Virginia Civil Practice Forms

VOLUME 1 CHAPTER 1 ADOPTION – AGENCY PLACEMENTS 1.1    Cover Letter To Agency 1.2    Cover Letter For Petition 1.3    Verified Petition For Adoption 1.4    Order Of Reference 1.5    Final Order Of Adoption 1.6    Interlocutory Order 1.7    Final Order Of Adoption After Interlocutory Order 1.8    Motion To Waive Report Of Investigation 1.9    Final Order Of Adoption With Waiver Of Report 1.10    Self-Authenticating Affidavit Of Identity Pursuant To Section 63.2-1202(K 1.11    Birth Parent Recommended Placement, Election, Waiver, And Verification 1.12    Adoptive Parent Recommended Agency Placement Verification CHAPTER 2 ADOPTION – STEPPARENTS AND CLOSE RELATIVES 2.1    Cover Letter To Circuit Court 2.2    Petition For Adoption 2.3    Consent To Adoption By Birth Father 2.4    Affidavit That Birth Father Is Unknown 2.5    Consent Of Minor 14 Years Of Age Or Older 2.6    Order Of Reference 2.7    Final Order Of Adoption 2.8    Petition For Adoption Of A Close Relative 2.9    Consent Under Oath To Adoption Of Close Relative 2.10    Final Order Of Adoption Of A Close Relative CHAPTER 3 ADOPTION – PARENTAL PLACEMENT 3.1    Parental Placement Adoption Checklist 3.2    Power Of Attorney And HIPAA Compliant Medical Authorization 3.3    Cover Letter For Petition In Juvenile And Domestic Relations District Court 3.4    Petition For Consent Hearing In Juvenile And Domestic Relations District Court 3.5    Motion And Order For Appointment Of Guardian Ad Litem 3.6    Out-Of-Court Consent Of Birth Father 3.7    Birth Father’s Denial Of Paternity 3.8    Notice Letter To Putative Birth Father 3.9    Notice Letter To Nonputative Birth Father 3.10    Notice Of Hearing To Nonputative Birth Father 3.11    Certification By Social Worker 3.12    Birth Mother’s Consent To Adoption And Affidavit Of Paternity 3.13    Order Accepting Consents And Transferring 3.14    Cover Letter For Circuit Court Petition For Adoption 3.15    Circuit Court Petition For Adoption 3.16    Circuit Court Interlocutory Order 3.17    Cover Letter To Circuit Court With Final Order Of Adoption 3.18    Circuit Court Final Order Of Adoption CHAPTER 4 ADOPTION – ADULTS 4.1    Circuit Court Petition For Adoption 4.2    Consent Under Oath By Adult Adoptee 4.3    Circuit Court Order Of Reference 4.4    Circuit Court Final Order Of Adoption CHAPTER 5 ADOPTION – INTERSTATE 5.1    Waiver Of Application Of Virginia Entrustment Laws CHAPTER 6 ADOPTION – INTERCOUNTRY 6.1    Circuit Court Petition For Adoption 6.2    Order Of Reference 6.3    Circuit Court Final Order Of Adoption After Six Months 6.4    Circuit Court Final Order Of Adoption After 12 Months CHAPTER 7 ADOPTION – INDIAN CHILD WELFARE ACT 7.1    IWCA Consent Form 7.2    ICWA Judicial Certification Form 7.3    Petition To The Juvenile Court To Accept Consent And Transfer Custody 7.4    Juvenile Court Order Confirming Consents And Granting Custody To Adoptive Parents CHAPTER 8 APPEALS – BONDS 8.1    Bond for Costs Alone – Appeal of Right From Circuit Court to Court of Appeals (including further appeal to the Supreme Court) 8.2    Bond For Costs and Suspension – Appeal From Circuit Court to Appellate Court 8.3    Bond for Costs Alone Required by Appellate Court on Appeal From Circuit Court 8.4    Bond for Suspension Alone Required by Appellate Court on Appeal From Circuit Court 8.5    Bond for Costs and Suspension Required by Appellate Court on Appeal From Circuit Court 8.6    Additional Bond Required by Appellate Court on Appeal From Circuit Court 8.7    Bond for Costs Alone – Appeal of Right From Virginia Workers’ Compensation Commission to Court of Appeals (including further appeal to the Supreme Court) 8.8    Bond for Costs Alone – Required by Supreme Court on Appeal of Right From State Corporation