Los Angeles local probate form — Notification to Court of Address on Conservatorship/guardianship (LASC PRO 003)

Source: https://lascpubstorage.blob.core.windows.net/forms/Forms%20Comprehensive%20List/LASC%20PRO%20003.pdf

• CONFIDENTIAL - NOTIFICATION TO COURT OF ADDRESS ON CONSERVATORSHIP/GUARDIANSHIP

CASE NUMBER: DATE OF HEARING: DATE LETTERS ISSUED:

CHECK ALL BOXES THAT APPLY: ACCOUNTING PERSON ESTATE TERMINATION LIMITED SUCCESSOR DEMENTIA COMPETING

SOCIAL SECURITY NUMBER: LANGUAGE: CONSERVATEE WARD

NAME: DATE OF BIRTH: PHONE NUMBER: ( ) ADDRESS: CITY: STATE: ZIP CODE:

ATTORNEY’S NAME: BAR NUMBER: PHONE NUMBER: ( )

CONSERVATOR GUARDIAN SOCIAL SECURITY NUMBER: LANGUAGE:
RELATIVE NON-RELATIVE

NAME: DATE OF BIRTH: PHONE NUMBER: ( ) ADDRESS: CITY: STATE: ZIP CODE:

E-MAIL: DRIVER’S LICENSE/I.D. NUMBER:

ATTORNEY’S NAME: BAR NUMBER: PHONE NUMBER: ( )

RELATIVES OF PROPOSED CONSERVATEE/WARD: NAME & RELATIONSHIP ADDRESS: PHONE NUMBER: ( ) NAME & RELATIONSHIP ADDRESS: PHONE NUMBER: ( ) NAME & RELATIONSHIP ADDRESS: PHONE NUMBER: ( ) NAME & RELATIONSHIP ADDRESS: PHONE NUMBER: ( ) NAME & RELATIONSHIP ADDRESS: PHONE NUMBER: ( ) NAME & RELATIONSHIP ADDRESS: PHONE NUMBER: ( ) NAME & RELATIONSHIP ADDRESS: PHONE NUMBER: ( )

OTHER COURT CASES PROPOSED CONSERVATEE/CONSERVATOR/GUARDIAN/WARD INVOLVED IN?

COURT & TYPE OF CASE: CASE NUMBER:

1. To be submitted at the time the Petition for Appointment of Conservator/Successor Conservator/Guardian is filed.
2. To be submitted at the time Letters of Conservatorship/Guardianship are presented for issuance.
3. To be submitted with the filing of Accountings.
4. Complete additional sheet for other contacts.

SCLAC PRO 003 Rev. 04/26 NOTIFICATION TO COURT OF ADDRESS ON Page 1 of 1 For Mandatory Use CONSERVATORSHIP/GUARDIANSHIP