Illinois > Local County > Lake > Family Law
Child Representation Order 171-344 - Illinois
| Child Representation Order Form. This is a Illinois form and can be used in Family Law Lake Local County . |
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IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS ) ) ) Petitioner ) vs. ) Case No. ) ) ) Respondent ) CHILD REPRESENTATION ORDER Pursuant to 750 ILCS 5/506, the co urt appoints the attorney name d below to serve either as: Childs Representative. Attorney to represent the child(ren). Guardian ad litem (GAL) to addr ess the issues delineated below. 1. Attorney Name: _______________________________________________ Telephone ______________ Address: ______________________________________________________________________ 2. Children Name Age Residing with _____________________________________________________ _________ _______________ _____________________________________________________ _________ _______________ _____________________________________________________ _________ _______________ _____________________________________________________ _________ _______________ 3. Fees Fees, costs, and the initial retainer shall be paid as follows: Party A ____________________ % Party B ____________________ % Other ____________________ % The initial retainer is set at $ _____________ to be paid within ________ days. 4. Parties Party A : Name of Party _________________________________________ Telephone ______________ Address ______________________________________________________________________ Attorney _______________________________________________ Telephone _____________ Attorneys address _______________________________________ FAX __________________ Party B: Name of Party___________________________________________ Telephone _____________ Address ______________________________________________________________________ Attorney _______________________________________________ Telephone _____________ Attorneys address ________________________________________ FAX _________________ American LegalNet, Inc. Page 1 of 2 www.USCourtForms.com 171-344 (12-04) <<<<<<<<<********>>>>>>>>>>>>> 2 5. Scope If appoi nted as an Attor ney to represent t he child(ren), the attorney shall re prese nt the child(ren) in a normal at torn ey -client relat ionsh ip. If appointed as a Childs Represen t at iv e, the at t orn ey shal l advocat e as an a ttorney for the c hild(ren)s be st interests. If appoint ed as a GAL, th e at torn ey sh all submit a report addressin g the following issu es: ______________________________________ _____ ________________________________________________________________________ ____________ 6. Rule 4 .2 Conse nt Purs uant to Rul e 4.2 o f the Rule s of Profes sional Conduc t, the at torne y s for the partie s hereby con s ent to direct communication between thei r clients and t he at torney appoi nted to serve as an A ttor ney for the child(ren) or as a Childs Represen tat ive. An a t torney for a party ma y elect at any time to rev oke a wri tte n 4.2 con sent by written notice to the attorneys of record. ___________________________ ________________________________ Attorney for Petiti on er Att orn ey for Res pon dent 7. Relea s es If one or more of the children herein is ove r the age o f 12 and is o r has been the recipient of mental healt h or developmen tal disabilit ies serv ices, the at t orn ey appointed herein is give n leave t o file a mot ion requesti ng an order au thori zing hi m or her to inspect and copy any re cord kept by the therapist or agency in the co urse of providing such se rvices pursuant to 740 I LCS 110 /4(a)(5). Issue of release is reserved. If one of more of t he children h erein is under the age o f 12 and is or has been the recipient o f mental healt h or developmen tal disabilit ies serv ices, the at t orn ey appointed herein is give n leave t o file a mot ion requesting an order directing one of the paren t s to sign releases au t horizing him or h e r to inspect and copy any re cord kept by the therapis t or agency in the co urse of providing such s ervices pursuant to 740 ILCS 110 /4 (a)(1) . Is sue of release i s reserved. 8. Othe r ________________________________________________________________________ ___ ________________________________________________________________________ ____________ ________________________________________________________________________ ____________ E nt er: ____________________________________ Judge Dated th is _____ _ da y of ____ _ _____ ___ _ , 20___. Prepare d by: Attorneys Name: _ Address : Cit y: State: Phone: Zip Code: Fax : ARDC: American LegalNet, Inc. www.USCourtForms.com Page 2 of 2 171- 344 ( 12- 04)
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