Source: https://www.tulare.courts.ca.gov/system/files/forms-and-filings/gship-full-packet-02-05-2026-1.pdf

Sparse pages use OCR; original PDF remains authoritative.

www.tulare.courts.ca.gov (559) 730-5000

GUARDIANSHIP OF THE PERSON

Forms included in this packet:

PRO-004 Confidential Guardianship Questionnaire

GC-210(P) Petition for Appointment of Guardian of the Person

GC-210(CA) Child Information Attachment to Probate Guardianship Petition

ICWA-010(A) Indian Child Inquiry Attachment

GC-020 Notice of Hearing

GC-020(P) Proof of Personal Service of Notice of Hearing
COMPLETE
FL-105 / GC-120 Declaration Under UCCJEA & FILE
GC-248 Duties of Guardian
Consent of Proposed Guardian, Nomination, and Waiver of
GC-211
Notice
GC-212 Confidential Guardian Screening Form
Order Appointing Guardian or Extending Guardianship of the
GC-240
Person
GC-250 Letters of Guardianship

COMPLETE GC-110(P) Petition for Appointment of Temporary Guardian of the Person
& FILE
GC-140 Order Appointing Temporary Guardian
(Temporary
Guardianship) GC-150 Letters of Temporary Guardianship or Conservatorship

PRO-008 Declaration of Due Diligence FILE TO EXCUSE
SERVICE GC-021 Order Dispensing with Notice

SERVE ON
ICWA-020 Parental Notification of Indian Status
PARENTS

SERVE WITH GC-207-INFO / NOTICE OF Comparison of Guardians with Other Nonparent Caregivers JV-352-INFO HEARING

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Guardianship of the Person

Completing Forms:

• California Court forms: Fillable, printable PDF versions of the forms referenced in this packet are
available at the California Court website. For details, visit:
https://courts.ca.gov/rules-forms/find-your-court-forms
• LawHelp Interactive: A free resource that assists litigants with completing legal forms through a
series of guided interview questions. For details, visit:
https://lawhelpinteractive.org/Interview/GenerateInterview/5057/engine
• Legal packets and samples: The Tulare County Superior Court‘s website offers many packets and
samples. For a current list, scan the QR code below, or visit:
https://www.tulare.courts.ca.gov/forms-filing/
local-forms-information-filing-instructions

Self-Help Resource Center:

If you do not have an attorney representing you, free assistance is available. Contact the Self-Help

Resource Center (SHRC), also known as the Office of the Family Law Facilitator. SHRC staff will provide instructions on how to complete forms, how to serve the other party, and can answer procedural questions. However, SHRC staff CANNOT complete your forms for you, provide legal advice, or represent you in court. The SHRC can be reached at (559) 737-5500 and selfhelp@tulare.courts.ca.gov, and offices are located at:

County Civic Center South County Justice Center
221 S. Mooney Blvd., Room 203 300 E. Olive Ave.
Visalia, CA 93291 Porterville, CA 93257

Other Resources:

If you have further questions or concerns, consult with an attorney or use the assistance of a

paralegal or typing service. You may also conduct research on your legal issue and find additional information at:

• California Courts’ Self-Help website: https://selfhelp.courts.ca.gov/
• Tulare County Law Library: https://tularecounty.ca.gov/lawlibrary/
o The Tulare County Law Library is located on the ground floor of the County Civic Center, and
Law Library computer terminals are available at the South County Justice Center in the Self-
Help Resource Center lobby.
• Sacramento County Public Law Library: https://saclaw.org/

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INSTRUCTIONS

A guardianship is when an adult, who is not the child’s parent, is legally responsible for

the child’s care because the child’s parents are unable to care for them. There are two types of probate guardianships (this packet is only for guardianship of the person):

• Guardianship of the person: The guardian makes the legal decisions in a child's life and has responsibility for the child's care. For example, the guardian will make decisions about the child's medical care and where the child goes to school. The guardian must also provide the child with housing, food, clothing, and is responsible for the child's safety, protection, as well as their physical and emotional growth.

• Guardianship of the estate: The guardian manages the child's finances. For example, if the child inherited a large sum of money from a parent who has passed away. For more information, read form GC-206-INFO, Information on Probate Guardianship of the Estate.

To start a guardianship case, the proposed guardian must complete the forms in this

packet. Before filling out the forms, visit the website below and read the following forms. Forms referenced but not included in this packet are available on the California Court website (see URL listed on page 2):

• https://selfhelp.courts.ca.gov/guardianship
• GC-205-INFO, Information on Probate Guardianship of the Person
• GC-505, Forms You Need to Ask the Court to Appoint a Guardian of the Person

STEP 1: COMPLETE THE FORMS

Complete the following forms:

• PRO-004, Confidential Guardianship Questionnaire
o Enter information about the minor children, the parents of the minor children, and
the proposed guardian(s).
• GC-210(P), Petition for Appointment of Guardian of the Person
o If there is more than one proposed guardian, each must sign.
• GC-210(CA), Child Information Attachment to Probate Guardianship Petition
o Complete a separate GC-210(CA) for each child, and attach to form GC-210(P).
• ICWA-010(A), Indian Child Inquiry Attachment
o Complete a separate ICWA-010(A) for each child, and attach to form GC-210(P).

