PETITIONER (Name and Address): TELEPHONE NO.: IN PROPRIA PERSONA SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE STREET ADDRESS: 341 THE CITY DRIVE P.O. BOX 14171 CITY AND ZIP CODE: ORANGE, CA 92863-1571 CONSERVATORSHIP OF: CONSERVATEE CASE NUMBER: ORDER REAPPOINTING CONSERVATOR 1. LPS The petition for the reappointment of a conservator of the person of (name): ____________________________________________________ came regularly for hearing on (date): ____________________________________. (Name): _________________________________________________ appeared on behalf of the conservatee. The conservatee was present in court and was advised of his or her right to a court or jury trial. The presence of the conservatee was waived. The conservatee did not waive his or her right to trial, but consented to the reappointment of a conservator by the court. a. b. c. 2. THE COURT FINDS, after examining the petition and hearing the evidence, that a. All notices of the hearing have been given as required by law. b. The conservatee is still gravely disabled as defined in section 5008(h) for the purposes of section 5350 of the Welfare and Institutions Code. c. It is in the best interests of the conservatee that a conservator of his or her person be reappointed. 3. IT IS ORDERED, a. (Name): _______________________________________________________________ is reappointed conservator of the person of (name): _____________________________________________and appropriate Letters of Conservatorship shall be issued to the conservator upon filing the oath required by section 2300 of the Probate Code. b. The conservator shall have the power to require the conservatee to receive treatment related specifically to remedying or preventing the recurrence of the conservatee’s being gravely disabled and to require the conservatee to receive treatment for an existing or continuing medical condition described as follows (specify): _______________________________________________________________ ________________________________________________________________________________________________________ ________________________________________________________________________________________________________ c. The conservator shall be guided by the advice of medical doctors specializing in psychiatry and other qualified medical and social welfare personnel. The conservator is authorized to require that the conservatee be detained in a facility providing intensive treatment for the purpose of involuntary care and treatment, or to place this conservatee in a medical, psychiatric, nursing, or other state-licensed facility or state hospital, county hospital, hospital operated by the Regents of the University of California, United States Government hospital, or a nonmedical facility approved by the State Department of Mental Health or an agency accredited by the State Department of Mental Health pursuant to Welfare and Institutions Code section 5358. (Continued) LPS-5 [New July 1, 1987] 984 (R3/09) ORD 3RC ORDER REAPPOINTING CONSERVATOR American LegalNet, Inc. www.FormsWorkflow.com CASE NUMBER: CONSERVATORSHIP OF: LPS CONSERVATEE d. The conservatee shall not have the privilege of possessing a license to operate a motor vehicle, nor the right to possess or carry firearms. e. The conservatee shall not be allowed to refuse treatment related specifically to the conservatee’s being gravely disabled, or to refuse treatment necessary for the treatment of an existing or continuing medical condition described as follows (specify): _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ f. The court determined that a (1) (2) (3) (4) public locked facility private locked facility private unlocked facility board and care facility (5) currently (specify): _________________________________________________________________________________________ is the least restrictive and most appropriate placement for the conservatee. g. In addition to the conservatee’s attorney and the county’s patients’ rights advocate, the following persons shall be notified of a placement more restrictive than the court-determined placement (names): _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ _________________________________________________________________________________________________________ h. (1) The reappointment shall be effective as of (date): ____________________________________________________. (2) The conservatorship shall terminate on (date): _____________________________________________, unless a conservator is earlier reappointed. i. The declarations in support of reappointment of conservator shall be sealed and are not to be opened without a further order of the court. j. Other (specify): Date: ____________________________________ _______________________________________________________________ (JUDGE OF THE SUPERIOR COURT) LPS-5 [New July 1, 1987] (R3/09) Page two ORDER REAPPOINTING CONSERVATOR American LegalNet, Inc. www.FormsWorkflow.com