California Guardian Litem Form – Fill Out and Use This PDF

Under Attorney or party without attorney, fill in state bar number, name, firm name, street address, city, state, zip code, telephone no., fax no., email address and attorney for (name).

Under SUPERIOR COURT OF CALIFORNIA, COUNTY OF, fill in the county, the STREET ADDRESS, the MAILING ADDRESS, the CITY AND ZIP CODE and the BRANCH NAME.

Fill in PLAINTIFF/PETITIONER, DEFENDANT/RESPONDENT, OTHER PARENT/PARTY and the CASE NUMBER.

Write your name after I (applicant's name) and check all that apply: a. the parent of (name), b. the guardian of (name), c. the conservator of (name), d. a party to the suit, e. the minor to be represented (if the minor is 14 years of age or older), f. another interested person (specify capacity).

Write the name, address, phone number, and email address of the following person you are asking the court to appoint as guardian ad litem.

Write the name, address, and, if applicable, phone number and email address for the interest the guardian ad litem will represent.

In item 4, the person named in item 3 is a party and is (check all that apply): a. a minor (date of birth), b. a person who lacks legal capacity to make decisions (explain the basis for claiming lack of capacity), c. a person for whom a conservator has been appointed (provide the details of the appointment).

In item 5, the person named in item 3 is a minor and is (check one): a. a plaintiff or petitioner in this action and the summons has not been issued. b. a defendant or respondent in this action. More than 10 days have passed since service of the summons, and no one has applied for the appointment of a guardian ad litem.

In item 6, check all that apply: a. the person named in item 3 is a minor who is a party to an action under the Uniform Parentage Act (Family Code, §§ 7600-7730).

Check all that apply because the person named in item 3: "is a minor who is requesting or opposing a request for an injunction or restraining order described in Code of Civil Procedure sections 374(a) and 372(b)(1)."

If the minor is 12 years of age or older, check one of the following: the minor does, or does not, object to the appointment of the person named in item 2, or I don't know whether the minor objects to the appointment of the person named in item 2.

Check all that apply because the person named in item 3: c. has no guardian or conservator of the estate.

Check all that apply because the person named in item 3: d. has a guardian or conservator of the estate, but the guardian or conservator is inadequate to represent the person's interest in this action or proceeding because (explain); the guardian or conservator of the estate is (name, address, telephone number, and email address). After filing this application, you must give notice and a copy of the application to the guardian or conservator of the estate. Continued on Attachment 6d.

The proposed guardian ad litem is fully competent and qualified to understand and protect the rights of the person named in item 3.

"I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct." Date:

Check one for the relationship with the person named in item 3: a. No relationship, b. A familial relationship (specify), c. An affiliate (nonfamilial) relationship (specify).

Check one: a. not aware of any actual or potential conflicts of interest that would or might arise from the appointment, b. aware of the following actual or potential conflicts that would or might arise from the appointment (describe the actual or potential conflicts of interest and explain why the proposed guardian should still be appointed), with Continued on Attachment 9b.

"I consent to act as guardian ad litem in this action or proceeding. If I become aware that a potential conflict of interest has become an actual conflict, or that a new potential or actual conflict exists, I will promptly disclose the conflict of interest to the court." Date:

A person who seeks the appointment of a guardian ad litem in a proceeding under the Probate Code, other than a proceeding under Probate Code sections 3500-3613 for approval of a compromise, settlement, or disposition of judgment proceeds, should use form DE-350/GC-100.