Complaint Against Guardian | Pdf Fpdf Doc Docx | Washington

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Complaint Against Guardian | Pdf Fpdf Doc Docx | Washington

Complaint Against Guardian

This is a Washington form that can be used for Guardianship within Local County, Spokane, Superior Court.

Alternate TextLast updated: 12/2/2016

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Description

Complaint # ________________________ Date Received ______________________ For Office Use Only COMPLAINT AGAINST A GUARDIAN (TYPE OR PRINT ONLY) 1. Incapacitated Person: Name: __________________________________________________________ (Last Name, First Name, Middle Initial) Spokane County Guardianship Case # _________________________________ 2. Complainant Your Name:______________________________________________________ (Last Name, First Name, Middle Initial) Your Address: ___________________________________________________ (Street Address, City, State, Zip Code) Your Phone Number: (_________)___________________________________ Your Email: _____________________________________________________ Your Relationship to the Incapacitated Person or to the case:_______________ 3. Guardian Name: __________________________________________________________ (Last Name, First Name, Middle Initial) Is the Guardian a Certified Professional Guardian? No, skip to section 4 Yes, Agency Name (if any) ____________________________________ Type of Guardianship: Full Person Only Person & Estate Limited Estate Only Unknown Revised: 2/2011 American LegalNet, Inc. www.FormsWorkFlow.com 1 4. Description of Your Complaint Briefly describe what the guardian did or did not do, what they said, or any other actions of the guardian you are concerned about. Be as specific as possible and include dates, times, and places. Attach additional paper as needed. Please attach copies of relevant documents, such as court orders, petitions, letters to the guardian, etc. _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ _____________________________________________________________ Revised: 2/2011 American LegalNet, Inc. www.FormsWorkFlow.com 2 a. Is the guardianship an open and active case? b. Have you sent a complaint to other agencies? No No Yes Yes If yes, Name of Agency and the Date You Sent Complaint and Result? _____________________________________________________________ _____________________________________________________________ c. Have you discussed your concerns with the guardian? 5. Consent and Affirmation I understand that the filing of a complaint constitutes my consent to the disclosure of the content of my complaint to the guardian or Certified Professional Guardian, Superior Court Guardianship Monitoring Program Staff and Judicial Officers, and the Certified Professional Guardian Board and others. I understand that my complaint will be filed in the public Court file and the guardian will be given an opportunity to respond. IN FILING THIS COMPLAINT WITH THE SUPERIOR COURT GUARDIANSHIP MONITORING PROGRAM, I CERTIFY (OR DECLARE) UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF WASHINGTON THAT TO THE BEST OF MY KNOWLEDGE THE STATEMENTS ABOVE ARE TRUE AND CORRECT. No Yes Date: _____________________ Signed at: ___________________________ (City, State) Signature: _______________________________________________________ Mail the completed and signed Complaint Forms to: Spokane County Superior Court Guardianship Monitoring Program 1116 West Broadway Ave, Room 200 Spokane WA 99260 0350 Revised: 2/2011 American LegalNet, Inc. www.FormsWorkFlow.com 3

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