IN THE CIRCUIT COURT OF _______________ COUNTY, WEST VIRGINIA
For Clerk's Use Only IN RE: ___________________________________________, DATE FILED: ____________________________________ AN ALLEGED PROTECTED PERSON 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 _________________________________, 20_______.
_____________________________________________________ PETITIONER'S SIGNATURE
SCA-CG 901M / 6-94