Commission 8.9    Bond for Costs and Suspension – Required by Supreme Court on Appeal of Right From State Corporation Commission 8.10    Form for Execution and Acknowledgment of All Bonds 8.11    Irrevocable Letters of Credit CHAPTER 9 ATTORNEY-CLIENT RELATIONSHIP 9.1    Nonengagement Letter 9.2    Representation Agreement 9.3    Engagement Letter 9.4    Engagement Letter – Personal Injury Plaintiff 9.5    Closing Letter CHAPTER 10 ATTORNEY FEES, COSTS, AND EXPENSES 10.1    Attorney Fee Affidavit 10.2    Attorney Fee Affidavit 10.3    Claim for Attorney’s Fees – Contract Basis for Fee Recovery 10.4    Claim for Attorney’s Fees – Statutory Basis for Fee Recovery 10.5    Motion to Bifurcate Proof of Fees from Case in Chief 10.6    Order Granting Bifurcation of Proof of Fees from Case in Chief CHAPTER 11 ATTORNEYS – PRO HAC VICE APPEARANCE 11.1    Application to Appear Pro Hac Vice Before a Virginia Tribunal CHAPTER 12 BUSINESS ENTITIES 12.1    Articles Of Incorporation With Indemnity Provisions 12.2    Partnership Agreement 12.3    Articles Of Organization for a Limited Liability Company 12.4    Operating Agreement for a Limited Liability Company With Buy-Sell Provision And Optional Manager-Management Provisions 12.5    Articles Of Organization 12.6    Conversion Of Partnership To Limited Liability Company 12.7    Operating Agreement With Buy-Sell Provision And Optional Manager-Management Provisions 12.8    Articles Of Organization—Single-Member Company 12.9    Sample Operating Statement For Single-Member 12.10    Unanimous Written Consent Of The Members 12.11    Written Consent In Lieu Of Meeting Of The Members 12.12    Written Consent Of A Majority Of The Members 12.13    Unanimous Written Consent Of The Members To Amend The Articles Of Organization 12.14    Unanimous Written Consent Of The Members To Admit New Member 12.15    Appointment Of Proxy 12.16    Appointment Of Irrevocable Proxy 12.17    Articles Of Organization For A Board Of Manager-Managed Company 12.18    Operating Agreement For A Board Of Manager-Managed Company 12.19    Operating Agreement For Estate Planning Purposes 12.20    Incumbency Certificate Or Resolution 12.21    Statement Of Organization For A Single-Member Domestic Professional Limited Liability Company 12.22    Sample Letter of Intent for Acquisition of a Corporate Assets CHAPTER 13 DISCOVERY AND DEPOSITIONS 13.1    Scheduling Order (Basic) 13.2    Scheduling Order (Detailed) 13.3    Uniform Pretrial Scheduling Order 13.4    Sample Interrogatories 13.5    Sample Objections 13.6    Sample Oaths To Be Executed By Responding Party 13.7    Request For Production Of Documents 13.8    Request For Production Of Documents And Things 13.9    Request For Subpoena Duces Tecum 13.10    Request For Permission To Enter Upon Land 13.11    Motion For A Protective Order 13.12    Stipulation Agreement And Protective Order 13.13    Subpoena Duces Tecum (Civil) 13.14    Notice Of Deposition Duces Tecum (Automobile Accident) 13.15    Notice Of Deposition Duces Tecum For Corporate Designee 13.16    Deposition Preparation—Attorney Checklist 13.17    Checklist For A Client’s Deposition 13.18    Deposition Preparation-Tips For Witnesses 13.19    Motion For Commission To Take Deposition Out Of State 13.20    Commission Authorizing The Taking Of Out-Of-State Depositions 13.21    Requests for Admission (Plaintiff To Defendant— Liability, Genuineness Of Medical Bills/Records) 13.22    Requests for Admission (Plaintiff To Defendant— Slip-And-Fall In Supermarket, Combining Requests For Admission With Interrogatories And Request For Production) 13.23    Requests For Admission (Plaintiff To Defendant— Genuineness And Reasonableness Of Medical Bills/Records, Combining Requests For Admissions With Interrogatories) 13.24    Memorandum In Support