDN M 202
p. 3 of 11
Parent 2 (Name):
[ ] Parent 2 is deceased.
[ ] Parent 2 has a lawyer.
Lawyer's name:
Lawyer's address:
8.
Who must be served?
I will have a copy of this Petition and the Notice of Hearing for Emergency Minor
Guardianship Petition served on the parents and anyone who fits one of the categories
below. (Check all that apply)
[ ] Someone other than a parent has custody or care of the children
(Name):
[ ] One or more of the children is age 12 or older
(Name/s):
[ ] Any court-appointed lawyer for a parent or the children
[ ] No one fits the categories above
9.
Addresses attached to Notice of Hearing
I have included addresses for the people in section 6 and 7, if known, on the Notice of
Hearing for Emergency Minor Guardianship Petition and Notice Attachment: List of People
to be Served or Given Notice. The Notice and Attachment are made part of this petition
(incorporated by reference).
Jurisdiction
10. Personal jurisdiction over parents
Fill out below to say if a Washington State court has personal jurisdiction (authority to
make decisions) over each parent.
Basis for Personal Jurisdiction
Parent 1 Name:
Parent 2 Name:
(check all that apply)
Will be served in Washington
[ ]
[ ]
Lives in Washington now
[ ]
[ ]
Lived in Washington with child
[ ]
[ ]
Lived in Washington and paid
[ ]
[ ]
pregnancy costs or support for child
Caused child to live in Washington
[ ]
[ ]
Had sex in Washington that may have
[ ]
[ ]
produced the child
Agrees to Washington deciding
[ ]
[ ]
None of the above
[ ]
[ ]
RCW 11.130.225
Emergency Minor Guardianship
(01/2021)
Petition
GDN M 202
p. 4 of 11
11. Children’s home/s
During the past 5 years have any of the children lived:
on an Indian reservation,
outside Washington state,
in a foreign country, or
with anyone other than a parent?
[ ] No. (Skip to 11.)
[ ] Yes. (Fill out below to show where each child has lived during the last 5 years.)
In which state,
Dates
Children
Lived with
Indian reservation,
or foreign country
[ ] All children
[ ] Petitioner/s
From:
[ ] (Name/s):
[ ] Parent/s (name/s):
To:
[ ] Other (name):
[ ] All children
[ ] Petitioner/s
From:
[ ] (Name/s):
[ ] Parent/s (name/s):
To:
[ ] Other (name):
[ ] All children
[ ] Petitioner/s
From:
[ ] (Name/s):
[ ] Parent/s (name/s):
To:
[ ] Other (name):
[ ] All children
[ ] Petitioner/s
From:
[ ] (Name/s):
[ ] Parent/s (name/s):
To:
[ ] Other (name):
[ ] All children
[ ] Petitioner/s
From:
[ ] (Name/s):
[ ] Parent/s (name/s):
To:
[ ] Other (name):
12. Other people with a legal right to spend time with a child
Do you know of anyone besides you and the parents who has, or claims to have, a legal
right to spend time with any of these children?
(Check one): [ ] No. (Skip to 12.) [ ] Yes. (Fill out below.)
Name of person
Children this person may have
the right to spend time with
[ ] All children
[ ] (Name/s):
[ ] All children
[ ] (Name/s):
13. Other court cases involving a child
RCW 11.130.225
Emergency Minor Guardianship
(01/2021)
Petition
GDN M 202
p. 5 of 11
Page of 11