COURT INVESTIGATOR SUPERIOR COURT, ALAMEDA COUNTY BERKELEY COURTHOUSE 2120 MARTIN LUTHER KING, JR. WAY BERKELEY, CA 94704 (510) 636-8820 (510) 451-2269 FAX TERMINATION OF GUARDIANSHIP QUESTIONNAIRE IMPORTANT INFORMATION REGARDING YOUR FILING ­ PLEASE READ INSTRUCTIONS Please read these instructions carefully. They contain important information that will assist you in completing this form and about your guardianship. You should be completing this form if you are asking the Court to terminate the guardianship for a child. The Court will usually require the Court Investigator to make a home visit, speak with you, the guardian and the child. The Court Investigator prepares a report for the Court that will address why the guardianship was needed when it was established, what has changed since that time, your ability to resume care, custody and control of the child and whether termination would be in the child's best interests. Please answer all questions honestly and completely. On the last page, sign the form and declare, under penalty of perjury, that all the information you have provided is true and correct. IF YOU HAVE ANY QUESTIONS ABOUT FILLING OUT THIS FORM, PLEASE CALL THE COURT INVESTIGATOR'S OFFICE AT (510) 636-8820. Mail or fax the completed questionnaire to: COURT INVESTIGATOR BERKELEY COURTHOUSE 2120 MARTIN LUTHER KING, JR. WAY BERKELEY, CA 94704 FAX NO.: (510) 451-2269 IN ORDER TO PREVENT ANY DELAY IN YOUR HEARING, YOU MUST COMPLETE THIS FORM ANSWERING ALL QUESTIONS. FILE IT WHEN YOU FILE YOUR PETITION FOR TERMINATION, AT LEAST 60 DAYS BEFORE YOUR HEARING DATE. American LegalNet, Inc. www.FormsWorkFlow.com COURT INVESTIGATOR'S OFFICE BERKELEY COURTHOUSE 2120 MARTIN LUTHER KING, JR. WAY BERKELEY, CA 94704 SUPERIOR COURT OF CALIFORNIA COUNTY OF ALAMEDA CONFIDENTIAL GUARDIANSHIP TERMINATION QUESTIONNAIRE In the Guardianship of: Minor(s) ) ) ) ) ) ) ) ) ) ) PROBATE CASE NO:________________ HEARING DATE:___________________ (Hearing date should be at least 60 days from date of filing) THIS IS A CONFIDENTIAL QUESTIONNAIRE CI revised 1 31 14 2 American LegalNet, Inc. www.FormsWorkFlow.com CONFIDENTIAL GUARDIANSHIP SCREENING (PROBATE CODE SECTION 1516) GUARDIANSHIP OF: _________________________________CASE NO.:____________________ 1. ATTACH A COPY OF EACH CHILD'S BIRTH CERTIFICATE TO THIS FORM AND LIST THE NAME AND DATE OF BIRTH OF EACH CHILD SUBJECT TO THE GUARDIANSHIP: 1.____________________________________________DATE OF BIRTH _______________ 2.____________________________________________DATE OF BIRTH _______________ 3.____________________________________________DATE OF BIRTH _______________ 2. Does the family have Native American/American Indian ancestry or heritage? YES NO. ******************************************************************************************************************* 3. LIST THE GUARDIAN(S): THIS INFORMATION IS REQUIRED NAME RELATIONSHIP TO CHILD DATE OF BIRTH 1._________________________________________________________________________ 2._________________________________________________________________________ 4. HAVE YOU EVER BEEN ARRESTED, CHARGED WITH OR CONVICTED OF ANY CRIME (REGARDLESS OF THE OUTCOME)? YES NO NOTE: THE COURT INVESTIGATOR WILL CONDUCT A CRIMINAL BACKGROUND CHECK. 6. PARENTS OF CHILD(REN) SUBJECT TO THE GUARDIANSHIP: NAME ADDRESS DATE OF BIRTH 1. Mother: ____________________________________________________________________ 2. Father: _____________________________________________________________________ 7. OTHER PEOPLE LIVING IN YOUR HOME AGE 18 AND OVER (Continue on back if needed): NAME RELATIONSHIP DATE OF BIRTH 1._________________________________________________________________________ 2.________________________________________________________________________ DO NOT WRITE BELOW THIS LINE ******************************************************************************************************************* DEPARTMENT OF SOCIAL SERVICES USE ONLY [ ] NO INFORMATION AVAILABLE Screening by Worker #:_______________ [ ] INFORMATION AVAILABLE Date: _________ Phone No.:___________________ CI revised 1 31 14 3 American LegalNet, Inc. www.FormsWorkFlow.com CONFIDENTIAL TERMINATION OF GUARDIANSHIP QUESTIONNAIRE YOU MUST ANSWER ALL QUESTIONS. (Write "N/A" if a question does not apply to your situation.) GUARDIANSHIP OF: _________________________________CASE NO.:____________ HEARING DATE: ________________________________ Will you or anyone else in the home require an interpreter? YES Language :_____________________________________ Does anyone object to terminating the guardianship? YES NO NO If yes, who? __________________________________________________________ SECTION I 1. Explain why the guardianship was needed when it was established (be specific). ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 2. Why is the guardianship no longer necessary? Be specific about what efforts you made to resolve the problems that led to the need for the guardianship. For example, if you had a drug problem please tell us the name of the program you attended or completed. ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 3. Why is it in the best interests of the child(ren) to end the guardianship? How would they benefit or be better off after the termination? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ CI revised 1 31 14 4 American LegalNet, Inc. www.FormsWorkFlow.com 4. Please describe the amount of contact you have had with the child since the guardianship was established. For example, how often did you visit and for how long, day or overnight? ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ 5. Please describe how your vis