225 You cannot give the court proof of the ward222s or conservatee222s eligibility,225 The ward222s or conservatee222s financial situation improves during this case, or225 You settle the civil case on behalf of the ward or conservatee for $10,000 or more. The trial court that waives fees will have a lien on any such settlement in the amount of the waived fees and costs. The court may also charge the ward or conservatee, or his or her estate, any collection costs. Your Information (guardian or conservator, or person asking the court to appoint a guardian or conservator): Name: Street or mailing address: State: Zip: City: Phone: No Yes(If yes, your lawyer must sign here.) Lawyer222s signature: Name: State Bar No.: Address: City: E-mail: State: Zip: Firm or Affiliation: Phone:The lawyer has agreed to advance all or a portion of court fees or costs (check one):If your lawyer is not providing legal-aid type services based on your or the ward222s or conservatee222s low income, you may have to go to a hearing to explain why you are asking the court to waive the fees.a. b. FW-001-GCRequest to Waive Court Fees (Ward or Conservatee) Clerk stamps date here when form is filed.Fill in court name and street address: Superior Court of California, County of Fill in case number and name:Case Number: Case Name: CONFIDENTIAL Judicial Council of California, www.courts.ca.gov Rev. March 15, 2019, Mandatory Form Government Code, 247 68633 California Rules of Court, rules 3.51, 7.5Request to Waive Court Fees(Ward or Conservatee)FW-001-GC, Page 1 of 4 This form must be used by a guardian or conservator, or by a petitioner for the appointment of a guardian or conservator, to request a waiver of court fees in the guardianship or conservatorship court proceeding or in any other civil action in which the guardian or conservator represents the interests of the ward or conservatee as a plaintiff or defendant. If the ward or conservatee (including a proposed ward or conservatee if a petition for appointment of a guardian or conservator has been filed but has not yet been decided by the court) directly receives public benefits or is supported by public benefits received by another for his or her support, is a low-income person, or does not have enough income to pay for his or her household222s basic needs and the court fees, you may use this form to ask the court to waive the court fees. The court may order you to answer questions about the finances of the ward or conservatee. If the court waives the fees, the ward or conservatee, his or her estate, or someone with a duty to support the ward or conservatee, may still have to pay later if: Name: Age and date of birth (ward only): Phone: Zip: State: City: Street or mailing address: 1 2 3 4 5Ward222s or Conservatee222s Information (file a separate Request for each ward in a multiward case): Ward or Conservatee222s Job (job title; if not employed, so state): Employer222s address: Name of employer: Zip: State:Your Lawyer (if you have one): Name:Ward222s or Conservatee222s Lawyer, if any: State Bar No.: Address: City: E-mail: State: Zip: Firm or Affiliation: Phone: American LegalNet, Inc. www.FormsWorkFlow.com The ward222s or conservatee222s household does not have enough income to pay for its basic needs and the court fees. I ask the court to (check one, and you must fill out items 14, 15, 16, 17, and 18 on page 4):*c. Waive all court fees and costs. Let the (proposed) guardian or conservator, on behalf of the (proposed) ward or conservatee, make payments over time.Why are you asking the court to waive the ward222s or conservatee222s court fees? b.What court222s fees or costs are you asking to be waived? Superior Court (See Information Sheet on Waiver of Superior Court Fees and Costs (form FW-001-INFO).) Supreme Court, Court of Appeal, or Appellate Division of Superior Court (See Information Sheet on Waiver of Appellate Court Fees (form APP-015/FW-015-INFO).) The gross monthly income of the ward222s or conservatee222s household (before deductions for taxes) is less than the amount listed below. (If you check 8b, you must fill out items 14, 15, and 16 on page 4 of this form.)*a. Medi-Cal SNAP (Food Stamps) State Supplemental Payment (SSP) Supplemental Security Income (SSI) County Relief/General Assistance IHSS (In-Home Supportive Services) CalWORKS or Tribal TANF CAPI (Cash Assistance Program for Aged, Blind, and Disabled) Family Size Family Income Family Size Family Income Family Size Family Income 1 $1,301.05 3 $2,221.88 5 $3,142.71 2 $1,761.46 4 $2,682.30 6 $3,603.13 If more than 6 people at home, add $460.42 for each extra person.(i)(ii)Request to Waive Court Fees (Ward or Conservatee) FW-001-GC, Page 2 of 4Rev. March 15, 2019 Name of (Proposed) Ward or Conservatee: Case Number:(Names and relationships to ward or conservatee of persons who receive the public benefits listed above):Ward222s Parents222 Information:a.b. Phone: Zip: State: City: Street or mailing address: Name of ward222s father: City: State: Zip: Street or mailing address: Name of ward222s mother: Deceased (date of death): Deceasedc.Ward222s parents are (check all that apply): living together Court: Yes No Date of order (if multiple, date of latest): Monthly amount: Payable to (name): (If your previous request is reasonably available, please attach it to this form and check here): Check here if you asked the court to waive court fees for this case in the last six months.Source (e.g., gift, inheritance, settlement, judgment, insurance):Est. collection date:Inventory or petition estimated value: Person only, no estate.Ward222s Estate: 6 8 10 79 The ward or one or both of the ward222s parents, or the conservatee or the conservatee222s spouse or registered domestic partner, receive (check all that apply): Guardians or petitioners for their appointment must complete items 9 and 10. separated married divorcedSupport order for ward? Case Number: Payor (name): Waive some court fees and costs.(iii) (date of death): * (Do not include income of guardian or conservator living in the household in 8b or 8c or count him or her in family size in 8b. unless he or she is a parent of the ward or the spouse or registered domestic partner of the conservatee.) Phone: American LegalNet, Inc. www.FormsWorkFlow.com Sign here Print your name here Date:The information I have provided on this form and all attachments about the (proposed) ward or conservatee is true and correct to the best of my information and belief. The information I have provided on this form and all attachments concerning myself is true and correct. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. FW-001-GC, Page 3 of 4Request to Waive Court Fees (Ward or Conservatee) Rev. March 15, 2019 Case Number: Name of (Proposed) Ward or Conservatee: Conservators or petitioners for their appointment must complete items 1122613. Zip: State: Employer222s address: Name of employer (if none, so state): Phone: Zip: State: City: Street or mailing address: Deceased Name of conservatee222s spouse or registered domestic partner:Conservatee222s Spouse222s or Registered Domestic Partner222s Information: Spouse Partner 11 1213 Est. collection date:Inventory or petition estimated value: Person only, no estate.Conservatee222s Estate:The conservatee222s spouse or partner managing, or following appointment of a conservator is planning to manage, some or all of the couple222s community property outside the conservatorship estate. Date of marriage or partnership: isIf you selected 223is224 above: The income, money, and property shown on page 4 the income and property managed, or expected to be managed, by the spouse/partner outside the estate. is not does not include includesThe Conservatee and Trusts:The conservatee: Is not Isa trustor or settlor of a trust. Is not Isa beneficiary of a trust.If you selected 223Is224 to complete any of the above statements, identify and provide, in an attachment to this Request, the current address and telephone number of the current trustee(s) of each trust, describe the general terms of and value of each trust and the nature and value of t