GC-366 Petition for Orders Accepting Transfer (California Conservatorship Jurisdiction Act)

Source: https://www.courts.ca.gov/documents/gc366.pdf

GC-366 ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER: FOR COURT USE ONLY NAME: FIRM NAME: STREET ADDRESS: CITY: STATE: ZIP CODE: TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: CONSERVATORSHIP OF CASE NUMBER: (name): CONSERVATEE PETITION FOR ORDERS ACCEPTING TRANSFER HEARING DATE AND TIME: DEPT.: (California Conservatorship Jurisdiction Act)

1. Protected person's (the conservatee's or ward's) personal information: Name: Residence address:

Telephone number: Email address:

2. I, (name): was appointed the conservator or guardian for the person named in 1 by a court of record of the state* of (specify): (the transferring state) on (date): . My appointment remains in effect.

3. The California Conservatorship Jurisdiction Act (CCJA) (Prob. Code, §§ 1981–2033) applies to this proceeding because the protected person: Is 18 years of age or older; Is not involuntarily committed to a mental health facility or receiving any other involuntary mental health care or treatment; and Has not been diagnosed or assessed with a developmental disability.

4. A certified copy of the provisional order of transfer issued by a court of record in the transferring state is attached to this form.

   The existing protective proceeding is best described under California law as (check all that apply): a. A conservatorship of the person (The court order gives me powers and duties to manage the protected person's needs for food, clothing, shelter, or health care.) b. A conservatorship of the estate (The court order gives me powers and duties to manage the protected person's finances and property.)

*Under the California Conservatorship Jurisdiction Act, "state" includes a federally recognized Indian tribe and a district, territory, or possession described in Probate Code section 1982(m). Judicial Council of California, courts.ca.gov GC-366, Page 1 of 3Rev. January 1, 2026, Optional Form Petition for Orders Accepting Transfer Prob. Code, §§ 1993–1994, 2002 (California Conservatorship Jurisdiction Act)

GC-366 CONSERVATORSHIP OF CASE NUMBER: (name): CONSERVATEE

5. Factors relevant to determining the jurisdiction of the California court:

   a. The conservatee has been physically present in California since (date): and remains present in California.

   b. The conservatee was physically present in California from (date): to (date): , ending within six months of the date this petition is filed.

   c. The conservatee has the following connections to California (list all that apply): (1) The following relatives and other persons required to receive notice of the proceeding reside in California: Continued on Attachment 5c(1). (Use a blank sheet of paper or form MC-025.) (2) The conservatee was physically present in California during the following periods: From (date): to (date): From (date): to (date): From (date): to (date): From (date): to (date): Continued on Attachment 5c(2). (Use a blank sheet of paper or form MC-025.) (3) The conservatee will move permanently to California and reside at the following address (provide if known): (4) The conservatee holds a legal or beneficial interest in the following property located in California (describe each piece of property; give the street address of real property or the location of personal property): Additional property is described on Attachment 5c(4). (Use a blank sheet of paper or form MC-025.) (a) Estimated value of real property in California: $ (b) Estimated value of personal property in California: $ (c) Annual gross income from (i) Real property: $ (ii) Personal property: $ (iii) Pensions: $ (iv) Wages: $ (v) Public assistance benefits: $ (vi) Other: $ Subtotal of (c): $ 0.00 (d) Total of (a), (b), and (c): $ 0.00 (5) The conservatee has the following other ties to California (for example, voter registration, driver's license, tax filing):

Continued on Attachment 5c(5). (Use a blank sheet of paper or form MC-025.) Rev. January 1, 2026 Petition for Orders Accepting Transfer GC-366, Page 2 of 3 (California Conservatorship Jurisdiction Act)

GC-366 CONSERVATORSHIP OF CASE NUMBER: (name): CONSERVATEE

6. I request that the court:

a. Accept transfer of this proceeding and recognize the transferring state's conservatorship order.

b. (1) Appoint me as conservator of the person estate under California law for the person named in 1, or
(2) Appoint (name):
(mailing address):

(telephone number): (email):
(relationship to conservatee): , who is eligible for appointment under California law,
as conservator of the person estate for the person named in 1.

c. Issue the attached Order Appointing Probate Conservator (form GC-340).

(1) The attached order does not modify the powers granted to the conservator or any other material terms in the
transferring state's conservatorship order.

(2) The attached order modifies the powers granted to the conservator or other material terms in the transferring state's
conservatorship order to conform to California law as follows:
(a) Powers modified:

(b) Duties modified:

(c) Bond modified:

(d) Other information needed:

Additional modifications are included on Attachment 6c(2). (Attach a blank sheet of paper or form MC-025.)

d. Issue Letters of Conservatorship (form GC-350) upon the appointee's qualification.

7. A Petition for Appointment of Temporary Conservator (form GC-111) is filed with this petition.

8. The conservatee has has not been diagnosed with a major neurocognitive disorder (major NCD) such as
   dementia.

   a. A completed Petition for Exclusive Authority to Give Consent for Medical Treatment (form GC-380), with Attachment Requesting Special Orders Regarding a Major Neurocognitive Disorder (form GC-313), is filed with this petition. b. I intend to petition the court for major NCD/dementia powers under section 2356.5 of the Probate Code as soon as the court issues a final order accepting transfer of this conservatorship.

I declare under penalty of perjury under the laws of the State of California that the information stated on this form and any attachments is true and correct.

Date:

(TYPE OR PRINT NAME) (SIGNATURE)

Rev. January 1, 2026 Petition for Orders Accepting Transfer GC-366, Page 3 of 3 (California Conservatorship Jurisdiction Act) For your protection and privacy, please press the Clear button after you have printed the form. Print Save Clear