Fresno — Termination Questionnaire

Source: https://www.fresno.courts.ca.gov/probate/documents/Guardianship Termination Questionnaire.pdf

SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO Probate Department, Central Division 1130 ‘O’ Street Fresno, CA 93721 (559) 457-1888

PROBATE COURT TERMINATION OF GUARDIANSHIP QUESTIONNAIRE

When seeking termination of guardianship of a child(ren), the following Guardianship Termination Questionnaire is required to be completed in its entirety and returned to the Probate Clerk’s Office. Please include copies of any important information such as parenting class certificates, treatment programs, certificates of completion, school records, etc.

Case Number:

NAME(S) OF CHILD(REN):

DOB (listed in the order of children on line above):

Child’s Address: School(s):

PETITIONER(S) FOR TERMINATION OF GUARDIANSHIP:

Name: AKA or Maiden Name:

Best Contact Phone Number: Work Number:

Driver’s License/I.D. No.: Social Security No.:

Date of Birth: Place of Birth:

Relationship to Child(ren) on Petition:

Address:

Attorney for Petitioner(s):

Name: Phone Number:

CURRENT GUARDIAN(S):

Name: AKA or Maiden Name:

Address:

Best Contact Phone Number: Work Number:

TPR-05 R07-20 Guardianship Termination Questionnaire Page 1 of 5 MANDATORY (CONFIDENTIAL)

SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO Probate Department, Central Division 1130 ‘O’ Street Fresno, CA 93721 (559) 457-1888

PARENTS OF MINORS: (Full legal names) If one of the natural parents has died, please mark “deceased” for that person’s address and add the date of death, if known.

Name: AKA or Maiden Name:

Address:

Best Contact Phone Number: Work Number:

Driver’s License/I.D. No.: Social Security No.:

Date of Birth: Place of Birth:

Relationship to Child(ren) on Petition:

Name: AKA or Maiden Name:

Best Contact Phone Number: Work Number:

Driver’s License/I.D. No.: Social Security No.:

Date of Birth: Place of Birth:

Relationship to Child(ren) on Petition:

ADULTS IN HOUSEHOLD:

Name: AKA or Maiden Name:

Best Contact Phone Number: Work Number:

Driver’s License/I.D. No.: Social Security No.:

Date of Birth: Place of Birth:

Relationship to Child(ren) on Petition:

Occupation:

Name: AKA or Maiden Name:

Best Contact Phone Number: Work Number:

Driver’s License/I.D. No.: Social Security No.:

TPR-05 R07-20 Guardianship Termination Questionnaire Page 2 of 5 MANDATORY (CONFIDENTIAL)

SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO Probate Department, Central Division 1130 ‘O’ Street Fresno, CA 93721 (559) 457-1888

ADULTS IN HOUSEHOLD (Cont’d.):

Date of Birth: Place of Birth:

Relationship to Child(ren) on Petition:

Occupation:

Name: AKA or Maiden Name:

Best Contact Phone Number: Work Number:

Driver’s License/I.D. No.: Social Security No.:

Date of Birth: Place of Birth:

Relationship to Child(ren) on Petition:

Occupation:

List parents’ other children, including minor and adult children. Please include first and last names.

Names (List all) Age DOB Children’s Address School (if going)

EMPLOYMENT:

Present or Last Employer: Address:

Work Days & Hours: Employment Began: Ended:

Type of Work:

Gross Monthly Income (all sources, excluding child and spousal support):

Monthly Expenses:

Previous Employer: Address:

TPR-05 R07-20 Guardianship Termination Questionnaire Page 3 of 5 MANDATORY (CONFIDENTIAL)

SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO Probate Department, Central Division 1130 ‘O’ Street Fresno, CA 93721 (559) 457-1888

EMPLOYMENT (Cont’d.):

Employment Began: Ended:

Reason Ended:

CRIMINAL RECORD:

Have charges ever been filed against you for any crime other than traffic citations?

Yes No If yes, please specify:

List Arrests: Where When Charge

Are you on Probation now? Yes No Officer’s Name:

Are you on Parole now? Yes No Agent’s Name:

HOUSING:

Rent Own Buying Amount Per Month:

How Many Bedrooms/Bathrooms? / House? Apartment?

Do you plan to remain in this residence? Yes No

If your answer to the previous question is “No”, how long do you plan to remain in your current residence? [Days] [Months] [Years]

List your residences for the past three years:

TPR-05 R07-20 Guardianship Termination Questionnaire Page 4 of 5 MANDATORY (CONFIDENTIAL)

SUPERIOR COURT OF CALIFORNIA COUNTY OF FRESNO Probate Department, Central Division 1130 ‘O’ Street Fresno, CA 93721 (559) 457-1888 ADDITIONAL INFORMATION

Please explain, as clearly as possible on the following pages, the information requested. If additional space is needed, use the back of the page and refer to the question number.

1. Briefly summarize the reasons you are requesting termination of the guardianship.

2. What is the guardian’s opinion regarding your request for termination of the guardianship?

3. List any parenting classes or additional program(s) in which you have participated that you feel enhance your ability to parent. Please provide certificates of completion.

4. Please describe the contact you have had with the child(ren) since the guardianship has been in effect.

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

TPR-05 R07-20 Guardianship Termination Questionnaire Page 5 of 5 MANDATORY (CONFIDENTIAL)