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• GC-020, Notice of Hearing o On page 1, only complete Item 1. o On page 2, enter the names and addresses of persons who can be served by mail (see Step 5 below). • GC-020(P), Proof of Personal Service of Notice of Hearing o Enter the names and addresses of persons who must be personally served (see Step 5 below). • FL-105 / GC-120, Declaration Under UCCJEA • GC-248, Duties of Guardian o Each proposed guardian must sign. • GC-211, Consent of Proposed Guardian, Nomination, and Waiver of Notice o Each proposed guardian must complete their own form GC-211. • GC-212, Confidential Guardian Screening Form o Each proposed guardian must complete their own form GC-212. • GC-240, Order Appointing Guardian or Extending Guardianship of the Person o Only complete the caption. • GC-250, Letters of Guardianship o On page 1, complete the caption. o On page 2, under “Affirmation”, date, print your name, and sign.

Temporary Guardianship

The process to obtain a general guardianship may take several months. If there is a need to act as a guardian before permanent orders are made, complete each of the forms listed above, plus the following:

• GC-110(P), Petition for Appointment of Temporary Guardian of the Person • GC-140, Order Appointing Temporary Guardian • GC-150, Letters of Temporary Guardianship or Conservatorship

STEP 2: FILE YOUR FORMS

Now that you’ve completed your forms, make at least three copies of each form and bring to

the Clerk of Court, located at Room 201 of the Visalia Courthouse, or the filing windows at the South County Justice Center in Porterville. The Court Clerk will give you a case number and set a hearing date (in general, the hearing will be set within approximately three weeks). The court will keep the originals and give you back filed copies. One copy is for your records and other copies are to be served on the parents and Family Court Services.

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Family Court Services copy: • On the same day that you file your forms, deliver one copy to Family Court Services, located at Room 204 of the Visalia Courthouse, or the first floor of the South County Justice Center in Porterville. • Ask them for the Live Scan Fingerprinting forms (see Step 4).

Fees: • There are fees for filing the forms, and there may be a fee for the investigation. • If the child who needs a guardian cannot afford the fees, you can request a fee waiver. o Eligibility is based on the child’s income, not the guardian’s income. o A separate fee waiver request must be made for each child. o Complete the following forms, make one copy, and submit at the time of filing (forms available on the California Court website; see URL on page 2): FW-001-GC, Request to Waive Court Fees FW-003-GC, Order of Court Fee Waiver

STEP 3: COMPLETE ONLINE ORIENTATION

Each proposed guardian is required to complete the online Guardianship Orientation,

which has two parts: 1) A PowerPoint presentation that covers the general orientation for all guardians, and 2) A video, entitled “Becoming a Guardian.” Information for these orientation materials are located at: https://www.tulare.courts.ca.gov/divisions/probate/guardianship- orientation. Once you have reviewed both parts, complete the “Declaration of Completion of Video Orientation for Guardians” (available at the link above). Make two copies and bring to the Clerk of Court for filing at least five days before your hearing. One copy is for your records. Bring the other copy to Family Court Services.

STEP 4: LIVE SCAN FINGERPRINTING

Each proposed guardian and each adult age 18 or older in the household where the child

will live must submit to a background check, which includes Live Scan fingerprinting. Obtain the Live Scan Fingerprinting Instructions and forms at Family Court Services. The Live Scan fingerprinting must be done within California. After the fingerprinting, the Live Scan technician will complete your forms. Provide the completed form to Family Court Services so they know that you’ve completed this step.

Live Scan Fees: Live Scan operators charge a fee for fingerprinting. If you qualified for a court fee waiver, it will NOT apply to Live Scan fees.

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STEP 5: PROVIDE NOTICE

The next step is to notify the child's family members and concerned governmental agencies

about the guardianship case and the upcoming court date. You may also need to let the child and other adults in the child's life know about the case. The server, someone at least 18 years old and not a proposed guardian (or anyone who must be served), must either hand-deliver or mail copies of the following forms at least 15 days before the hearing:

• GC-210(P), Petition for Appointment of Guardian of the Person • GC-020, Notice of Hearing • GC-207-INFO/JV-352-INFO, Comparison of Guardians With Other Nonparent Caregivers • GC-110(P), Petition for Appointment of Temporary Guardian of the Person (if filed) • ICWA-020, Parental Notification of Indian Status (leave blank) o Only the child’s parents need to be served this form.

