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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