Choose a location ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS): TELEPHONE NO.: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA BARBARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: (PROPOSED) CONSERVATORSHIP OF: PERSON LIMITED ESTATE CASE NUMBER: CONSERVATORSHIP CONTACT INFORMATION (CONFIDENTIAL) HEARING DATE: PROPOSED REVIEW SUCCESSOR CONSERVATOR General Directions: This form must be filed with petitions for the appointment of a conservator, for appointment of a successor conservator, and with subsequent accountings. Add pages if necessary to give complete information. 1. (PROPOSED) CONSERVATEE ________________________ Name ________________________ Address ____________________________ City, State, Zip Code Telephone Numbers: ____________________ Residence _________________________ Day Program (if appropriate) SPECIAL PROBLEMS RELATED TO INVESTIGATION (i.e. language, personal safety, communication) _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ NOTE: The Court must be notified immediately of address changes of Conservatees and Conservators. 2. PETITIONER (if different from Proposed Conservator) _________________________ Name _________________________ Address ____________________________ City, State, Zip Code (cell)____________________ Telephone Numbers: (home) __________________ (work) __________________ Relationship to (Proposed Conservatee) _________________________ Page 1 of 3 Mandatory Form SC-6003 [Rev. Jun. 22, 2007] CONSERVATORSHIP CONTACT INFORMATION (CONFIDENTIAL) Probate Code §§2250.6(a)(1)(A)(B)(C), §1826(a)(1)(2), §1851(a) American LegalNet, Inc. www.FormsWorkFlow.com Insert Case Name: CASE NUMBER: 3. (PROPOSED) CONSERVATOR _________________________ Name _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________ Telephone Numbers: (home) ___________________ (work) ___________________ Relationship to (Proposed Conservatee) _________________________ 4. SPOUSE REGISTERED DOMESTIC PARTNER _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________ __________________________ Name Telephone Numbers: (home) ___________________ 5. (work) ___________________ RELATIVES WITHIN THE FIRST DEGREE (Adult Children, Parents) _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________ __________________________ Name Telephone Numbers: (home) ___________________ (work) ___________________ Relationship to (Proposed Conservatee) _________________________ _________________________ Name _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________ Telephone Numbers: (home) ___________________ (work) ___________________ Relationship to (Proposed Conservatee) _________________________ _________________________ Name _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________ Telephone Numbers: (home) ___________________ (work) ___________________ Relationship to (Proposed Conservatee) _________________________ 6. RELATIVES WITHIN THE SECOND DEGREE (Grandparents, Adult Grandchildren, Sisters and Brothers) _________________________ Address ______________________________ City, State, Zip Code (cell) ___________________ _________________________ Name Telephone Numbers: (home) ___________________ (work) ___________________ Relationship to (Proposed) Conservatee _________________________ _________________________ Name _________________________ Address ______________________________ City, State, Zip Code (cell) __________________ Telephone Numbers: (home) ___________________ (work) ____________________ Relationship to (Proposed) Conservatee _________________________ Page 2 of 3 Mandatory Form SC-6003 [Rev. Jun. 22, 2007] CONSERVATORSHIP CONTACT INFORMATION (CONFIDENTIAL) Probate Code §§2250.6(a)(1)(A)(B)(C), §1826(a)(1)(2), §1851(a) American LegalNet, Inc. www.FormsWorkFlow.com Insert Case Name: CASE NUMBER: 7. RELATIVES PURSUANT TO PROBATE CODE §1821(B) If no spouse or domestic partner of the proposed conservatee or relatives within the second degree are known to the petitioner, please identify: Spouse or domestic partner of a predeceased parent of a proposed conservatee: _________________________ Name _________________________ Address _____________________________ City, State, Zip Code (cell) __________________ Telephone Numbers: (home) ___________________ (work) ___________________ Children of a predeceased spouse or domestic partner of a proposed conservatee (Attach pages if necessary) _________________________ Name _________________________ Address _____________________________ City, State, Zip Code (cell) __________________ Telephone Numbers: (home) ___________________ (work) ___________________ Siblings of the proposed conservatee's parents, but if none, then the natural and adoptive children of the proposed conservatee's parent's siblings (Attach pages if necessary) _________________________ Name _________________________ Address _____________________________ City, State, Zip Code (cell) __________________ Telephone Numbers: (home) ___________________ (work) ___________________ Nieces and nephews of the proposed conservatee (Attach pages if necessary) _________________________ Name _________________________ Address _____________________________ City, State, Zip Code (cell) __________________ Telephone Numbers: (home) ___________________ 8. NEIGHBORS (work) ___________________ _______________________ Name _______________________ Name 9. FRIENDS (home) _________________ (work) _________________ (cell)_________________ Telephone Numbers (home) _________________ (work) _________________ (cell)_________________ Telephone Numbers _______________________ Name _______________________ Name (home) _________________ (work) _________________ (cell)_________________ Telephone Numbers (home) _________________ (work) _________________ (cell)_________________ Telephone Numbers Page 3 of 3 Mandatory Form SC-6003 [Rev. Jun. 22, 2007] CONSERVATORSHIP CONTACT INFORMATION (CONFIDENTIAL) Probate Code §§2250.6(a)(1)(A)(B)(C), §1826(a)(1)(2), §1851(a) A