SUPERIOR COURT OF CLIFORNIA • COUNTY OF FRESNO Probate Department 1999 Tuolumne Street, Suite 501, Fresno, California 93721 (559) 263-8700 Dear Proposed Guardian of the Person of a Minor, You are beginning a very serious legal proceeding in which the Court must determine what is in the best interest of a child who is without proper parental care. The Court must have information about the child, you, and your family before making its determination. YOU MUST COMPLETE AND SUBMIT THE ATTACHED QUESTIONNAIRE WITH TWO COPIES WHEN YOU FILE YOUR PETITION TO BE APPOINTED. A SEPARATE QUESTIONNAIRE IS REQUIRED FOR EACH PROPOSED GUARDIAN. The following documents must also be submitted with the petition: • Copy of the legal (not hospital) birth certificate for the child, and • Current school records for the child Before you can act as guardian, you must have an ORDER APPOINTING GUARDIAN signed by a Judge and LETTERS OF GUARDIANSHIP issued by the Probate Clerk’s office, located at the address above. You must fill in necessary information on the Order and Letters and SIGN AND DATE THE LETTERS. After the Judge signs the order, you may go to the Probate Clerk’s Office to get your copies of the Order and Letters, or you may provide a self-addressed, stamped envelope so the copies can be mailed to you. Extra copies may be ordered from the Probate Clerk’s office after you pay a fee. The Probate Clerk’s office has made this packet of forms for your use. They may not all be needed for your case. Please consult a legal professional if you need assistance. IT IS YOUR RESPONSIBILITY to provide the right documents. YOUR CASE WILL NOT BE HEARD UNLESS THE FILE HAS ALL NECESSARY PAPERS IN IT, INCLUDING COMPLETED ORDER AND LETTERS. An investigation by a Court Investigator is required prior to the establishment of the guardianship. A Court Investigator will be contacting you before the hearing. FPR-25 R02-07 American LegalNet, Inc. www.FormsWorkFlow.com PROBATE COURT GUARDIANSHIP QUESTIONNAIRE SEPARATE QUESTIONNAIRE NEEDED FOR EACH PROPOSED GUARDIAN (If further explanation is needed on any item, please use back of page). Case number:__________________ Hearing: Name of child: _________________________________ Date of Birth: Child’s address: _________________________________ School: Name of proposed guardian: Relationship to child: Other names used including maiden (birth) name: Age: Date of birth: Address: Place of birth: City: Home Phone: Sex: State: Zip: Business Phone: Height: Weight: Eyes: Driver’s License/I.D. number: Hair: SSN number: NATURAL MOTHER OF CHILD Name: Address: (if unknown, list last know address) City: State: Height: Weight: Zip: Eyes: Driver’s License/I.D. number: Date of birth: Phone: Hair: SSN number: Birth place: NATURAL FATHER OF CHILD Name: Address: (if unknown, list last known address) City: State: Zip: Phone: FPR-24 R02-07 1 American LegalNet, Inc. www.FormsWorkFlow.com Height: Weight: Eyes: Hair: Driver’s License/I.D. number: SSN number: Date of birth: Place of birth: Other children of mother or father of proposed ward: Name: Age: Date of birth: Address (with whom)? Employment Date of Proposed Guardian Occupation: Monthly income (salary, commission, etc.): If unemployed, what are your employment plans? Present or last employer: Address: Work days and hours: Employment began: Ended: Type of work: Gross monthly income (all sources, excluding support): Monthly expenses: Previous employer: Address: Employment began: Ended: Reason ended: Bank: Branch: Checking acct. #: Savings acct. #: Marital History of Proposed Guardian List all marriages Name Date and Place How Terminated Date Separated Final FPR-24 R02-07 2 American LegalNet, Inc. www.FormsWorkFlow.com Proposed Guardian’s children (including adult children, first and last names): Names Age DOB Children’s address School (if going) Professional Practitioners: (medical doctors, psychiatrists, psychologists, marriage counselors, social workers, etc.) Name & Title Last contact Address Phone Education High school graduate: If not, grade last attended: Place and Name of High School: Age left school: Reason: List Colleges or University Attended: Degree or Units/Majors: Health Insurance: Present health status: Good Fair Poor If fair or poor, explain: Are you taking any medications? Yes No If yes, what kind and for what reasons: Special health problems: Have you ever had a problem with any of the following: Alcohol: Yes No Mental/Emotional Problems: Drugs: Yes Yes No No FPR-24 R02-07 3 American LegalNet, Inc. www.FormsWorkFlow.com Criminal Record Have charges ever been filed against you for any crime other than traffic citations? Yes No If yes, please specify: List Arrest Where When Are you on probation now ? Officer’s Name: Are you on parole now? Charges Agent’s Name: Housing Rent Own Buying Amount per month: How many bedrooms/baths? $________________ House or Apartment Do you plan to remain in this residence, or are you looking for another location? Yes No List your residence for the past three years: Plans for Child Care if Needed: (if more space is needed, use the back) 1. If child care provider is licensed: Name: Address: Phone: 2. If child care provider is unlicensed: Name: Address: Date of Birth: Social Security Number: Phone: Relationship to child: FPR-24 R02-07 4 American LegalNet, Inc. www.FormsWorkFlow.com Household Composition Please list all other adults and children in the home, including your adult children. (if more space is needed, use back page.) Name: Other names used (incl. maiden/birth name): Age: Date of birth: Place of birth: Employer: Address: Monthly income: Business phone: Sex: Height: Weigh Eyes: Driver’s License/I.D. number: Hair: SSN number: Relationship to Guardian: Relationship to Child: Name: Other names used (incl. maiden/birth name): Age: Date of birth: Place of birth: Employer: Address: Monthly income: Business Phone: Sex: Height: Weigh Eyes: Driver’s License/I.D. number: Hair: SSN number: Relationship to Guardian: Relationship to Child: Name: Other names used (incl. maiden/birth name): Age: Date of birth: Place of birth: Employer: Address: Monthly income: Business phone: Sex Height Weight Eyes Driver’s License/I.D. number: Hair SSN number: Relationship to Guardian: Relationship to child: FPR-26 R02-07 5 American LegalNet, Inc. www.FormsWorkFlow.com SUMMARY OF VIEWS Please summarize your views and concerns as clearly as possible on the following pages. If additional space is needed, use back of the page and refer to the question number. 1. Why are you seeking guardianship of the child? 2. If the child lives with you, when did you get custody and how? Do the child’s parent’s agree with the guardianship? 3. Is there anyone who opposes your guardianship? Explain. 6 American LegalNet, Inc. www.FormsWorkFlow.com 4. How do you plan to care for the needs of the child with regard to housing, finances, schooling, childcare and supervision, discipline and guidance? 5. Does the child have any special problems? How are you qualified to help with these problems? I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: (Type or print name) FPR-26 R02-07 (Signature) 7 American LegalNet, Inc. www.FormsWorkFlow.com