Persons that must be personally served: • The child, if they are age 12 or older • The child's parents. • Anyone who has legal custody of the child. • Any court-appointed guardian of the child's estate (if there is one). • Anyone nominated to be the child's guardian.

Persons/Entities that may be served by mail: • The child's grandparents on both sides. • The child's siblings who are at least 12 years old (including half-siblings). • The parents, guardians, or person who has custody of any sibling under 12 years old. • Anyone who has the child in their care (if different than the person who has legal custody). • Child Welfare Services (3500 W. Mineral King, Suite A, Visalia CA 93291). • California Department of Social Services, Director of Social Services (744 P Street, Sacramento, CA 95814).

If you cannot locate a relative you are required to serve, complete and file the following:

• PRO-008, Declaration of Due Diligence: Enter information about the ways you have tried to locate the person. A separate form PRO-008 must be completed for each person you are unable to serve. • GC-021, Order Dispensing with Notice: Complete the caption only. If the Judge decides that you do not need to notify a particular person based on the information in your Declaration, the Order will be signed and filed.

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STEP 6: FILE THE NOTICE OF HEARING

After the server personally serves or mails the documents to the persons/entities listed in

Step 5, the server must complete a Proof of Service, stating what documents were served, and when, where, and how the service took place.

• After personal service: The server must complete form GC-020(P), Proof of Personal
Service of Notice of Hearing, and date, print, and sign at the bottom.
o Attach this to your copy of form GC-020, Notice of Hearing.
o A separate GC-020(P) must be completed for each person who was personally
served.
• After mail service: The Proof of Service by Mail is located on page 2 of form GC-020, Notice
of Hearing. The server will complete this page, and date, print, and sign.

You will now have form GC-020, Notice of Hearing with completed page 2, and form GC-020(P) attached. Make one copy of all pages and bring to the Clerk of Court for filing. The Clerk will keep the original and give you back a filed copy for your records. A filed GC-020 tells the court that all interested parties received the forms and had notice of the court hearing.

You must file form GC-020, Notice of Hearing (with all Proof of Service attachments) at least five days before the hearing.

STEP 7: INITIAL COURT HEARING

You must attend your court hearing, which is listed at Item 4 on form GC-020, Notice of

Hearing. At the hearing, the court will ask you why the child needs a guardian, and why you should be appointed as their guardian. If the child’s parents are present, they can tell the judge whether they agree with the guardianship. Unless the court finds a good reason not to, the court will order an investigation before making general orders. If so, the court will set a further hearing to review the investigator’s report and recommendation. Family Court Services will conduct the investigation if the proposed guardian is a relative of the child, while Child Welfare Services will conduct the investigation if the proposed guardian is a non-relative of the child. If you requested a Temporary Guardianship, the court may make orders that will be in effect until the next hearing.

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STEP 8: INVESTIGATION

If the court ordered an investigation, the investigator will interview the proposed guardian,

parents, other people in the child’s life, and the child (if the child is old enough and mature enough). The investigator will also review documents about the child (such as school records and medical records), and will do a background check on each proposed guardian and all adults living in the home where the child will live, to determine whether any of you have a record of neglect, abuse, or a criminal record. The background check will include information regarding criminal records, civil records, Social Security number verification, driver’s license record/status, and Child Welfare Services information. This is necessary for the court to evaluate your fitness as a guardian. The investigator will consider issues such as where the child would go to school, your family situation, and any healthcare issues (including mental health).

After the investigation is complete, the investigator will prepare and file a report detailing

their findings, which will include a recommendation to the court whether there are grounds to establish a guardianship, and whether the proposed guardian is fit to fulfill the duties and obligations of a legal guardian. The report may also include a recommendation whether the parents should have visitation with the child if the judge appoints a guardian. A copy of the report will be mailed to the parties of record at least three court days prior to the continued hearing.

STEP 9: RETURN TO COURT

At the continued hearing, the court will consider the investigator’s report, and will either

grant or deny the petition for guardianship. If the judge appoints you as guardian, the court will prepare and sign the following forms, which can be picked up at the Clerk of Court after the hearing:

• GC-240, Order Appointing Guardian or Extending Guardianship of the Person • GC-250, Letters of Guardianship

Certified Copy: When you pick up these forms, ask the Clerk of Court for a certified copy of form GC-250, Letters of Guardianship, which you may need to provide to certain institutions, such as the child’s school, doctor, or bank.

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AFTER A GUARDIANSHIP IS GRANTED

Copies:

• Make a few copies of your certified Letters of Guardianship, and keep them in a safe place. They are the evidence that the court has appointed you as the child’s guardian.