Of Motion To Compel Party Produce Documents And To Supplement Its Interrogatory Responses 13.25    Memorandum In Opposition To Motion To Compel 13.26    Notice of Deposition 13.27    Notice of Video Deposition 13.28    Notice of Video Deposition with Exhibit 13.29    Rule 4:5(b)(6) Notice CHAPTER 14 CONTRACTS 14.1    Assignment Clause 14.2    Joint and Several Liability Provision—Note 14.3    Joint and Several Liability Provision—Guaranty 14.4    Joint and Several Liability Provision—Lease 14.5    Joint and Several Liability Provision—Lease 14.6    Several Liability Provision—Loan Agreement 14.7    Several Liability Provision—Stock Purchase Agreement 14.8    Exclusive Patent License Agreement 14.9    License Agreement 14.10    Software License Agreement 14.11    Technology Development Agreement 14.12    Confidentiality Agreement for Product Evaluation 14.13    Proprietary Information, Inventions, and Non-Solicitation Agreement 14.14    Sample International Distribution Agreement With Commentary 14.15    Stock Purchase Agreement 14.16    Real Estate Purchase Agreement 14.17    Purchase and Sale Agreement 14.18    Sample Shareholders’ Agreement With Commentary 14.19    Promissory Note 14.20    Guaranty 14.21    Security Agreement 14.22    Stock Pledge Agreement 14.23    Liquidated Damages Provision (Construction Contract) 14.24    Limitation of Third-Party Benefit Provision 14.25    Severability Provision 14.26    Merger Provision 14.27    Survival Provision 14.28    Complaint—Note and Guaranty 14.29    Complaint—Specific Performance and Damages 14.30    Complex Contract Action VOLUME 2 CHAPTER 15 ELDER LAW 15.1    Elder Law Essential Information Survey 15.2    Guardianship/Conservatorship Essential Information Survey 15.3    Engagement Agreement—Medicaid Planning 15.4    Engagement Agreement—Estate Planning 15.5    Engagement Agreement—Guardianship and/or Conservatorship Appointment 15.6    Letter to Physician for Capacity Determination — Guardianship/Conservatorship Petition 15.7    Letter to Physician for Capacity Determination—Testamentary and POA Execution Capacity 15.8    Disclosure Letter Pursuant To LEO 1515 15.9    Disclosure Statement—Financial Services 15.10    Folstein Mini-Mental Status Exam (Mmse) 15.11    General Durable Power of Attorney 15.12    Consent To Release HIPAA-Protected Information 15.13    Advance Medical Directive 15.14    Trust Provision—Care Of Grantor In Event Of Grantor’s Incapacity 15.15    Petition For Appointment Of Guardian And Conservator 15.16    Order Appointing Guardian Ad Litem 15.17    Notice To Respondent Of Motion For Order Appointing Guardian Ad Litem 15.18    Notice To Family Of Motion For Order Appointing Guardian Ad Litem 15.19    Certificate Of Compliance With Notice Requirement 15.20    Physician’s Evaluation Report 15.21    Affidavit Of Indigence 15.22    Order Of Indigence 15.23    Order Appointing Guardian And Conservator 15.24    Self-Settled Special Needs Trust 15.25    Third-Party Special Needs Trust 15.26    Waiver Of Elective Shares In Spouses’ Estates 15.27    Notice Of Appeal From Denial Of Benefits CHAPTER 16 ESTATE AND TRUST ADMINISTRATION 16.1    Sample Engagement Letter 16.2    Virginia Small Estate Act Affidavit 16.3    Self-Proving Affidavit 16.4    Self-Proving Affidavit—Alternative Form 16.5    Order of Probate and Qualification 16.6    Stock Power 16.7    Revocable Transfer on Death Deed Pursuant to Section 64.2-635 of the Virginia Code 16.8    Revocation of Transfer on Death Deed Pursuant to Section 64.2-635 of the Virginia Code 16.9    Notice of Intent to File a Statement in Lieu of Settlement of Account 16.10    Claim to an Elective Share Pursuant to Section 64.2-302 of the Virginia Code 16.11    Claim to an Elective Share Pursuant to Section 64.2-308.12 of the