Order Granting Judge Signature - PDF

							 SUPERIOR COURT OF WASHINGTON
 COUNTY OF _______________________
               JUVENILE COURT

 STATE OF WASHINGTON v.
                                                               NO:

                                                               MOTION AND DECLARATION FOR
                                                               CHANGE OF JUDGE
                                            Respondent(s).
                                                               (MTAF)
 D.O.B.:


                                                 I. MOTION

The undersigned, based on the following declaration, moves the court for an Order Granting Motion for
Change of Judge.


                                                   _____________________________________________
                                                   Signature

                                             II. DECLARATION

2.1     I am: _______________________________________________________________ in the above-
        captioned action. I make this declaration of personal knowledge and could and would competently
        testify to its contents.

2.2     I believe that a fair and impartial trial cannot be had before: _____________________________
                                                                                       (Judge)

I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and
correct.

Signed at ________________________________, Washington on ______________________________.
                         (Place)                                                                 (Date)

                                                   _____________________________________________
                                                   Declarant
                                                   _____________________________________________

MOTION/DECLARATION FOR CHANGE OF JUDGE (MTAF) - Page 1 of 1
WPF JU 11.0400 (9/2000) - RCW 4.12.040, .050
                                            Type or Print Name




MOTION/DECLARATION FOR CHANGE OF JUDGE (MTAF) - Page 2 of 1
WPF JU 11.0400 (9/2000) - RCW 4.12.040, .050