Child Representation Order Form - Lake County, Illinois Page 2
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25. Scope
If appointed as an Attorney to represent the child(ren), the attorney shall represent the child(ren) in a normal attorney-
client relationship.
If appointed as a Child’s Representative, the attorney shall advocate as an attorney for the child(ren)’s best interests
and shall disclose the position as to what he/she intends to advocate in a pretrial memorandum that shall be served
upon all concerned parties of record prior to the trial.
If appointed as a GAL, the attorney shall submit a report addressing the following issues:
______________________________________________________________________________________________
______________________________________________________________________________________________
6. Rule 4.2 Consent
Pursuant to Rule 4.2 of the Rules of Professional Conduct, the attorneys for the parties hereby consent to direct
communication between their clients and the attorney appointed to serve as an attorney for the child(ren) or as a
Child’s Representative. An attorney for a party may elect at any time to revoke a written 4.2 consent by written notice
to the attorneys of record.
__________________________________________
________________________________________________
Attorney for Petitioner
Attorney for Respondent
7. Releases
If one or more of the children herein is over the age of 12 and is or has been the recipient of mental health or
developmental disabilities services, the attorney appointed herein is given leave to file a motion requesting an
order authorizing him or her to inspect and copy any record kept by the therapist or agency in the course of
providing such services pursuant to 740 ILCS 110/4(a)(5).
Issue of release is reserved.
If one of more of the children herein is under the age of 12 and is or has been the recipient of mental health or
developmental disabilities services, the attorney appointed herein is given leave to file a motion requesting an
order directing one of the parents to sign releases authorizing him or her to inspect and copy any record kept by
the therapist or agency in the course of providing such services pursuant to 740 ILCS 110/4(a)(1).
Issue of
release is reserved.
8. Other _________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Dated at Waukegan, Illinois this
Enter:
day of
, 20
JUDGE
Prepared by:
Name: _____________________________________________
Attorney's Name: ____________________________________
Address: __________________________________________
City: ______________________________ State: __________
Phone: ______________________Zip Code: _____________
Fax: ______________________________________________
ARDC #: __________________________________________
Page 2 of 2
171-344 (Rev. 06/13)
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