RAP FORM 4: STATEMENT OF GROUNDS FOR DIRECT REVIEW

(Rule 4.2(b))

No. (Supreme Court)

SUPREME COURT OF THE STATE OF WASHINGTON

(Title of trial court proceeding ) STATEMENT OF GROUNDS FOR

with parties designated as in ) DIRECT REVIEW BY THE

rule 3.4) ) SUPREME COURT

(Name of party) seeks direct review of the (describe the decision or part of the decision that the party wants reviewed) entered by the (name of court) on (date of entry.) The issues presented in the review are: (State issues presented for review. See Part II of Form 6 for suggestions for framing issues presented for review.)

The reasons for granting direct review are: (Briefly indicate and argue grounds for direct review. See rule 4.2.)

(Date)

Respectfully submitted,

_____________________________________

Signature

(Name, address, telephone number, and Washington State Bar Association membership number of attorney)

[Amended effective September 1, 2006; amended effective September 1, 2010]