CONFIDENTIAL SDSC FCS - 039 (Rev. 12/17 ) GUARDIANSHIP TERMINATION QUESTIONNAIRE Page 1 of 8 Mandatory Form (CONFIDENTIAL) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA (619) 844- 2888 GUARDIANSHIP TERMINATION QUESTIONNAIRE (CONFIDENTIAL) NOTICE TO PETITIONERS When seeking termination of g uardianship of a child (ren) to whom you are related, in order to begin the Family Court Services (FCS) investigation process, copies of the following documents that were filed in the probate business office, must be submitted to F CS at the address listed a bove, prior to scheduling an investigation date: 1. Petition for Termination of Guardianship ( JC Form # GC - 255 ) 2. Either an Order Directing or Waiving Investigation (SDSC Form #PR - 063) signed by a j udge of the Superior Court or a Family Court Services Referra l ( SDSC Form # FCS - 0 37) request from a j udge of the Superior Court directing FCS to conduct a termination investigation. 3. Family Court Services Guardianship Termination Questionnaire (SDSC Form #FCS 039) (Provided only to Family Court Services). You may mai l the information to the San Diego FCS office at 1100 Union St., Room 430 , San Diego, California 92101. You may also walk - in and drop your paperwork off from 8 :00 a.m. - 12 :00 p.m. and 1 :00 p.m. 4:00 p.m . Monday through . C omplete the attached se ven page Guardianship Termination Questionnaire in its entirety , and bring all documentation requested in the questionnaire, including proof of residence and employment, parenting class certificates, treatment programs, etc. Information provided on this q uestionnaire, in the family interview(s), in other submitted comments and from investigative sources, will be used to prepare a recommendation to the court. This report will then be placed in a sealed court file. Copies will be issued to the petitioner, guardians, parents and their respective attorneys. You may call the Guardianship Clerk at the number listed above with questions regarding the FCS t ermination i nvestigation process, or concerns regarding appointments. The petitioner is responsible for no tifying the guardians regarding the F CS investigation interview appointment. Any adult living in the home and acting in a parental role should be present for the interview. D o not bring the child(ren) to the FCS appointment . A subsequent appointment wil l be scheduled should the investigator need to interview the children. American LegalNet, Inc. www.FormsWorkFlow.com SDSC FCS - 039 ( Rev 12/17 ) GUARDIANSHIP TERMINATION QUESTIONNAIRE Page 2 of 8 Mandatory Form (CONFIDENTIAL) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO FAMILY COURT SERVICES GUARDIANSHIP TERMINATION QUESTIONNAIRE T HIS FORM IS TO BE COMPLETED AND SUBMITTED TO FAMILY COURT SE RVICES BY : Your appointment will not be set until this form has been returned to Family Court Services. COUNSELOR : PROBATE CASE NUMBER: COURT DATE : FCS DATE : I. MINOR CHILD ( REN ) LISTED ON GUARDIANSHIP T ERMINATION PETITION: Full Legal Name Birth Date Social Security Number School and Grade Level Person with whom Residing Attorney for Minor(s) : Name: Tel . N o . : ( ) Add ress: Street Ste . City State Zip Code II. PETITONER(S) FOR TERMINATION OF GUARDIANSHIP: 1. Full Legal Name : AKA or Maiden N ame : Address : Street Apt. City State Zip Code Telep hone Numbers: Home ( ) Work ( ) Social Security N umber: Birth Date : // Place of Birth : Dri ver License Number: State : Currently Valid: Yes No Relationship to Child ( ren ) on Petition : Maternal Paternal 2 . Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Telep hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: // Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child(ren) on Petition: Maternal Paternal Attorney for Petitioner(s) : Name : Tel . N o . : ( ) Address : Street Ste . City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com SDSC FCS - 039 ( Rev 12/17 ) GUARDIANSHIP TERMINATION QUESTIONNAIRE Page 3 of 8 Mandatory Form (CONFIDENTIAL) III. CURRENT GUARDIAN(S): 1. F ull Legal Name : AKA or Maiden N ame : Address : Street Apt. City State Zip Code Telep hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: // Place of Birth: Driver License Number : State: Currently Valid: Yes No Relationship to Child(ren) on Petition: Maternal Paternal Attorney for Guardian (s) : Name: Tel . N o . : ( ) Address: Street S t e . City State Zip Code 2. Full Legal Name AKA or Maiden N ame : Address : Street Apt. City State Zip Code Telep hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: // Place of Birt h: Driver License Number: State: Currently Valid: Yes No Relationship to Child(ren) on Petition: Maternal Pate rnal Attorney for Guardian (s) : Name: Tel. N o . : ( ) Address: Street S t e . City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com SDSC FCS - 039 ( Rev 12/17 ) GUARDIANSHIP TERMINATION QUESTIONNAIRE Page 4 of 8 Mandatory Form (CONFIDENTIAL) IV. PARENTS OF MINORS : (Full legal names) If one of the natural parents has died, please mark person s address and add the date of death, if known. 1 . Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Telep hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: / / Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child ( ren ) on Petition: Attorney : Name: Tel. N o . : ( ) Address: Street S t e . City State Zip Code 2. Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Telep hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: / / Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child ( ren ) on Petition: Attorney : Name: Tel. N o . : ( ) Address: Street S t e . City State Zip Code 3. Full Legal Name: AKA or Maiden Name: Address: Street Apt. C ity State Zip Code Telep hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: / / Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child ( ren ) on Petition: Attorney : Name: Tel. N o . : ( ) Address: Street S t e . City State Zip Code 4. Full Legal Name: AKA or Maiden Name: Address: Stre et Apt. City State Zip Code Telep hone Numb ers: Home ( ) Work ( ) Social Security Number: Birth Date: / / Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child ( ren ) on Petition: Attorney : Name: Tel. N o . : ( ) Address: Street S t e . City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com SDSC FCS - 039 ( Rev 12/17 ) GUARDIANSHIP TERMINATION QUESTIONNAIRE Page 5 of 8 Mandatory Form (CONFIDENTIAL) V. H OUSEHOLD COMPOSITION : A. List other adults 18 or older residing in your home. Indicate if they are acting in a pa rental role wi th the child(ren) . *** ( Any individuals acting in a parental role will be required to attend the investigation interview ) . 1. Full Legal Name : AKA or Maiden Name: Telep hone Numbers: Home ( ) Work ( ) Birth Date : / / Birth Place : Sex : Social Security Number: Driver License Number : S tate : Currently Valid: Yes No Relationship to Applicant : Relationship t o c hild (ren) : 2 . Full Legal Name: AKA or Maiden Name: Telep hone Numbers: Home ( ) Work ( ) Birth Date: / / Birth Place: Sex: Social Security Number: Driver Licens e Number : State: Currently Valid: Yes No Relationship to Applicant: Relationship to child(ren): 3 . Full Legal Name: AKA or Maiden Name: Telep hone Numbers: Home ( ) Work ( ) Birth Date: / / Birth Place: Sex: Social Security Number: Driver License Number : State: Currently Valid: Yes No Rela tionship to Applicant: Relationship to child(ren): 4 . Full Legal Name: AKA or Maiden Name: Telep hone Numbers: Home ( ) Work ( ) Birth Date: / / Birth Place: Sex: Social Sec urity Number: Driver License Number : State: Currently Valid: Yes No Relationship to Applicant: Relationship to child(ren): B. List other child ( ren ) under age 18 living in your household : Name Birth Date Social Security Number School Ameri