Order Appointing Law Guardian Page 3
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10Court:
County:
------------------------------------------------------------
X
ORDER APPOINTING
LAW GUARDIAN
Title of Action/Proceeding
INDEX NO.
/
No.
Yr.
------------------------------------------------------------
X
Name of Judge:
:
Upon all of the prior proceedings in this action/proceeding, it is
1. ORDERED that the following is appointed Law Guardian:
Name:
Address:
Phone/FAX:
/
Email:
for the following child(ren) of the parties
(provide name(s) and date(s) of birth of child(ren)):
;
2. ORDERED that upon receipt of this order and UCS 872 (Notice of Appointment
and Certification of Compliance), the Law Guardian shall complete, execute and return UCS
Rev. 11/03
UCS 880
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