Petition For Reappointment Of Conservator Attorney Or Party Without Attorney

Cal. Form L9-84A

California Superior Local Rules

Welfare and Institutions Code, §§5350-5372 www.occourts.org Approved for Optional Use L-0984a (Rev. May 2023) PETITION FOR REAPPOINTMENT OF CONSERVATOR ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): Telephone No.: Fax No. (Optional): E-Mail Address (Optional): ATTORNEY FOR (Name): Bar No: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Costa Mesa Justice Complex Harbor Blvd. Costa Mesa, CA 92626-1554 IN THE MATTER OF: PETITION FOR REAPPOINTMENT OF CONSERVATOR CASE NUMBER: PETITIONER (name): states: 1. a. Petitioner was appointed conservator of the person of the conservatee (name): b.

Petitioner qualified, and Letters of Conservatorship were duly issued on or about (date): c. Petitioner is now, and since that date has been, the duly appointed, qualified, and acting conservator of the person of the conservatee. 2. The conservatee is presently confined at: It is the professional opinion of: , M.D. and M.D., as set forth in their declaration dated: (attached as “Exhibit A” and incorporated by reference) that the conservatee is still gravely disabled as a result of a mental disorder or impairment by chronic alcoholism and is unwilling to accept or incapable of accepting treatment voluntarily. 3.

Petitioner is informed and believes and on that information and belief alleges that the conservatee is still a gravely disabled person as defined in

Section 5008(

h) of the Welfare and Institutions Code as a result of a mental disorder or impairment by chronic alcoholism, is unwilling to accept or incapable of accepting treatment voluntarily, and is in need and does require a conservator of his or her person. 4. It is in the best interests of the conservatee and necessary that the conservator have the following powers: a.

The power to place, for the purpose of involuntary care and treatment, the conservatee in a medical, psychiatric, nursing or other state- licensed facility, or a state hospital, county hospital, hospital operated by the Regents of the University of California, United States Government Hospital, or other nonmedical facility approved by the State Department of Health Care Services or an agency accredited by the State Department of Health Care Services; or, in cases of chronic alcoholism, in a county alcoholic treatment center, as provided in

Section of the Welfare and Institutions Code. b. The power to require the conservatee to receive treatment related specifically to remedying or preventing the recurrence of the conservatee’s being gravely disabled. c. The power to require conservatee to receive other medical treatment unrelated to remedying or preventing the recurrence of the conservatee’s being gravely disabled which is necessary for the treatment of an existing or continuing medical condition, namely (specify medical condition and treatment): 5.

It is necessary and in the best interests of the conservatee that the conservatee not be permitted to possess a license to operate a motor vehicle, nor to possess or carry firearms. Welfare and Institutions Code, §§5350-5372 www.occourts.org Approved for Optional Use L-0984a (Rev. May 2023) PETITION FOR REAPPOINTMENT OF CONSERVATOR IN THE MATTER OF: CASE NUMBER: WHEREFORE, Petitioner prays that: 1. A conservator of the person be reappointed for the conservatee. 2.

The conservator of the person be given the power to place, for the purpose of involuntary care and treatment, the conservatee in a medical, psychiatric, nursing, or other state-licensed facility, or a state hospital, county hospital, hospital operated by the Regents of the University of California, United States Government hospital, or other nonmedical facility approved by the State Department of Mental Health; or, in a case of chronic alcoholism, in a county alcoholic treatment center pursuant to

section of Welfare and Institutions Code. 3. The conservator of the person be given the powers to require the conservatee to receive treatment related specifically to remedying or preventing the recurrence of the conservatee’s being gravely disabled and to require the conservatee to receive other medical treatment unrelated to remedying or preventing the recurrence of the conservatee’s being gravely disabled, which is necessary for the treatment of an existing or continuing medical condition, namely (specify medical condition and treatment): 4.

The conservatee not be allowed to possess a license to operate a motor vehicle, nor possess or carry firearms. 5. Other relief be granted as the court deems proper. Dated: (TYPE OR PRINT NAME) (SIGNATURE OF CONSERVATOR) VERIFICATION I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Dated: (TYPE OR PRINT NAME) (SIGNATURE OF CONSERVATOR)

Document details

Collection	California Superior Local Rules
Citation	Cal. Form L9-84A
Type	court_rule
Language	en
Format	pdf
Source	CA_LOCAL
Identifier	0efd519a07ed6195bbaced6a9ad5562769b4474a

Source file is stored in the law ingest library (pdf).