San Joaquin — Declaration of Service

Source: https://www.sjcourts.org/sites/default/files/forms/2026-02/Declaration-of-Service-Fillable-SJMH-001.7.10.2024.pdf

SUPERIOR COURT OF CALIFORNIA Reserved for Clerk’s File Stamp COUNTY OF SAN JOAQUIN COURTHOUSE ADDRESS:

PETITIONER:

CONSERVATEE:

DECLARATION OF SERVICE Case Number:

I, ________________________________, the undersigned, hereby declare under the laws

of the State of California and under penalty of perjury that the following is true and correct: I have delivered or mailed a copy of the following documents identified as:

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to the following on the date stated. Mailed Hand-Delivered Date: ___________ San Joaquin County Public Defender Address: ______________________ ______________________________ Mailed Hand-Delivered Date: ___________ Conservatee: __________________ Address: ______________________ ______________________________ Mailed Hand-Delivered Date: ___________ Facility: _______________________ Address: ______________________ ______________________________ Mailed Hand-Delivered Date: ___________ Other: ____________________ ______________________________ ______________________________ ________________________________SIGN Signature of Person Named Above Who Date: _________________________ Completed Above Service

Declaration of Service

Form Adopted for Optional Use SJMH-001 (New 7/2024)