Annual Status Report:

• Each year, Family Court Services will send you form GC-251 Confidential Guardianship Status Report. Complete this to tell the court how the child is doing, if the guardianship is still necessary, and if there have been any changes in the guardian’s home. o A separate form GC-251 must be submitted for each child. • A due date will be listed on page 1. If you don't return a completed report by that date, the judge may order you to meet with the investigator or go back to court to explain why you should not be removed as guardian.

Visitation Rights:

• The rights of the parents are completely suspended—not terminated—while the
guardianship remains in effect.
• Because the guardian has full legal and physical custody of the child, it is the guardian who
decides who visits the child, how often, and for how long. This includes whether to allow
the child’s parents to visit their child.
• If the child's parent has an order for visitation but the arrangement is not working, you can
file papers asking the judge to change the schedule. Contact the SHRC for information
about which forms are needed to obtain a hearing.

Moving with the Child:

• If you are moving within California, you must give written notice both before and after the
move.
• If you are moving outside of California, you must get the court’s permission first.
• Contact the SHRC for information about which forms are needed.

Terminating the Guardianship:

• A guardianship will terminate automatically when the child reaches age 18, so no
paperwork is needed to terminate at that time.
• If you are seeking to terminate the guardianship while the child is still a minor, the court
must approve. Contact the SHRC for information about which forms are needed to obtain a
hearing.

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Attorney or Party Without Attorney (Name and Address): FOR COURT USE ONLY

Telephone No: Email Address: (Optional) Attorney for (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF TULARE

Visalia Division– 221 S Mooney Blvd, Room 203 Visalia, CA 93291 South County Justice Center - 300 E. Olive Ave., Porterville, CA 93257

Guardianship of: Case Number:

CONFIDENTIAL GUARDIANSHIP QUESTIONNAIRE (Probate Code §1513)

When a guardianship case is filed, the Investigator’s office will open an investigation by order of the Court. The person filing for guardianship will be responsible for the $550 investigation fee after Family Court Services completes this investigation, unless that fee is waived or reduced by the court, or payments are arranged by the Court in cases of extreme hardship.

Investigations are done by a Court Investigator for Family Court Services (FCS) or County of Tulare Health and Human Services Agency (HHSA) as follows:

Guardianship of: Proposed Guardian(s): Agency:

1. Person or Person/Estate Relative FCS

2. Person or Person/Estate Non-Relative HHSA

3. Person or Person/Estate Relative & Non-relative FCS/HHSA Rotation

Per Probate Code 1513, Family Court Services is to prepare an investigative report to include the social history of the proposed guardians, parents and child(ren) as required by state law, unless waived by the Court. Please complete this entire Guardianship Questionnaire (FCS-303). Information provided in this questionnaire, during interview(s), in other submitted paperwork and from investigative sources will be used to prepare a family social history, evaluation, and recommendation for the court. This report will then be placed in a sealed court file. Copies will be mailed to the proposed guardians, parents, and their respective attorneys.

• “Relative” is defined in Prob. Code § 1513(g) as a person who is a spouse, parent, step-parent, brother, sister, step-brother, step-sister, half-brother, half-sister, uncle, aunt, niece, nephew, first cousin, or any person denoted by the prefix “grand” or “great” or the spouse of any of these persons even after the marriage has been terminated by death or dissolution.

If you are not one of the relations noted above, then you are considered a non-relative for the purposes of this investigation. If you have questions regarding the Family Court Services investigation process, you can call Family Court Services at 559- 730-5000 option 6.

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 1 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

I. MINOR CHILD(REN) LISTED ON GUARDIANSHIP PETITION:

Related or Not Primary
Person with whom
Full Legal Name Birth Date Age Related to Language
Residing
Petitioner(s) *

#1

#2

#3

#4

Check here if you have additional children to list. Attach a separate sheet of paper titled ATTACHMENT 1 -

ADDITIONAL MINOR CHILDREN to the back of this questionnaire.

II. (PROPOSED) GUARDIAN(S):

Check here if you have more than two proposed guardians. For each additional guardian, please photocopy this section and attach it to the end of this Questionnaire – titled ATTACHMENT 2 - ADDITIONAL PROPOSED

GUARDIANS.

Full Legal Name Birth Date Age Primary Language

#1

#2

Attorney for Proposed Guardian(s):

Name: Tel. No.: ( )

Address:
Street Ste. City State Zip Code

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 2 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

III. MINOR CHILD(REN): ADDITIONAL INFORMATION

MINOR CHILD #1:

Is this child a member of, or eligible for membership in, an Indian tribe recognized by the federal government?
No Not sure Yes (specify tribe):

School Information (if school age):

School Name Address Telephone # School Teacher Name Child Special

Days/Hours Needs:

Please attach current and prior school year attendance & grade reports and copy of any educational plan if

available.

Child Care Information:

Telephone Relationship
Name Address Days/Hours
Number to Child

Who transports the child to/from school and/or child care? Name:__________________ Relationship:____________ How will the child be transported if you are granted guardianship?