Virginia Code 16.12    Claim for Family Allowance 16.13    Appeal from Clerk’s Order 16.14    Complaint to Impeach a Will 16.15    Disclaimer 16.16    Complaint for Aid and Direction 16.17    Report of Debts and Demands 16.18    Motion for Show Cause Order 16.19    Show Cause Order 16.20    Show Cause Order against Distribution 16.21    Order of Distribution of Estate 16.22    Receipt (Tangible Personal Property) 16.23    Receipt (Cash Bequest) 16.24    Refunding Bond 16.25    Declaration of Trust under the Virginia Uniform Custodial Trust Act 16.26    Transfer under the Virginia Uniform Custodial Trust Act 16.27    Custodial Trustee’s Receipt and Acceptance 16.28    Waiver of Compensation CHAPTER 17 ESTATE PLANNING 17.1    Initial Letter to Client 17.2    Non-Tax Will for Single Person With Trust for Young Beneficiaries 17.3    Non-Tax Will With Trust for Children 17.4    Will With Special Needs Trust for Disabled Child 17.5    Tax Will With Outright Disposition of Marital Share 17.6    Tax Will With QTIP or General Power of Appointment Marital Trust 17.7    Pour-Over Will 17.8    Codicil 17.9    Non-Tax Trust With Trust for Children 17.10    Tax Trust With QTIP or General Power of Appointment Marital Trust 17.11    Tax Trust With GST Provisions 17.12    Amendment to Trust Agreement 17.13    Life Insurance Trust 17.14    Grandchild’s Trust 17.15    I.R.C. § 2503(c) Trust 17.16    Charitable Remainder Unitrust 17.17    Crummey Trust for the Benefit of a Child of the Grantor 17.18    Memorandum of Understanding Accompanying Power of Attorney 17.19    Durable General Power of Attorney 17.20    Advance Medical Directive; Appointment of Agent for Health Care Decisions; Appointment of Personal Representative to Obtain Health Care Information; Appointment of Agent to Make Anatomical Gifts 17.21    Durable Limited Power of Attorney for Tax Matters 17.22    Agent’s Certification as to Validity of Power of Attorney and Agent’s Authority 17.23    Attorney/Fiduciary Disclosure and Client Consent 17.24    Revocable Transfer On Death Deed Pursuant to Section 64.2 635 17.25    Revocation of Transfer on Death Deed Pursuant to Section 64.2-635 of the Virginia Code 17.26    Self-Proving Certificate With Testator and Witness Signatures 17.27    Self-Proving Certificate Without Testator and Witness Signatures 17.28    Sample Letter Terminating Representation With Estate Planning Client Upon Completion 17.29    Operating Agreement Provisions for Farm and Forest Landowners 17.30    LLC Resolution Authorizing Conservation Easement 17.31    Fiduciary (Executor/Trustee/Power of Attorney) Language Authorizing Farm Powers 17.32    Trust Language Authorizing Trustee to Donate Conservation Easement with Consent of all Beneficiaries 17.33    Digital Estate Information CHAPTER 18 FAMILY LAW – ATTORNEY FEES 18.1    Affidavit Submitted with Attached Detailed Statement of Fees and Costs 18.2    Affidavit with Total Time, Fees, and Costs Set Forth in the Body of Affidavit without Detailed Statement of Fees and Costs 18.3    Affidavit with Detailed Statement of Fees and Costs Set Forth in the Body of Affidavit 18.4    Notice of Charging Lien 18.5    Petition To Enforce Attorney’s Charging Lien CHAPTER 19 FAMILY LAW – COOPERATIVE AND  COLLABORATIVE LAW 19.1    Cooperative Law Process: Participation Agreement 19.2    Collaborative Participation Agreement CHAPTER 20 FAMILY LAW – DISCOVERY 20.1    Comprehensive Information Form 20.2    Property Inventory 20.3    Motion for Discovery Regarding Custody 20.4    Order Granting Discovery Regarding Custody 20.5    Motion for Discovery Regarding Visitation 20.6    Order Granting Discovery Regarding Visitation 20.7    Motion for Discovery 20.8    Order Granting Discovery 20.9    Motion for Physical or Mental Examination 20.10    Order