Petition For Re-Appointment As Conservator (Page 2 of 2) in pdf

Petition For Re-Appointment As Conservator Page 2

CONSERVATOR / ATTORNEY

1.NAME____________________________________

ADDRESS_________________________________

__________________________________________

TELEPHONE______________________________

HEARING DATE___________________________

| Do not write in this space

________________________________________________|____________________________________________

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES

MENTAL HEALTH COURT

_____________________________________________________________________________________________

In the Matter of the Conservatorship of

3.COURT CASE # ____________

2._______________________________________

Petition for Re-Appointment

Conservatee

Name

As Conservator

4. The Petitioner __________________________________Conservator / Attorney, states: that on ______________

Appointment Date

the above named Conservatee was declared to be a gravely disabled person as a result of a mental disorder and the

petitioner was appointed as conservator pursuant to Welfare and Institutions Code Section 5350 et. Seq.

The conservatee is still gravely disabled as a result of a mental disorder. The opinions of two physicians that the

conservatee is still gravely disabled:

are attached as Exhibit “A”

will be filed prior to the hearing

cannot be obtained because____________________________ and the Conservator

will request that the court appoint two physicians to examine the Conservatee

So far as known to petitioner, the following persons an/or agencies are entitled to notice of hearing on this petition:

Director of Health, State of California

Los Angeles County Director of Mental Health/Public Guardian

Attorney for Conservatee

Conservatee

Facility in which Conservatee resides

Others__________________________

__________________________

Wherefore, petitioner prays that s/he be re-appointed as Conservator for the Conservatee named in this petition. That

the additional powers previously granted to the Conservator and the disabilities imposed on the Conservatee in the

original order appointing petitioner be continued.

6.________________

_______________________________________

Date

Signature of Conservator

Petition For Re-Appointment As Conservator Page 2