Health Information:

Health insurance Plan: Medi-Cal Other:____________________________________

Present Health Status: Good Fair Poor

If minor’s health is fair or poor, please explain and include any special health problems:

---

Is minor taking any medication? Yes No If yes, what kind and for what reason(s)?

---

Has the minor child ever had any problem with the following?

Alcohol: Yes No Drugs: Yes No Mental/Emotional Problems: Yes No

If yes, what is the child’s current condition regarding this problem? _________________________________

Professional Practitioners: (Medical doctors, dentists, eye doctor, counselors, regional center workers etc.)

Date of Last Telephone
Name and Title Address
Contact Number

Financial Information:

Type of Income Received for Minor #1: TANF Cash Aid Food stamps SSI SSDI Parental

Assistance None Other: _________________

If income received, what is the amount? ____________

Who will manage the minor’s income? ______________

Does the Minor have a trust? Yes No If yes, what amount and who manages the trust?

---

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 3 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

MINOR CHILD #2:

Is this child a member of, or eligible for membership in, an Indian tribe recognized by the federal government?

No Not sure Yes (specify tribe):

School Information (if school age):

School Name Address Telephone # School Teacher Name Child Special

Days/Hours Needs:

Please attach current and prior school year attendance & grade reports and copy of any educational plan if

available.

Child Care Information:

Telephone Relationship
Name Address Days/Hours
Number to Child

Who transports the child to/from school and/or child care? Name:__________________ Relationship:____________ How will the child be transported if you are granted guardianship?

Health Information:

Health insurance Plan: Medi-Cal Other:____________________________________

Present Health Status: Good Fair Poor

If minor’s health is fair or poor, please explain and include any special health problems:

---

Is minor taking any medication? Yes No If yes, what kind and for what reason(s)?

---

Has the minor child ever had any problem with the following?

Alcohol: Yes No Drugs: Yes No Mental/Emotional Problems: Yes No

If yes, what is the child’s current condition regarding this problem? _________________________________

Professional Practitioners: (Medical doctors, dentists, eye doctor, counselors, regional center workers etc.)

Date of Last Telephone
Name and Title Address
Contact Number

Financial Information:

Type of Income Received for Minor #2: TANF Cash Aid Food stamps SSI SSDI Parental

Assistance None Other: _________________

If income received, what is the amount? ____________

Who will manage the minor’s income? ______________

Does the Minor have a trust? Yes No If yes, what amount and who manages the trust?

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 4 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

MINOR CHILD #3:

Is this child a member of, or eligible for membership in, an Indian tribe recognized by the federal government?
No Not sure Yes (specify tribe):

School Information (if school age):

School Name Address Telephone # School Teacher Name Child Special

Days/Hours Needs:

Please attach current and prior school year attendance & grade reports and copy of any educational plan if

available.

Child Care Information:

Telephone Relationship
Name Address Days/Hours
Number to Child

Who transports the child to/from school and/or child care? Name:__________________ Relationship:____________ How will the child be transported if you are granted guardianship?

Health Information:

Health insurance Plan: Medi-Cal Other:____________________________________

Present Health Status: Good Fair Poor

If minor’s health is fair or poor, please explain and include any special health problems:

---

Is minor taking any medication? Yes No If yes, what kind and for what reason(s)?

---

Has the minor child ever had any problem with the following?

Alcohol: Yes No Drugs: Yes No Mental/Emotional Problems: Yes No

If yes, what is the child’s current condition regarding this problem? _________________________________

Professional Practitioners: (Medical doctors, dentists, eye doctor, counselors, regional center workers etc.)

Date of Last Telephone
Name and Title Address
Contact Number

Financial Information:

Type of Income Received for Minor #3: TANF Cash Aid Food stamps SSI SSDI Parental

Assistance None Other: _________________

If income received, what is the amount? ____________

Who will manage the minor’s income? ______________

Does the Minor have a trust? Yes No If yes, what amount and who manages the trust?

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 5 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

MINOR CHILD #4:

Is this child a member of, or eligible for membership in, an Indian tribe recognized by the federal government?
No Not sure Yes (specify tribe):

School Information (if school age):

School Name Address Telephone # School Teacher Name Child Special

Days/Hours Needs:

Please attach current and prior school year attendance & grade reports and copy of any educational plan if

available.

Child Care Information:

Telephone Relationship
Name Address Days/Hours
Number to Child

Who transports the child to/from school and/or child care? Name:__________________ Relationship:____________ How will the child be transported if you are granted guardianship?

Health Information:

Health insurance Plan: Medi-Cal Other:____________________________________

Present Health Status: Good Fair Poor

If minor’s health is fair or poor, please explain and include any special health problems:

---

Is minor taking any medication? Yes No If yes, what kind and for what reason(s)?

