Washington State Pattern Forms Committee

2013 List of New or Revised Forms

Page 1 of 5

/ Washington State Pattern Forms Committee
2013 List of new and revised forms
New forms are highlighted in yellow.
All new and revised forms are posted on the courts’ website in the list of all forms: and in the menu option links copied, below, in the list of forms.
New and modified forms posted on the courts’ forms page
  1. Misdemeanor Judgment and Sentencing Forms

a. / CrRLJ 07.0960 / Stalking No-Contact Order
b. / CrRLJ 07.0950 / Harassment No-Contact Order
c. / CrRLJ 07.0100 / Judgment and Sentence (DUI/Phys. Control)
d. / CrRLJ 04.0300 / Misdemeanor DUI Sentencing Attachment
  1. Felony Judgment and Sentencing forms

a. / CR 84.0360 / Order for Chemical Dependency Screening and Risk Assessment Report for Parenting Sentencing Alternative
b. / CR 84.0430 / Harassment No-Contact Order
c. / CR 84.0450 / Stalking No-Contact Order
d. / CR 84.0400 / Felony Firearm Offender Registration Attachment
e. / CR 84.0400 / Felony Judgment and Sentence – Prison
f. / CR 04.0400 / Felony Judgment and Sentence – Sex Offense
g. / CR 04.0400 / Felony Judgment and Sentence – Drug Offender Sentencing Alternative
h. / CR 04.0400 / Felony Judgment and Sentence – First Time Offender
i. / CR 04.0400 / Felony Judgment and Sentence – Jail One Year or Less
j. / CR 04.0400 / Felony Judgment and Sentence – Jail One Year or Less – Sex Offense
k. / CR 04.0400 / Felony Judgment and Sentence – Parenting Sentencing Alternative
l. / CR 04.0400 / Felony Judgment and Sentence – Persistent Offender
m. / CR 04.0400 / Felony Judgment and Sentence – Sex Offender Sentencing Alternative
  1. Juvenile Court –Juvenile Offense proceedings forms

a. / JU 07.0800 / Order on Adjudication and Disposition
b. / JU 07.0840 / Felony Firearm Offender Registration Attachment
c. / JU 07.1320 / Order on Deferred Disposition
  1. Juvenile Court – Dependency proceedings forms

a. / JU 02.0200 / Shelter Care Hearing Order
b. / JU 03.0240 / Order and Authorization re Health Care and Education
c. / JU 03.0100 / Dependency Petition
d. / JU 03.0300 / Order Appointing GAL
e. / JU 03.0400 / Order of Dependency
f. / JU 03.0410 / Order of Disposition on Dependency
g. / JU 03.0500 / Order After Hearing: First Dependency Review/Dependency Review/Permanency Planning
h. / JU 03.0510 / Interim Review Hearing
i. / JU 03.0520 / Extended Foster Care Dependency Review hearing Order/Permanency Planning Hearing Order
j. / JU 03.0540 / Findings and Order on Post-18 Extended Foster Care (Extending Dependency)
k. / JU 03.0600 / Motion and Declaration for Order Dismissing Dependency
l. / JU 03.0650 / Order Dismissing Dependency
m. / JU 03.1100 / Notice of Intent to File Dependency Petition – Extended Foster Care
n. / JU 03.1200 / Order Appointing Attorney
o. / JU 03.1250 / Joinder and Request for Appointment of Counsel
p. / JU 03.1300 / Dependency Petition – Extended Foster Care
q. / JU 03.1400 / Order of Dependency – Extended Foster Care
  1. Juvenile courts - CHINS forms

a. / JU 05.0300 / Order on Child in Need of Services (CHINS) Petition
b. / JU 05.0400 / Order of Disposition (CHINS)
  1. Domestic Violence Protection Order Forms (for use with all protection orders)

a. / DV6.020 / Denial Order
  1. Vulnerable Adult Protection Order forms

a. / VA-1.015 / Petition for Vulnerable Adult Order for Protection
b. / VA Handbook / Court Staff Handbook on the Vulnerable Adult Protection Order Process
  1. Sexual Assault Protection Order forms

a. / SA 1.015 / Petition for Sexual Assault Protection Order
b. / SA 2.015 / Temporary Sexual Assault Protection Order and Notice of Hearing
c. / SA 3.015 / Sexual Assault Protection Order
d. / SA 4.020 / Return of Service
e. / SA 5.030 / Motion and Declaration for Renewal of Sexual Assault Protection Order and Notice of Hearing
f. / SA 9.010 / Motion and Declaration for Service of Summons by Publication
g. / SA 9.020 / Order for Service of Summons by Publication
h. / SA 9.030 / Summons by Publication
i. / SA 9.040 / Declaration of Mailing
j. / SA 9.050 / Motion and Declaration for Service of Summons by Mail
k. / Sa 9.060 / Order for Service of Summons by Mail
  1. Stalking Protection Order forms

a. / ST 02.020 / Petition for an Order for Protection - Stalking
b. / ST 03.020 / Temporary Protection Order and Notice of Hearing – Stalking
c. / ST 04.050 / Order for Protection –Stalking
d. / ST 03.030 / Judgment Summary
e. / ST 5.010 / Petition for an Order for Protection – Respondent Under Age 18 –Stalking
f. / ST 5.030 / Temporary Protection Order and Notice of Hearing – Respondent Under age 18 - Stalking
g. / ST 05.050 / Order for Protection – Respondent Under Age 18 – Stalking
  1. Guardianship Forms – Order Appointing Guardian and Activities (in 1st 90 days)

a. / GDN 04.0100 / Order Appointing [Guardian or Limited Guardian]
b. / GDN 04.0350 / Designation of Standby Guardian
  1. Guardianship Forms – Miscellaneous

a. / GDN 07.0200 / Notice of Hearing and Declaration of Mailing
b. / GDN 07.0400 / Planned Absence Petition
c. / GDN 07.0500 / Order Regarding Planned Absence
d. / GDN 07.0550 / Letters of Guardianship – Planned Absence
  1. Domestic Relations Forms –recommended changes

a. / All Cases 01.0200 / Declaration re: Service Members Civil Relief Act
b. / DR 04.0150 / Motion/Declaration for Ex Parte Restraining Order and for Order to Show Cause
c. / DRPSCU 01.0250 / Return of Service
d. / DRPSCU 05.0200 / Order on Show Cause re Contempt/Judgment
e. / DRPSCU 09.0200 / Confidential Information Form
f. / DRPSCU 09.0210 / Addendum to Confidential Information Form
g. / PS 01.0150 / Declaration of a Party to the Action to Establish Parentage
h. / WSCSS-Worksheets / Washington State Child Support Schedule Worksheets
i. / WSCSS-Worksheets – RDP / Washington State Child Support Schedule Worksheets