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                          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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