---

Has the minor child ever had any problem with the following?

Alcohol: Yes No Drugs: Yes No Mental/Emotional Problems: Yes No

If yes, what is the child’s current condition regarding this problem? _________________________________

Professional Practitioners: (Medical doctors, dentists, eye doctor, counselors, regional center workers etc.)

Date of Last Telephone
Name and Title Address
Contact Number

Financial Information:

Type of Income Received for Minor #4: TANF Cash Aid Food stamps SSI SSDI Parental

Assistance None Other: _________________

If income received, what is the amount? ____________

Who will manage the minor’s income? ______________

Does the Minor have a trust? Yes No If yes, what amount and who manages the trust?

---

Check here if you have additional children to list. Attach a separate sheet of paper titled ATTACHMENT 3-

ADDITIONAL MINOR CHILDREN INFORMATION to the back of this questionnaire.

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 6 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

IV. PARENTS OF MINOR(S): (Full legal names) If one of the natural parents has died, please mark “deceased” for that person’s address and add the date of death, if known.

1. Full Legal Name: AKA or Maiden Name:

Address:
Street Apt. City State Zip Code

Telephone Numbers: Home ( ) Work ( )

Birth Date: // Place of Birth: __________________________Deceased? Yes No ________

Driver License Number: State: Currently Valid: Yes No

Relationship to Minor 1: Mother Father
Relationship to Minor 2: Mother Father
Relationship to Minor 3: Mother Father
Relationship to Minor 4: Mother Father

List other child(ren) of the Legal Parent not listed in this petition.

Name Birth Date Location

2. Full Legal Name: AKA or Maiden Name:

Address:
Street Apt. City State Zip Code

Telephone Numbers: Home ( ) Work ( )

Birth Date: // Place of Birth: _____________________________ Deceased? Yes No

Driver License Number: State: Currently Valid: Yes No

Relationship to Minor 1: Mother Father
Relationship to Minor 2: Mother Father
Relationship to Minor 3: Mother Father
Relationship to Minor 4: Mother Father

List other child(ren) of the Legal Parent not listed in this petition.

Name Birth Date Location

3. Full Legal Name: AKA or Maiden Name:

Address:
Street Apt. City State Zip Code

Telephone Numbers: Home ( ) Work ( )

Birth Date: // Place of Birth: _____________________________ Deceased? Yes No

Driver License Number: State: Currently Valid: Yes No

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 7 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

Relationship to Minor 1: Mother Father
Relationship to Minor 2: Mother Father
Relationship to Minor 3: Mother Father
Relationship to Minor 4: Mother Father

List other child(ren) of the Legal Parent not listed in this petition.

Name Birth Date Location

4. Full Legal Name: AKA or Maiden Name:

Address:
Street Apt. City State Zip Code

Telephone Numbers: Home ( ) Work ( )

Birth Date: // Place of Birth: _____________________________ Deceased? Yes No

Driver License Number: State: Currently Valid: Yes No

Relationship to Minor 1: Mother Father
Relationship to Minor 2: Mother Father
Relationship to Minor 3: Mother Father
Relationship to Minor 4: Mother Father

List other child(ren) of the Legal Parent not listed in this petition.

Name Birth Date Location

Check here if you have additional Legal Parents to list. Attach a separate sheet of paper titled ATTACHMENT 4 -

ADDITIONAL LEGAL PARENTS to the back of this questionnaire.

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 8 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

V. PROPOSED GUARDIAN #1 ADDITIONAL INFORMATION:

Check here if you have more than two proposed guardians. For each additional guardian, please photocopy this section and attach it to the end of this Questionnaire – titled ATTACHMENT 5 - PROPOSED GUARDIAN

ADDITIONAL INFORMATION.

Full Legal Name: AKA or Maiden Name:

Address:
Street Apt. City State Zip Code

Telephone Numbers: Home ( ) Work ( )

Birth Date: // Place of Birth:

Driver License Number: State: _________________ Currently Valid: Yes No

Relationship to Minor 1: Maternal (on mother’s side) Paternal (on father’s side)
Relationship to Minor 2: Maternal (on mother’s side) Paternal (on father’s side)
Relationship to Minor 3: Maternal (on mother’s side) Paternal (on father’s side)
Relationship to Minor 4: Maternal (on mother’s side) Paternal (on father’s side)

List other child(ren) of the Proposed Guardian whom reside outside of the residence:

Name Birth Date Location

HOUSEHOLD COMPOSITION: List other adults age 18 or older residing in your home.

