SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA BANNING 135 N. Alessandro Road, Banning, CA 92220 MURRIETA 30755-D Auld Road, Murrieta, CA 92563 BLYTHE 265 North Broadway, Blythe, CA 92225 RIVERSIDE 4050 Main St., Riverside, CA 92501 HEMET 880 N. State St., Hemet, CA 92543 RIVERSIDE 4175 Main St., Riverside, CA 92501 PALM SPRINGS 3255 E. Tahquitz Canyon Way, Palm Springs, CA 92262 TEMECULA 41002 County Center Dr., #100, Temecula, CA 92591 PROBATE INVESTIGATORS REFERRAL REPORT (To be completed if proposed ward or conservatee will NOT be able to attend hearing per Probate Code Section 1825 and as prescribed by this Court's Probate Policy Memoranda.) Probate # Hearing Date Filing Date Proposed Conservatee Address Zip Phone Address (Presently located if different) Zip Phone Name of residence if other than private home Person in charge Phone Person to be contacted to make appointment with proposed conservatee Phone Attorney Address Zip Phone Proposed conservator Address Zip Phone Doctor declaring non-attendance Address Zip Phone State any information that should be available to investigator: DATE: Signature of person completing form 393.5 (Rev. 4-5-10) RI-P02 American LegalNet, Inc. www.FormsWorkFlow.com