SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE PALM SPRINGS 3255 E. Tahquitz Canyon Wy., Palm Springs, CA 92262 RIVERSIDE 4050 Main St., Riverside, CA 92501 TEMECULA 41002 County Center Dr ., #100, Temecula, CA 92591 RI - PR 074 ATTORNEY OR PARTY WITHOUT ATTORNEY ( Name, Stat e Bar Number and Address) FOR COURT USE ONLY TELEPHONE NO.: FAX NO. (Optional): E - MAIL ADDRESS (Optional): ATTORNEY FOR (Name ): CONSERVATORSHIP OF (NAME): CASE NUMBER: PETITION FOR REAPPOINTMENT AS CONSERVATOR : Person Estate (Sec. 5350 et seq. W & I Code) Petitioner (name): , alleges: 1. On (date): , the above named Conservatee was declared to be gravely disabled and peti tioner was appointed as conservator pursuant to Welf. and Inst. Code 2475350 et. seq. Letters of Conservatorship were issued to petitioner on (date): . 2. Petitioner has received notice from the Clerk of the Superior Court of Riverside County that thi s conservatorship will terminate on (date): . 3. The Conservatee is still gravely disabled as a result of a mental disorder impairment by chronic alcoholism, and no suitable alternative to conservatorship is av ailable. The opinions of two physicians or licensed psychologists who have a doctoral degree in psychology and at least five years of postgraduate experience in the diagnosis and treatment of emotional and mental disorders that the Conservatee is st ill gravely disabled shall be filed before the hearing on this petition. 4. Petitioner requests re - appointment as Conservator of the person estate without bond with the bond on file remaining in effect upon filing additional bond in the amount of $ . 5. It is necessary and in the best interests of the Conservatee that the court make the following orders: a. The conservator of the person shall have th e power to place the conservatee in one of the facilities set out in Welfare and Institutions Code 2475358(a). b. The conservatee shall not possess a license to operate a motor vehicle. c. The conservatee shall not enter into contracts or transactions exceeding $ . d. The conservatee cannot communicate, with or without reasonable accommodations, a desire to participate in the voting process. e. The conservatee shall not ha ve the right to refuse treatment related to the grave disability. Page 1 of 2 Approved for Optional Use Riverside Superior Court RI - PR074 [Rev. 05/23/17 ] PETITION FOR REAPPOINTMENT AS CONSERVATOR Sec. 5350 et seq. W & I Code riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com CONSERVATORSHIP OF (NAME): CASE NUMBER: f. The conservatee shall not have the right to refuse psychotropic medication. The medical staff at the facility is authorized to administer antipsychotic medication(s) involuntarily to conservatee as authorized conservator for the duration of this conservatorship. g. The conservatee shall not have the right to refuse routine medical treatment unrelated to remedying or preventing the recurrence of the grave disability, and the conservator of the person is granted the powers specified in Welfare and Institutions Code section 5358.2. h. The conservatee shall not have the right to possess a firearm. i. The conservator is authorized to pay the conservatee out of the estate the personal needs allowance of each month until further court order. j. Other orders as specified in attachment 5. 6. So far as known to the petitioner, in addition to the conservatee and his or her counsel, the following persons and/or agencies are entitiled to notice of hearing of this petition: NAME RELATIONSHIP ADDRESS The conservatee has requested that no notice be provided to the conservatee222s relatives other than those indicated above. (DATE) (TYPE OR PRINT NAME OF ATTORNEY FOR PETITIONER) (SIGNATURE OF ATTORNEY FOR PETITIONER) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. (DATE) (TYPE OR PRINT NAME OF PETITIONER) (SIGNATURE OF PETITIONER) (TYPE OR PRINT NAME OF PETITIONER) (SIGNATURE OF PETITIONER) Page 2 of 2 Approved for Optional Use Riverside Superior Court RI-PR074 [Rev. 05/23/17] PETITION FOR REAPPOINTMENT AS CONSERVATOR Sec. 5350 et seq. W & I Code riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com