for Physical or Mental Examination 20.11    Interrogatories 20.12    Motion for Leave of Court to Serve More Than Thirty Interrogatories 20.13    Order Granting Leave of Court to Serve More Than Thirty Interrogatories 20.14    Answers and Objections to Interrogatories 20.15    Requests for Production of Documents 20.16    Response to Request for Production 20.17    Motion to Compel Responses to Discovery Requests 20.18    Order to Answer Interrogatories and Respond to Request for Production of Documents 20.19    Motion for Sanctions for Noncompliance with Discovery Order 20.20    Order Imposing Sanctions 20.21    Request for Admissions 20.22    Response to Request for Admissions 20.23    Notice of Deposition 20.24    Motion to Compel Answers to Deposition Questions 20.25    Order to Answer Deposition Questions 20.26    Motion to Terminate or Limit Deposition 20.27    Order Granting Motion to Terminate or Limit Deposition 20.28    Request for Subpoena Duces Tecum 20.29    Motion to Quash or Modify Subpoena Duces Tecum 20.30    Order Modifying Subpoena Duces Tecum 20.31    Motion for Protective Order 20.32    Letter Authorizing Financial Institution to Disclose and Furnish Information Regarding Financial Status 20.33    Request for Copy of Tax Return 20.34    Letter Authorizing DCSE to Release File Information to Attorney 20.35    Authorization to Release Confidential Health Records 20.36    Request for Certified Copy of Record of Conviction CHAPTER 21 FAMILY LAW – MARITAL AGREEMENTS 21.1    Client Fact Sheet 21.2    Schedule Of Assets And Liabilities 21.3    Master Information List 21.4    Income/Expense Exhibit 21.5    Information And Fee Agreement For Domestic Relations Matters 21.6    Contract For Mediation 21.7    Memorandum Of Understanding—Sample Paragraphs 21.8    Partnership Agreement 21.9    Premarital Agreement 21.10    Sample Non-Abrogation Paragraph For Marital Agreement 21.11    Reconciliation Agreement 21.12    Premarital Agreement—Short Form 21.13    Provision Allowing For Later Insertion Of Omitted Language 21.14    Undisclosed/Not Included Assets 21.15    Effect Of Reconciliation 21.16    Temporary Child Support Provisions 21.17    Regular Child Support Provisions—Information and Generally 21.18    Regular Child Support Provisions—Application of Guidelines 21.19    Regular Child Support Provisions—Finances of the Parties 21.20    Regular Child Support Provisions—Amount and Duration 21.21    Emancipation Event 21.22    Modification Provisions 21.23    Dependency Exemption Provisions 21.24    Education Payment Provisions 21.25    Educational Trust Fund Provisions 21.26    Medical And Dental Provisions 21.27    Waivers And Reservations 21.28    Lump Sum Spousal Support Provisions 21.29    Lump Sum Spousal Support Payable Monthly 21.30    Lump Sum Payable Partly Upon Execution And Balance Monthly 21.31    Monthly Fixed Spousal Support 21.32    Monthly Variable Spousal Support For A Non-Fixed Term 21.33    Monthly Fixed Level Spousal Support For Fixed Term (Of More Than Three Years) 21.34    Monthly Fixed Level Spousal Support For Term Of Three Years Or Less 21.35    Spousal Support For Three-Year Period—Partial Non-Modifiability 21.36    Monthly Staggered Spousal Support For Fixed Term (Of More Than Three Years) 21.37    Tax Consequences 21.38    Reinstatement Alimony 21.39    Obligation Of Estate 21.40    Spousal Support Modification Provisions 21.41    Cohabitation 21.42    Other Support Considerations—Disability 21.43    Other Support Considerations—Tax Returns 21.44    Counsel Fees 21.45    Emergency Fund 21.46    Debts 21.47    Spousal Support In Lieu Of Property 21.48    Tax Effects Of Property Transfers 21.49    Real Property Provisions 21.50    Personal Property Provisions 21.51    Motor Vehicles 21.52    Deferred