__[Attorney name]__
__[Telephone number]__

Attorney for Plaintiff, __[name]__

            _ _ _ _ _ _ Court, County of _ _ _ _ _ _
                   __[_ _ _ _ _ _ District]__

_ _ _ _ _ _ _ _ _ _ _ _ _  )   No. _ _ _ _ _ _
By __[name]__,               ) PETITION UNDER CCP 372 FOR ORDER
__[his/her]__ guardian     )   AUTHORIZING COMPROMISE OF
ad litem                            ) __[MINOR/INCOMPETENT]__'S LAIM;
vs.                                                        )ORDER
_ _ _ _ _ _ _ _ _ _ _ _ _  )
_________________________  )

__[Name]__ declares:
     1.   I am the regularly appointed guardian ad litem for
plaintiff in this action, __[name]__, __[a minor/an incompetent
     2.   Plaintiff is a _ _-year-old __[male/female]__, born
     3.   Plaintiff has a claim for damages for __[e.g., personal
injury from an automobile accident that occurred on __[date]__,
at __[location]__]__. As a result of these events, plaintiff has
sustained injury and damages as follows: __[Specify nature of
injuries and damages]__.
     4.   Plaintiff received the following treatment for
__[his/her]__ injuries: __[List names of doctors and hospitals;
briefly describe treatment]__. I am informed and believe that
plaintiff has completely recovered from these injuries and that
there is no permanent injury __[except as follows:
__[Specify]__]__. A copy of the most recent medical report
obtained from plaintiff's attending physician is attached to this
petition, marked Exhibit _ _ and incorporated by reference.
     5.   Defendant, __[name]__, has offered to pay $_ _ _ _ _ _
in consideration of a dismissal with prejudice and a full release
in this matter. I recommend to the Court that this settlement is
fair and reasonable and in plaintiff's best interests.  I
understand __[, and it has been explained to plaintiff,]__ that
if the proposed settlement is approved plaintiff will be barred
from seeking further compensation in the future __[even if
__[his/her]__ injuries prove to be more serious than they are now
thought to be]__.
     6.   The following costs and fees have been incurred in this
matter and should be paid from the proceeds of the settlement:
__[Itemize expenses paid or incurred and attorneys' fees]__. The
balance of the settlement proceeds, $_ _ _ _ _ _, is to be
__[state requested disposition, e.g., deposited in the Union
Central Bank, Main Street Branch, in the name of petitioner as
trustee for plaintiff, and is not to be withdrawn without first
obtaining a court order]__. It is requested that no bond be
required of petitioner when serving as trustee.
     I declare under penalty of perjury under the laws of the
State of California that the foregoing is true and correct.

Date: _ _ _ _ _ _                                       [Signature]
                                                                                                                                            __[Typed name]__
                                                                                                                                            Guardian ad Litem

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Legal Forms : Set Two