INSTRUCTIONS 3 OF 4 DOCUMENTS NEEDED WHEN REQUESTING RE-APPOINTMENT Numbers on the left hand side of these instructions match numbers on the form REMEMBER USE BLACK INK PEN ONLY NOTICE OF HEARING 1. Fill in the name of the Conservatee, first name first; middle name, last name last. Example: John Smith 2. Fill in the Court Case #. Remember all court case # for Department 95A begin with M, MP, or ZE followed by six numbers. 3. Fill in the Facility: name, address, and telephone # where the Conservatee is currently living. If the Conservatee lives at Home, put the word “Home”; Include address and telephone #. If the Conservatee lives in an Apartment, put the word “Apartment”; Include name of Apartment, Apt #, address, and telephone # Other: name, address, and telephone # of any party/agency/attorney to whom you are required to give Notice. 4. Fill in the date and your signature. Page 1 of 2 2001 © American LegalNet, Inc. | | | | | Do not write in this space ____________________________________|_________________________________________ SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES MENTAL HEALTH COURT ______________________________________________________________________________ In the Matter of the | Conservatorship of: | | (2) COURT CASE #_______________ | (1).______________________________ | NOTICE OF HEARING Conservatee | | ____________________________________|_________________________________________ TO: DIRECTOR OF HEALTH, STATE OF CALIFORNIA LOS ANGELES COUNTY DIRECTOR OF MENTAL HEALTH/ PUBLIC GUARDIAN ATTORNEY FOR CONSERVATEE CONSERVATEE (3) FACILITY in which Conservatee resides______________________ OTHERS: ______________________________________________ ______________________________________________ NOTICE is hereby given that the PETITION FOR RE-APPOINTMENT AS CONSERVATOR in the above action is set for hearing in Department 95A of the Superior Court of the State of California for the County of Los Angeles on _________________ at 8:30 a.m., located at 1150 North San Fernando Road, Los Angeles, California 90065. (4) _________ Date _________________________________ Signature of Conservator Page 2 of 2 2001 © American LegalNet, Inc.