1. Full Legal Name: AKA or Maiden Name:

Telephone Numbers: Home ( ) Work ( )

Birth Date: / / Birth Place: __________Sex: _________

Driver License Number: State:____________ Currently Valid: Yes No

Relationship to Petitioner(s): Relationship to Child(ren):

2. Full Legal Name: AKA or Maiden Name:

Telephone Numbers: Home ( ) Work ( )

Birth Date: / / Birth Place: __________Sex: _________

Driver License Number: State:____________ Currently Valid: Yes No

Relationship to Petitioner(s): Relationship to Child(ren):

3. Full Legal Name: AKA or Maiden Name:

Telephone Numbers: Home ( ) Work ( )

Birth Date: / / Birth Place: __________Sex: _________

Driver License Number: State:____________ Currently Valid: Yes No

Relationship to Petitioner(s): Relationship to Child(ren):

4. Full Legal Name: AKA or Maiden Name:

Telephone Numbers: Home ( ) Work ( )

Birth Date: / / Birth Place: __________Sex: _________ PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 9 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

Driver License Number: State:____________ Currently Valid: Yes No

Relationship to Petitioner(s): Relationship to Child(ren):

List other child(ren) under age 18 living in your household: School Relationship to Name Birth Date Child(ren)Location

LAW ENFORCEMENT INFORMATION:

If you have ever been convicted of a crime other than minor traffic citations, please provide the following information: :
Charge City/State Date
1)

2)

3)

If you are on Parole or Probation, please provide your Officer’s Name: Tel. No.: ( )

Has anyone in your household ever applied for a domestic violence restraining order or had one issued against them?

Yes No; If yes, please explain:

YOUR EDUCATION:

Highest Grade Completed: Graduated High School? Yes No Year:

License(s) or Credential(s) Received:

College Degree(s) Received:

YOUR EMPLOYMENT: If you are not employed, please indicate the source of income..

Employer: Capacity/Job Title:

Length of Employment: Salary:

Supervisor’s Name, Address and Telephone Number:

YOUR HEALTH:

Name of Your Health Insurance Plan:

Present Health Status: Good Fair Poor

If your health is fair or poor, please explain:

Are you taking any medication? Yes No; If yes, what kind and for what reason(s)?

Special Health Problems:

Have you ever had any problem with the following?

Alcohol: Yes No Drugs: Yes No Mental/Emotional Problems: Yes No

If yes, what is your current condition regarding this problem?

Professional Practitioners: (Medical doctors, counselors, or providers who may have treated you within the past two years.)

Date of Last Telephone
Name and Title Address
Contact Number

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 10 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

PROPOSED GUARDIAN #2 ADDITIONAL INFORMATION:

Full Legal Name: AKA or Maiden Name:

Address:
Street Apt. City State Zip Code

Telephone Numbers: Home ( ) Work ( )

Birth Date: // Place of Birth:

Driver License Number: State: _________________ Currently Valid: Yes No

Relationship to Minor 1: Maternal (on mother’s side) Paternal (on father’s side)
Relationship to Minor 2: Maternal (on mother’s side) Paternal (on father’s side)
Relationship to Minor 3: Maternal (on mother’s side) Paternal (on father’s side)
Relationship to Minor 4: Maternal (on mother’s side) Paternal (on father’s side)

List other child(ren) of the Proposed Guardian whom reside outside of the residence (if different than Guardian #1):

Name Birth Date Location

HOUSEHOLD COMPOSITION: List other adults age 18 or older residing in your home (If different that Guardian #1).

1. Full Legal Name: AKA or Maiden Name:

Telephone Numbers: Home ( ) Work ( )

Birth Date: / / Birth Place: __________Sex: _________

Driver License Number: State:____________ Currently Valid: Yes No

Relationship to Petitioner(s): Relationship to Child(ren):

2. Full Legal Name: AKA or Maiden Name:

Telephone Numbers: Home ( ) Work ( )

Birth Date: / / Birth Place: __________Sex: _________

Driver License Number: State:____________ Currently Valid: Yes No

Relationship to Petitioner(s): Relationship to Child(ren):

3. Full Legal Name: AKA or Maiden Name:

Telephone Numbers: Home ( ) Work ( )

Birth Date: / / Birth Place: __________Sex: _________

Driver License Number: State:____________ Currently Valid: Yes No

Relationship to Petitioner(s): Relationship to Child(ren):

4. Full Legal Name: AKA or Maiden Name:

Telephone Numbers: Home ( ) Work ( )

Birth Date: / / Birth Place: __________Sex: _________

Driver License Number: State:____________ Currently Valid: Yes No

Relationship to Petitioner(s): Relationship to Child(ren):

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 11 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

List other child(ren) under age 18 living in your household (If different than Guardian #1)
School Relationship to
Name Birth Date
Child(ren)Location

LAW ENFORCEMENT INFORMATION:

If you have ever been convicted of a crime other than minor traffic citations, please provide the following information:
Charge City/State Date
1)

2)

3)

If you are on Parole or Probation, please provide your Officer’s Name: Tel. No.: ( )

Has anyone in your household ever applied for a domestic violence restraining order or had one issued against them?

