Madera Superior Court Form Adopted for Optional Use MAD - 0 019 (previous form # OACPS) COURT ORDER APPOINTING CHILD PROTECTIVE SERVICES IN PROBATE GUARDIANSHIP Page 1 of 1 Revised 6/05/2018 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) TELEPHONE NO.: FAX NO.: ATTORNEY FOR (Name): FOR COURT USE ONLY SUPEROR COURT OF CALIFORNIA, COUNTY OF M ADERA Madera 226 200 South G Street, Madera, California 93637 Sierra - 40601 Road 274, Bass Lake, CA 93604 IN RE: GUARDIANSHIP OF (NAME): MINOR(S) COURT ORDER APPOINTING CHILD PROTECTIVE SERVICES IN PROBATE GUARDIANSHIP (Pursuant to Probate Code 247 1513 ) CASE NUMBER: IT IS ORDERED that the Department of Child Protective Services of Madera County, located at 629 E. Yosemite Ave., Madera CA 93637; be appointed Court Investigator in the above-entitled Probate matter pursuant to Probate Code 2471513. The Court Appointed Investigator shall be granted authority to receive/access to all education information and grade reports, all law enforcement reports, all Parole or Probation information, all financial/banking documents, all child support information and information/records through the Department of Child Support Services, all Social Services (CPS and APS) reports, and access to medical, mental health, and drug treatment and /or drug testing records in accordance with HIPAA regulations. The Court Investigator shall file his/her report with the court and provide copies to counsel for the petitioner, or to petitioner if in pro per, to counsel for the minor, if any, and to any objector of record. The Court Investigator222s report shall be deemed a confidential court document and copies shall not be provided except on order of the court. Dated: JUDGE OF THE SUPERIOR COURT American LegalNet, Inc. www.FormsWorkFlow.com