SAN BERNARDINO COUNTY SUPERIOR AND MUNICIPAL COURTS PROBATE INVESTIGATORS REFERRAL REPORT (To be completed if proposed ward or conservatee will NOT be able to attend hearing per Probate Code Section 1461.1 and 1754.) Probate No. Hearing Date Filing Date Date Mailed to Central Proposed Conservatee Zip Address (Presently located if different) Phone Zip Address Phone Phone Person in charge Name of residence if other than private home Phone Person to be contacted to make appointment with conservatee 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 15-14521-360 Rev. 7/93 2000 (C) American LegalNet, Inc. SB-360