Yes No; If yes, please explain:

YOUR EDUCATION:

Highest Grade Completed: Graduated High School? Yes No Year:

License(s) or Credential(s) Received:

College Degree(s) Received:

YOUR EMPLOYMENT: If you are not employed, please indicate the source of income.

Employer: Capacity/Job Title:

Length of Employment: Salary:

Supervisor’s Name, Address and Telephone Number:

YOUR HEALTH:

Name of Your Health Insurance Plan:

Present Health Status: Good Fair Poor

If your health is fair or poor, please explain:

Are you taking any medication? Yes No; If yes, what kind and for what reason(s)?

Special Health Problems:

Have you ever had any problem with the following?

Alcohol: Yes No Drugs: Yes No Mental/Emotional Problems: Yes No

If yes, what is your current condition regarding this problem?

Professional Practitioners: (Medical doctors, counselors, or providers who may have treated you within the past two years.)

Date of Last Telephone
Name and Title Address
Contact Number

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 12 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

VI. FAMILY FINANCES OF PROPOSED GUARDIAN(S): If proposed guardians are not living together, please photocopy this sheet and attach a separate sheet for each additional proposed guardian titled – ATTACHMENT 5 – FAMILY FINANCES OF PROPOSED GUARDIAN(S).

Residence:.

The home you live in is: owned rented.

How long have you lived there? Monthly Cost: $ Value: $

Number of Bedrooms: Number of Bathrooms: Approximate Size: sq.ft.

Please describe the sleeping arrangements for each household member including the proposed guardians and minor

children:

Income: Please list source(s) of income and amount(s).
Income Source Amount

1.

2.

3.

Other Assets: Please list other major assets or real property.
Asset Value

1.

2.

3.

Within the past 5 years, have you been served a Three Day Notice to Pay or Quit? Yes No;

If yes, please explain:

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 13 of 14 Mandatory Form (CONFIDENTIAL)

PROBATE CASE NUMBER: PROBATE CASE NAME:

VII. SUMMARY OF CIRCUMSTANCES:

1. Briefly explain the benefits to the minor(s) if you are granted guardianship? Please include how you will provide
guidance and what type of discipline you will use.

2. If there is a conflict between you and the minor’s parent(s), please state the nature of the conflict and with which
parent(s) the conflict exists.

3. If more than one person is competing for custody of the child(ren), give reasons why you should be primarily
responsible for the child(ren).

4. To the best of your knowledge, is the mother, the father, or are the legal parents contesting the guardianship?
Yes No; If yes, who?

I declare under penalty of perjury under the laws of the State of California that all of the information I have submitted in this Guardianship Questionnaire is true and correct.

Date: Signed:

Print Name:

Date: Signed:

Print Name:

PRO-004 (Rev. 8/29/22 new number) GUARDIANSHIP QUESTIONNAIRE Page 14 of 14 Mandatory Form (CONFIDENTIAL)

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ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS) TELEPHONE FOR COURT USE ONLY NO.:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF TULARE STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE:

☐ Guardianship ☐ Conservatorship ☐ Estate of CASE NUMBER:

DECLARATION OF DUE DILIGENCE

Note: Please use one form for each person you are unable to serve/locate.

I, the undersigned, declare:

1. I made a reasonable search and cannot locate and serve the following person:

Name Relationship to Minor/Conservator/Decedent

2. I do not know the name of the person I am to serve and I am unable to find out that information because:

3. The last known address of the person named in item 1 is:

4. I spoke with the following relatives and friends of the person named in item 1, or others having knowledge of the person’s whereabouts: (MANDATORY) Relationship to Name Date of Person in item1 Result Contact

(Complete at least three of items 5 through 9)

5. I searched the telephone directory for County (where the person was last known to live) and this was the result:

6. I contacted the California Prisoner Locator System at (916) 445-6713 and this was the result [complete only if there is reason to believe the person is incarcerated in California]:

   1

PRO-008 Mandatory Rev. 8/29/22 (number change)

Insert Case Name: Case #

7. I searched the internet to locate the person and this was the result:

8. I checked with the following persons who may have knowledge concerning the whereabouts of the person named in item 1:

Last known employer: Date of contact: Result:

Last known landlord: Date of contact: Result:

9. I have checked public records in County with the following results:

Tax Assessor’s Name:

Voter Registration Records:

Other:

10. The last contact I had with the person named in item 1 was or the last information concerning his/her

whereabouts is as follows: (MANDATORY)

11. If requesting Notice by Publication, the newspaper most likely to give notice is: because

    .

I declare under penalty of perjury under the laws of the State of California that the forgoing is true and correct.

Executed on (date) ________________, at (city) _________________________, California.

Type or print name ___________________________ Signature ________________________________

2

PRO-008 Mandatory Rev. 8/29/22 (number change)

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