Information Sheet For Court Investigator {PR0005}

CONSERVATOR: For Court Use Only ATTORNEY: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SUTTER STREET ADDRESS: 463 SECOND STREET, ROOM 110 MAILING ADDRESS: 446 SECOND STREET CITY, STATE AND ZIP CODE: YUBA CITY, CA 95991 CONSERVATORSHIP OF THE PERSON ESTATE OF: INFORMATION SHEET FOR COURT INVESTIGATOR 1. HEARING DATE: _________________________ CASE NUMBER: 2. CONSERVATOR: Name: __________________________________________________________________________________ Address: ________________________________________________________________________________ Telephone: Home: ___________________________________ Other: ______________________________ CO-CONSERVATOR (If applicable): Name: __________________________________________________________________________________ Address: ________________________________________________________________________________ Telephone: Home: ___________________________________ Other: ______________________________ 3. CONSERVATEE: Name: __________________________________________________________________________________ Address: ________________________________________________________________________________ Telephone: ______________________________________________________________________________ If Applicable, Name of Care Facility, Name of Person in Charge and Telephone Number: ________________________________________________________________________________________ ________________________________________________________________________________________ If Conservatee Resides in a Private Home, List All Adults Residing in the Home: ________________________________________________________________________________________ ________________________________________________________________________________________ 4. DESCRIBE SIGNIFICANT CHANGES THAT HAVE OCCURRED SINCE THE LAST HEARING: Print Your Name: ___________________________________ Your Signature: ____________________________________ Date: ________________________ INFORMATION SHEET FOR COURT INVESTIGATOR Sutter Superior Court Revised 1/16/14 PR0005 American LegalNet, Inc. www.FormsWorkFlow.com