VN248 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA 4353 E. Vineyard Avenue, Oxnard, CA 93036 CONFIDENTIAL EXPARTE / TEMPORARY CONSERVATORSHIP INFORMATION SUMMARY (For Court Investigator) Exparte Hearing Date: Name of Petitioner and Relationship to Conservatee: Address: Phone No.: SSN: DOB: DLN: Case Number: CASE NUMBER: Proposed Conservatee: Current Address of Conservatee: Phone No.: Spouse or Registered Domestic Partner: What is the Emergency? Persons Opposed to Temporary Conservatorship (name(s) and Ph. No.'s): Mandatory Form VN248 (01/2015) CONFIDENTIAL EXPARTE / TEMPORARY CONSERVATORSHIP INFORMATION SUMMARY Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com VN248 Names and Phone Numbers of Relatives to the 2nd Degree Parents (names and phone numbers): Adult Children of Conservatee (names and phone numbers): Grandparents (names and phone numbers): Brothers and Sisters of Proposed Conservatee (names and phone numbers): Mandatory Form VN248 (01/2015) CONFIDENTIAL EXPARTE / TEMPORARY CONSERVATORSHIP INFORMATION SUMMARY Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com