Stanislaus — Jv005 gal claim form

Source: https://www.stanislaus.courts.ca.gov/system/files/forms-and-filings/jv005-gal-claim_form.pdf

Name: Address: City: State: Zip Code: Telephone Number:

STANISLAUS COUNTY SUPERIOR COURT

In the Matter of: ) Case No.:
) CLAIM FOR GUARDIAN AD
) LITEM FEES AND ORDER-
) JUVENILE DEPENDENCY

Pursuant to Code of Civil Procedure, section 372, I was appointed by the Court to serve as a guardian ad litem in the above referenced matter on behalf of . See minute order dated In my capacity as a guardian ad litem, I performed the services listed below. (If additional space is required, please attach a separate time sheet.):

DATE DESCRIPTION OF SERVICES HOURS (.10)

Hours from separate sheet: _______________
TOTAL HOURS CLAIMED: 0.00
Hourly Rate: _______________
TOTAL FEES CLAIMED: $ 0.00

I, , certify that the foregoing is true and correct.

SIGN
Dated:
Guardian Ad Litem Signature
ORDER

The Court approves guardian ad litem's claim for fees in the amount of $ 0.00 and authorizes the Clerk of the Court to make payment in this amount to the guardian ad litem forthwith.

SIGN

Dated: Judge of the Superior Court

Superior Court Coding Strip - CCP 372
CC/FA/FUND G/L G/L ACCOUNT
DESCRIPTION
502550/1233/110001 Court Ordered Prof. Serv. 939003

Vendor No Invoice No SAP Document No

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Court Approval for Payment (CCP 372)

JV005 (Mandatory Form) Rev 7/27/2022