Full Name of Party Filing this Document

Mailing Address (Street or Post Office Box)

City, State, and Zip Code

Telephone Number

Email Address (if any)

IN THE DISTRICT COURT OF THE 		 JUDICIAL DISTRICT
OF THE STATE OF IDAHO, IN AND FOR THE COUNTY OF 				

In the Matter of

                                                                           ,

DOB:                                         		
                                                 a Minor.
	
       Case No.: 				
       
NOTICE OF TEMPORARY GUARDIANSHIP OF A MINOR 

1.	On 					, 20 		, (name) 										 was appointed temporary guardian of the above named minor.
2.	You have the right to request a hearing on this matter.  You may use form Request for Hearing (CAO GCM 4-8) to request a hearing with the court.

Date: 						 							
							Signature

CERTIFICATE OF SERVICE

I certify that I served a copy of this Order to: (name all parties in the case other than yourself)

(Name)

(Street or Post Office Address)

(City, State, and Zip Code)
	
•	By United States mail
•	By personal delivery
•	By fax to: (number)			
•	By email to:				

						
(Name)

(Street or Post Office Address)

(City, State, and Zip Code)
	
•	By United States mail
•	By personal delivery
•	By fax to: (number)			
•	By email to:				

						
(Name)

(Street or Post Office Address)

(City, State, and Zip Code)
	
•	By United States mail
•	By personal delivery
•	By fax to: (number)			
•	By email to:				

						
(Name)

(Street or Post Office Address)

(City, State, and Zip Code)
	
•	By United States mail
•	By personal delivery
•	By fax to: (number)			
•	By email to:				

						
(Name)

(Street or Post Office Address)

(City, State, and Zip Code)
	
•	By United States mail
•	By personal delivery
•	By fax to: (number)			
•	By email to:				

Date: 						

Signature