DECLARATION OF SERVICE L-0984d (Rev. April 24, 2025) Welfare and Institutions Code §§ 5350-5372 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: DECLARATION OF SERVICE CASE NUMBER: I, the undersigned, hereby declare that I mailed, or hand delivered a copy of the Petition for Reappointment of Conservator and Notice of Hearing as follows: 1.

Date:  Mailed  Hand Delivered to: 2. Date:  Mailed  Hand Delivered to: 3. Date:  Mailed  Hand Delivered to: 4. Date:  Mailed  Hand Delivered to: Orange County Health Care Agency Mental Health Director West th Street, Suite Santa Ana, CA Orange County Public Guardian P.O. Box Santa Ana, CA Orange County Public Defender W. Santa Ana Blvd., Suite Santa Ana, CA Conservatee: Address: 5. Date:  Mailed  Hand Delivered to: Facility: Address: 6.

Date:  Mailed  Hand Delivered to: Other: Address: I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct Date: (TYPE OR PRINT NAME) (SIGNATURE OF CONSERVATOR)