IN THE CIRCUIT COURT OF _______________ COUNTY, WEST VIRGINIA
For Clerk’s Use Only
IN RE: ___________________________________________, AN ALLEGED PROTECTED PERSON
DATE FILED: ____________________________________ CASE NUMBER ___________ - G - __________
MOTION FOR LEAVE TO FILE PETITION WITHOUT EVALUATION REPORT
[West Virginia Code: § 44A-2-3]
NOW COMES the Petitioner in the above captioned cause, __________________________________,
and respectfully moves that the Petitioner be granted leave to file the Petition in this matter without the evaluation report
required by West Virginia Code: § 44A-2-3. The reason(s) in support of this motion is/are as follows: [Insert reason
or reasons for the motion and request]:
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________.
[Attach additional pages, if necessary]
Respectfully presented this _______ day of _________________________________, _______.
[month] [year]
_____________________________________________________
PETITIONER'S SIGNATURE
C CL GC2010 Form 2 / SCA-CG 901M Motion for Leave to File without Evaluation Report-Page 1of 1