San Mateo — List of Conservatee's Relatives/Friends (Attachment to PR-1)

Source: https://sanmateo.courts.ca.gov/system/files/local-forms/l-pr-1ancac.pdf

CONFIDENTIAL (DO NOT ATTACH TO PETITION) CONSERVATORSHIP OF (Name): CASE NUMBER:

(Proposed) CONSERVATEE’S INFORMATION & LIST OF RELATIVES/FRIENDS (Attach to Form PR-1)

Please list spouse or registered domestic partner, conservatee’s 1 st degree relatives (parents and children) and 2 nd degree relatives (brothers, sisters, grandparents & grandchildren). If there is a close friend or neighbor who is involved, please list.

Name: Relationship:

Address: Zip:

Home Phone No: Work Phone No:

Email:

Name: Relationship:

Address: Zip:

Home Phone No: Work Phone No:

Email:

Name: Relationship:

Address: Zip:

Home Phone No: Work Phone No:

Email:

Name: Relationship:

Address: Zip:

Home Phone No: Work Phone No:

Email:

Name: Relationship:

Address: Zip:

Home Phone No: Work Phone No:

Email:

PAGE: of

CONSERVATEE’S INFORMATION AND LIST OF RELATIVES/FRIENDS – CONFIDENTIAL

Form Adopted for Mandatory Use (ADDITIONAL PAGE) Superior Court of California, County of San Mateo PR-1A [Revised and effective August 2009]