PETITIONER'S INFORMATION SHEET TO COURT INVESTIGATOR FOR CLERK'S USE ONLY Instructions to Petitioner: You must complete this form and send it to Court Administration. This information will assist the Court Investigator in scheduling and conducting an appointment with the proposed ward, the person for whom a guardian and/or a conservator is said to be needed. Incomplete or inaccurate information may cause the Court hearing on your Petition to be delayed. Your Case Number: PB 1. INFORMATION ABOUT THE PROPOSED WARD (the person said to need guardian or conservator): Name: Present Address: Permanent Address: (if different) Email Address: Language person speaks: Information about communication barriers: PRIMARY WEEKDAY LOCATION Monday-Friday, 8:00 A.M. TO 5:00 P.M., the Ward can usually be found at: (List full address below) Telephone: 2. INFORMATION ABOUT THE PROPOSED GUARDIAN AND/OR CONSERVATOR: Petitioner Co-Petitioner Name: Address: City, State, Zip Code: Home Telephone: Work Telephone: Email Address: Race: Height: Weight: Color of Hair: Color of Eyes: Relationship to Ward: � Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 1 of 2 PBGCA12f-091812 American LegalNet, Inc. www.FormsWorkFlow.com Case No. ____________________________ 3. INFORMATION ABOUT THE COURT-APPOINTED PHYSICIAN (or other authorized evaluator): Name: Address: If not a physician, the evaluator is a Email Address: Registered Nurse Psychologist Psychiatrist Telephone: 4. INFORMATION ABOUT PETITIONER'S ATTORNEY: Name: Address: Email Address: Telephone: 5. INFORMATION ABOUT CO-PETITIONER'S ATTORNEY: Name: Address: Email Address: Telephone: For Court Use Only: Date and Time of Hearing: Commissioner: � Superior Court of Arizona in Maricopa County ALL RIGHTS RESERVED Page 2 of 2 PBGCA12f-091812 American LegalNet, Inc. www.FormsWorkFlow.com