FORM 16.   Petition Against State Officer

                       (Rule 16.2(b))

                                   No. (appellate court)

          SUPREME COURT OF THE STATE OF WASHINGTON

(Name of petitioner),     )
        Petitioner,       )
    v.                    )    PETITION AGAINST STATE OFFICER
(Name of respondent),     )
        Respondent.       )

    Petitioner alleges:
    (Set forth in numbered, descriptively titled paragraphs, as in a
complaint in a civil action, a short and plain statement of the claim
showing that petitioner is entitled to relief. Conclude with a demand for
judgment for the relief sought. See CR 10.)
    (Date)
                                   ___________________________________
                                             Signature
                                       Attorney for Petitioner
                                 (Name, address, telephone number, and
                                 Washington State Bar Association
                                 membership number of attorney)