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PSB GAL Request

This form is for use by Judges, Judicial Assistants, and other Court Staff to request pro bono Guardians ad Litem in cases where parties are low-income and unable to pay for a Guardian ad Litem on their own.

Today's Date:(Required)

MM slash DD slash YYYY

Case #:(Required)

Judge:(Required)

The Court has determined that the parties are low-income and meet the program guidelines for a pro bono Guardian ad Litem. (Required)

Yes

No

Request Type

Please Select if you are requesting...(Required)

Family Court GAL (39)

Human Trafficking GAL (49)

Domestic Violence GAL (37)

Probate GAL (957)

Civil GAL

Other

Family Court GAL (subcategory type)

Divorce

Paternity

Relative Custody

Next Hearing Date:(Required)

MM slash DD slash YYYY

Hearing Time:(Required)

Hours

:

Minutes

AM/PM

Type of Hearing:(Required)

Language Required:(Required)

What is the specific concern or objective that the Court requests be evaluated by the GAL?:(Required)

GAL report needed by:(Required)

MM slash DD slash YYYY

Children

Children Involved(Required)

Name of child:

Date of Birth of child:

Gender of child:

Race of child:

To add additional children, click on the plus icon on the right and enter the child's information.

Petitioner's Information

Petitioner's Name:(Required)
First Last

Petitioner's Phone

Petitioner's Email:

Petitioner's Annual Income:(Required)

Petitioner's Zip Code:(Required)

Petitioner's Attorney:
First Last

Petitioner's Attorney's Phone Number:

Respondent's Information

Respondent's Name:(Required)
First Last

Respondent's Phone

Respondent's Email:

Respondent's Annual Income:(Required)

Respondent's Zip Code:(Required)

Respondent's Attorney:
First Last

Respondent's Attorney's Phone Number:

Submitter Information

Submitter's Name:(Required)
First Last

Submitter's Title:(Required)

Submitter's Phone:(Required)

Submitter's Email (Required for reply):(Required)
Enter Email Confirm Email

Please be advised that we cannot guarantee that we can locate a pro bono attorney in all cases. Thank you for your patience and understanding.

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