Superior Court of Washington
County of
In the Guardianship of:
No.
_______________________________,
Incapacitated Person Notice of Hearing and
Declaration of Mailing
(Optional Use)
(NTHG, DCLRM)
To the clerk of the court and to all other parties and persons entitled to notice and as listed on
Page 2.
Please take notice that this case will be heard at the date and time stated below:
Date: ____________________ Time: ____________________
Nature of relief requested:
Appoint a standby guardian to serve during a planned absence of the court-appointed
guardian
Other Requests (Specify):
.
Hearing Location:
Court room No.: ________________________________
Court: _________________________________________
Address: _________________________________________________________________
1. The originals of this notice, petition or motion, and other papers must be filed with the
clerk’s office. Review your court’s local rules and procedures to determine the deadline
for filing and serving court documents; some courts require 14 days’ notice and that a
copy of all documents be delivered to the courtroom in advance of the hearing .
2. List the names, addresses and telephone numbers of all parties and persons entitled to
notice below.
Nt of Hearing/Decl. of Mailing (NTMTDK) - Page 1 of 2
WPF GDN 07.0200 (07/2013)
3. When you file your original forms, mail a copy of this notice of hearing and all other
documents to the persons listed below.
Declaration of Mailing
I certify (or declare) under penalty of perjury under the laws of the state of Washington, that on
the date written below, I mailed a true and correct copy of:
Planned absence petition
This notice of hearing and declaration of mailing
Other documents:
with first class postage prepaid to the persons and addresses listed below:
All Persons and Agencies Requiring Notice
Name: Name:
Address: Address:
City, State, Zip: City, State, Zip:
*Telephone *Telephone
Name: Name:
Address: Address:
City, State, Zip: City, State, Zip:
*Telephone *Telephone
Signed at (city) ___________________, (state) ________, on (date) ___________________.
___________________________________ ________________________________
Signature Print Name
___________________________________ ________________________________
Address City, State, Zip
___________________________________ ________________________________
*Telephone/fax number Email address
*If you do not want your personal phone number on this public form, you may list your
telephone number on a separate form which may be available to parties and the court, as
well as its staff and volunteers, but will not be made available to the public. Use form
WPF GDN 03.0100, Guardianship Confidential Information form (telephone numbers), for
this purpose.
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WPF GDN 07.0200 (07/2013)