SUPERIOR COURT OF CALIFORNIA, COUNTY OF SONOMA Probate Court Services 600 Administration Drive, Room 108-J Santa Rosa, CA 95403-2878 IN THE MATTER OF THE PROPOSED GUARDIANSHIP OF: Court No.: __________________ Hearing Date: _______________ _______________________________Minor(s) REPORT OF PROPOSED GUARDIAN Pursuant to local court policy, this report MUST be fully completed by all persons petitioning to be appointed as guardian for a minor. The information in the report will be used by the Court for the following purposes: 1. To determine whether an investigation should be performed in accordance with Section 1513 of the Probate Code; and To determine whether Sonoma County should be reimbursed, in whole or in part, for the expense of an investigation. 2. The original of this report must be filed with the Petition for Appointment of Guardian. The Superior Court Clerk's Office will not accept petitions not accompanied by this report. After filing the original, an endorsed copy of this report, together with a copy of the petition and ALL attachments, must be delivered within five days to the office of Probate Court Services at the following address: Probate Court Services 600 Administration Drive, Room 108-J Santa Rosa, CA 95403 If you are asking to be appointed guardian of more than one minor, please provide the information requested in paragraph 1 for each minor by attaching separate sheets of paper. Form adopted for mandatory use Superior Court of California, County of Sonoma PR-2 [Rev. 5/18/2012] REPORT OF PROPOSED GUARDIAN Page 1 of 9 American LegalNet, Inc. www.FormsWorkFlow.com I. A. B. MINOR (1): Birth name: ______________________________ Age: ______ Date of Birth: _______________ With whom has minor lived from birth to present date? ______ to ______with ____________________________________________________________ ______ to ______with ____________________________________________________________ ______ to ______with ____________________________________________________________ Who presently has legal custody of the minor? _____________________________________________________________________________ Name under which minor is presently enrolled in school: _____________________________________________________________________________ School in which minor is presently enrolled: _____________________________________________________________________________ Does the minor have a history of attendance, achievement or adjustment problems in school? Yes No Does the minor have a history of involvement with the police, the Juvenile Court, the Probation Department, the Social Service Department or the Child Protective Service? Yes No Does the minor have any special physical, medical, developmental, educational or psychological needs requiring restricted activity, ongoing medical supervision, special educational services or professional counseling? Yes No Has the minor ever been a patient in an institution operated by a State Department of Mental Health or a state Department of Developmental Services? Yes No Are there currently pending any other proceedings affecting the Minor's custody such as adoption, Juvenile court or Dissolution of Marriage proceedings? Yes No Has the minor ever been married? Yes No If you answered yes to any of the above, please elaborate: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ C. D. E. F. G. H. I. J. K. L. Form adopted for mandatory use Superior Court of California, County of Sonoma PR-2 [Rev. 5/18/2012] REPORT OF PROPOSED GUARDIAN Page 2 of 9 American LegalNet, Inc. www.FormsWorkFlow.com M. How does the minor feel about your appointment as guardian? ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ II. A. B. MINOR (2): Not Applicable Birth name: ______________________________ Age: ______ Date of Birth: _______________ With whom has minor lived from birth to present date? ______ to ______with ____________________________________________________________ ______ to ______with ____________________________________________________________ ______ to ______with ____________________________________________________________ Who presently has legal custody of the minor? _____________________________________________________________________________ Name under which minor is presently enrolled in school: _____________________________________________________________________________ School in which minor is presently enrolled: _____________________________________________________________________________ Does the minor have a history of attendance, achievement or adjustment problems in school? Yes No Does the minor have a history of involvement with the police, the Juvenile Court, the Probation Department, the Social Service Department or the Child Protective Service? Yes No Does the minor have any special physical, medical, developmental, educational or psychological needs requiring restricted activity, ongoing medical supervision, special educational services or professional counseling? Yes No Has the minor ever been a patient in an institution operated by a State Department of Mental Health or a state Department of Developmental Services? Yes No Are there currently pending any other proceedings affecting the Minor's custody such as adoption, Juvenile court or Dissolution of Marriage proceedings? Yes No Has the minor ever been married? Yes No If you answered yes to any of the above, please elaborate: ______________________________________________________________________________ ______________________________________________________________________________ C. D. E. F. G. H. I. J. K. L. Form adopted for mandatory use Superior Court of California, County of Sonoma PR-2 [Rev. 5/18/2012] REPORT OF PROPOSED GUARDIAN Page 3 of 9 American LegalNet, Inc. www.FormsWorkFlow.com M. How does the minor feel about your appointment as guardian? ______________________________________________________________________________ ________________________________________