Petition For Re-Appointment As Conservator printable pdf download

Petition For Re-Appointment As Conservator

INSTRUCTIONS

1 OF 4 DOCUMENTS NEEDED WHEN REQUESTING REAPPOINTMENT

Numbers on the left hand side of these instructions match numbers on the form

REMEMBER USE BLACK INK PEN ONLY

PETITION FOR RE-APPOINTMENT AS CONSERVATOR

1. You are the Conservator. PRINT your name, address, & telephone # in the space provided.

DO NOT WRITE IN THE SPACE MARKED “HEARING DATE”; THIS IS FOR

COURT USE ONLY

2. The Conservatee is the patient. Fill in his/her name here. first name first ; middle name, last

name last

Example: John Smith

3. Fill in the Court Case # ; you must use the case number when filing any document with

the court. All case numbers for Department 95A begin with M, MP, or ZE followed by six

numbers.

PAY ATTENTION THAT YOU FILL IN THE CORRECT COURT CASE #

4. Fill in your name and the last date you were (re)appointed as conservator.

5. If you are filing the “Physician’s Declaration” with this petition, check the first box. If it will

be filed on or before the hearing date, check the second box. If you plan to have the Court

appoint a physician, YOU MUST BRING the Conservatee (Patient) TO COURT; check the

third box.

6. Fill in the date and your signature.

7. If you have questions, please call the Mental Health Clerk’s Office at (323) 226-2917 or 2918.

Petition For Re-Appointment As Conservator