Form891R Page1of1
6/14
GUARDIANADLITEMREQUESTFORAPPOINTMENTOFATTORNEYFORCHILD
Astheappointedguardianadlitemfortheminorchild(children)inthiscase,Irequestthat
anattorneybeappointedtorepresentthechild(children)pursuanttoV.R.F.P.7(e)(6).
Theappointmentofanattorneyisinthebestinterestsofthechild(children)because:
Andtherearecontestedissuesconcerning:(checkallthatapply)
parentalrightsandresponsibilities
parentchildcontact
Respectfullysubmitted:

DatedSignature
PrintedName
cc:Plaintifforattorneyforplaintiff
Defendantorattorneyfordefendant
STATEOFVERMONT
SUPERIORCOURT FAMILYDIVISION
Unit DocketNo.

PlaintiffName
v.
DefendantName