Confidential Cohabitant Screening Attachment (Confidential Guardianship Status Report (Form GC-251)) {RI-PR040}

IN THE MATTER OF: CASE NUMBER: CONFIDENTIAL COHABITANT SCREENING ATTACHMENT (CONFIDENTIAL GUARDIANSHIP STATUS REPORT (FORM GC-251)) Any adult co-habitant that has moved into the child's home after a guardianship was established must be listed on this attachment for the confidential guardianship status report. This form must remain confidential. This form is confidential and will not be a part of the public file in this case. Each adult co-habitant must be listed on this form under the Riverside Superior Court Local Rule 7311. Co-habitant Name Date of Birth Driver's License No. Social Security Number How this form will be used DECLARATION I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: (TYPE OR PRINT NAME) (SIGNATURE) Adopted for Mandatory Use Riverside Superior Court RI-PR040 [Rev.07/01/13] CONFIDENTIAL COHABITANT SCREENING ATTACHMENT (CONFIDENTIAL GUARDIANSHIP STATUS REPORT (FORM GC-251)) Page 1 of 1 Riverside Superior Court Local Rule 7311 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com