Compensation 21.53    Partnerships, Corporations, Business Interests, Loans, And Trusts 21.54    Life Insurance 21.55    Sole Custody 21.56    Sole Custody; Visitation Provisions 21.57    Sole Custody; Joint Custody During Visitation With Provision For Visitation Outside The United States 21.58    Joint Custody Arrangements 21.59    Shared Custody 21.60    Split Custody 21.61    Divided Custody 21.62    Joint (Legal) Custody With Primary Residence And Specific Schedule 21.63    Joint Custody: Schedule And Changes As Appropriate 21.64    (“Birdnest”) Joint Custody 21.65    Joint Legal Custody With Primary Residence 21.66    Joint Custody During Visitation 21.67    Children’s Religious Upbringing 21.68    Joint Custody, Legal Residence With One Parent (Child’s Best Interests) 21.69    Avoiding Use Of The Word “Custody,” Visitation Provisions 21.70    Relocation Provisions 21.71    Visitation Restriction (Other Person) 21.72    Examples Of Visitation Schedules 21.73    Visitation Restriction (Alcohol) 21.74    Safety And Moral Restrictions 21.75    Grandparents’ Visitation 21.76    Financial Provision 21.77    Change In Circumstances 21.78    Cooperative Parenting 21.79    Family Communication 21.80    Information Sharing 21.81    Medical Care 21.82    Parent Coordinator Provision 21.83    Examples Of Standard Provisions Used In Separation Agreements 21.84    Consent Order 21.85    Sample Separation Agreement I 21.86    Sample Separation Agreement II 21.87    Provision For Waiver Of Estate Rights 21.88    Clause To Terminate A Revocable Trust 21.89    Sample Estate Planning Provisions 21.90    Saving Clause for Benefit Waiver Provisions CHAPTER 22 GUARDIANS FOR INCAPACITATED PERSONS 22.1    Letter to be Sent to Family Members 22.2    Letter to be Sent to Capacity Evaluator 22.3    Certificate of Compliance with § 64.2-2003 CHAPTER 23 MEDICAL RECORDS 23.1    Consent to Release of Confidential Health Care Information 23.2    Request to Health Care Provider for Client’s Medical Records 23.3    Medical Records Subpoena 23.4    Letter Certifying Expiration of 15-Day Period 23.5    Interrogatory Requesting Health Care Information 23.6    Request for HITECH Electronic Medical Records 23.7    Statement as to Medical Bills Evidence Pursuant to § 16.1-88.2 23.8    Statement as to Medical Records Evidence Pursuant to § 16.1-88.2 CHAPTER 24 REAL ESTATE – DEEDS 24.1    General Warranty Deed-VBA Form 24.2    General Warranty Deed To Husband And Wife-VBA Form 24.3    General Warranty Deed To Joint Tenants-VBA Form 24.4    General Warranty Deed To Tenants In Common-VBA Form 24.5    General Warranty Deed For Property In The Name Of One Spouse-VBA Form 24.6    Special Warranty Deed-VBA Form 24.7    Quitclaim Deed-VBA Form 24.8    Deed To Trustees Under Virginia Land Trust-VBA Form (Setting Out Trust Uses And Purposes) 24.9    Deed To Trustee Under Virginia Land Trust-VBA Form (From Trust Beneficiary; Trust Uses And Purposes Not Set Out) 24.10    Deed Of Subordination-VBA Form 24.11    Deed Of Release-VBA Form 24.12    Deed Of Partial Release-VBA Form 24.13    Deed Without Warranty 24.14    Deed of Gift 24.15    Deed For A Condominium Unit 24.16    Deed of Assumption 24.17    Examples Of Signature Blocks 24.18    Corrective Affidavit and Notice of Intent to Correct CHAPTER 25 REAL ESTATE – FORECLOSURES 25.1    Notice of Breach for Failure to Make Loan Payments 25.2    Substitution of Trustee 25.3    Notice that Original Note Evidencing Indebtedness is Unavailable 25.4    Lost Note Affidavit 25.5    Notice Required by the Fair Debt Collection Practices Act, 15 U.S.C. § 1692 et.seq 25.6    Notice Pursuant to Code of Virginia § 55-59.1 25.7    Notice of Trustee Sale 25.8    Memorandum of Foreclosure Sale 25.9    Deed of Foreclosure 25.10    Account of Sale