CONSERVATOR REQUESTING PEACE OFFICER ASSISTANCE CALIFORNIA WELFARE AND INSTITUTIONS CODE (WIC) DIVISION 5. COMMUNITY MENTAL HEALTH SERVICES PART 1. THE LANTERMAN-PETRIS-SHORT ACT CHAPTER 1. GENERAL PROVISIONS SECTION 5358.5: When any conservatee placed into a facility pursuant to this chapter leaves the facility without the approval of the conservator or the person in charge of the facility, or when the conservator appointed pursuant to this chapter deems it necessary to remove his conservatee to the county designated treatment facility, the conservator may take the conservatee into custody and return him to the facility or remove him to the county designated treatment facility. A conservator, at his discretion, may request a peace officer to detain the conservatee and return such person to the facility in which he/she was placed or to transfer such person to the county designated treatment facility, pursuant to Section 7325 of the Welfare and Institutions Code. Such request shall be in writing and accompanied by a certified copy of the letters of conservatorship showing the person requesting detention and transfer to be the conservator appointed pursuant to this chapter as conservator of the person sought to be detained. Either the conservator or his assistant or deputy may request detention under this section. Whenever possible, persons charged with apprehension of persons pursuant to this section shall dress in plain clothes and shall travel in unmarked vehicles. (Amended by Stats. 1974, Ch. 833) Pursuant to the above WIC Sec 5358.5, I,__________________________________________________ , conservator (Conservator) for _______________________________________________ (Conservatee) ______________________, (Court Case #) hereby request the assistance of____________________________________________ (Law Enforcement Agency) to detain the conservatee and return such person to the facility in which he/she was placed. Facility: _________________________________ Address: ____________________________________________ OR COUNTY DESIGNATED TREATMENT FACILITY Attached hereto is a certified copy of my "Letters of Conservatorship" showing that I am the conservator appointed pursuant to this chapter as conservator of the person sought to be detained. American LegalNet, Inc. www.FormsWorkFlow.com