RULE 6.1
PETITION FOR INITIAL DETENTION
The petition for initial detention shall contain the following:
(a) Identification of the petitioner as a peace officer or designated
mental health professional.
(b) A statement describing the circumstances under which the condition
of the respondent was brought to the petitioners attention.
(c) A statement that as a result of the petitioners personal
observation or investigation, the petitioner believes that the actions of
the respondent constitute a likelihood of harm to the respondent, others,
or to the property of others, or that the respondent is gravely disabled.
(d) A statement of the specific facts known to the petitioner upon
which he bases his belief that respondent should be detained for the
purposes and under the authority of RCW 71.05.
(e) A request that the respondent be detained at an evaluation and
treatment facility for no more than a 72-hour treatment and evaluation
period.
(f) The date and the signature of the petitioner.
(g) The petition shall be in substantially the following form:
SUPERIOR COURT OF WASHINGTON
FOR (_______________) COUNTY
In re the Detention of: )
) No. __________
)
Petitioner: ) PETITION FOR INITIAL
and ) DETENTION
)
Respondent: ) RCW __________
Pursuant to RCW 71.05 petitioner ___ a peace officer or ___ mental
health professional designated by the county alleges under penalty of
perjury that:
Respondent, _______________, was brought to my attention under the
following circumstances: _____________________________________________
______________________________________________________________________
______________________________________________________________________
As a result of my personal observation or investigation I believe that
the actions of the respondent constitute a likelihood of serious harm to
the respondent, others, or to the property of others, or that the
respondent is gravely disabled.
The specific facts known to me as a result of personal observation or
investigation, upon which I base the belief that the respondent should be
detained for the purposes and under the authority of RCW 71.05 are:
______________________________________________________________________
______________________________________________________________________
Therefore the petitioner requests that the respondent be detained at an
evaluation and treatment facility for no more than a 72-hour evaluation and
treatment period, excluding Saturdays, Sundays, and holidays.
Dated this _______ day of ____________________, 19____.
___________________________________
Petitioner
Sworn and Subscribed on _________________________________________
___________________________________
Notary Public for the State of
Washington Residing at ____________
My commission expires on __________
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