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Probate Investigators Referral Report RI-PR016 - California
| Probate Investigators Referral Report Form. This is a California form and can be used in Probate Riverside Local County . |
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE PALM SPRINGS 3255 E. Tahquitz Canyon Way, Palm Springs, CA 92262 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) RIVERSIDE 4050 Main St., Riverside, CA 92501 RI-PR016 FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): CONSERVATORSHIP OF (Name): CASE NUMBER: (PROPOSED CONSERVATEE) Hearing Date: Time: Department: PROBATE INVESTIGATORS REFERRAL REPORT (CONFIDENTIAL) You are receiving this form because the court may be required to complete an investigation under Probate Code section 1826, 1851, 1984, 2250.6, or 2684. If you have recently moved, you are required to notify the court immediately by completing one or both of the following forms: GC-80, GC-79, or MC-40. These forms may be located and completed on line at http://www.courts.ca.gov/. 1. Proposed conservatee's relatives: The names, relationships, phone numbers, and e-mail addresses of the spouse or registered domestic partner and the second-degree relatives of the proposed conservatee (his or her parents, grandparents, children, grandchildren, and brothers and sisters), so far as known to petitioner are: Name (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Relationship Telephone Number E-Mail Address Continued on attachment. Page 1 of 2 Adopted for Mandatory Use Riverside Superior Court RI-PR016 [Rev. 01/01/12] PROBATE INVESTIGATORS REFERRAL REPORT (CONFIDENTIAL) riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com IN THE MATTER OF: CASE NUMBER: 2. 3. The phone number of the conservatee is The conservatee resides at a location other than a private home (name): . . The person in charge of the residence is (name): 4. The contact person to make an appointment with the proposed conservatee is (name): (phone): . (phone): . 5. The conservatee proposed conservator speaks a language other than English and will require translation for the following language (please specify): . The following person will provide translation: NAME RELATIONSHIP TELEPHONE NUMBER A certified American Sign Language interpreter will be required for the investigation and all court hearings. 6. The conservatee attends a Adddress: Phone: school day program. Schedule of attendance: 7. The current diagnosis of the conservatee is: The conservatee is currently on the following medications: . I declare under penalty of perjury under the laws of the State of California that the information above is true and correct. Date: (SIGNATURE OF PERSON COMPLETING FORM) Page 2 of 2 Adopted for Mandatory Use Riverside Superior Court RI-PR016 [Rev. 01/01/12] PROBATE INVESTIGATORS REFERRAL REPORT (CONFIDENTIAL) riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com
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