Riverside local form RI-PR106

Source: https://riverside.courts.ca.gov/system/files/local-forms/ri-pr106.pdf

SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

MURRIETA 30755-D Auld Rd., Murrieta CA, 92563 RIVERSIDE 4050 Main St., Riverside, CA 92501 PALM SPRINGS 3255 E. Tahquitz Canyon Wy., Palm Springs, CA 92262 RI-PR106

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

CONSERVATORSHIP OF:

CASE NUMBER:

PROOF OF SERVICE OF

PERSONALIZED INFORMATION FOR CONSERVATEE

The conservator must file the Personalized Information for Conservatee (form RI-PR105), and serve a copy on the conservatee within 30 days after the court makes an order that appoints or removes a conservator or changes the rights of the conservatee, or after the contact information for the conservator changes. A copy of the Personalized Information for Conservatee (form RI-PR105) that was served must be attached to this document.

1. I am over the age of 18. I am the appointed conservator of the above-named conservatee, the conservator’s

   attorney, or an employee of the conservator’s attorney. I am a resident of or employed in the county where the mailing occurred.

2. My contact information is as follows: a. Name:

   b. Residence or business address:

   c. Telephone number:

   d. Email address:

3. Attached to this document is a copy of the Personalized Information for Conservatee that has been delivered. I delivered this document to the conservatee as indicated below. a. Delivery by Mail i. I mailed a copy of the attached Personalized Information for Conservatee to the conservatee by enclosing it in an envelope addressed to the conservatee at the following address:

Adopted for Mandatory Use PROOF OF SERVICE OF Probate Code 1835.5 Riverside Superior Court riverside.courts.ca.gov Form RI-PR106 [Rev. 01/01/26] PERSONALIZED INFORMATION FOR CONSERVATEE

CONSERVATORSHIP OF: CASE NUMBER:

ii. I also (check the option below):
deposited the sealed envelope on the date and at the place shown in item 3(a)(iv) with the
United States Postal Service with the postage fully prepaid.
placed the envelope for collection and mailing on the date and at the place shown in item
3(a)(iv) following our ordinary business practices. I am readily familiar with this business’s
practice fro collecting and processing correspondence for mailing. On the same day that
correspondence is placed for collection and mailing, it is deposited in the ordinary course of
business with the United States Postal Service in a sealed envelope with postage fully
prepaid.

iii. Date mailed:

iv. Place mailed (city, state):

b. Delivery by Personal Service
i. I personally served the conservatee other (specify name and title or relationship to
the conservatee):

I served the document on the person as follows:
ii. On (date): at (time):

iii. At (address):

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 OF PERSON COMPLETING THIS FORM) (SIGNATURE OF PERSON COMPLETING THIS FORM)

Adodpted for Mandatory Use PROOF OF SERVICE OF Probate Code 1835.5 Riverside Superior Court riverside.courts.ca.gov Form RI-PR106 [Rev. 01/01/26] PERSONALIZED INFORMATION FOR CONSERVATEE