Monterey — CI-144

Source: https://www.monterey.courts.ca.gov/system/files/ci-144.pdf

CI-144 LIMITED CONSERVATORSHIP OF: CASE NUMBER:

ATTACHMENT 1h, 1j (PERSON)

I request the following powers: Yes No Right to choice of residence or specific dwelling.

Yes No Right to sole access to his/her own confidential records and papers.

Yes No Right to make decisions concerning his/her education

Yes No Right to contract.

Yes No Right to give or withhold consent to medical treatment

Yes No Right to control his/her own social and sexual contacts and relationships. Right to consent or withhold consent to marriage, or the entrance into a registered domestic Yes No partnership.

Reasons for Request:

I request that the following civil and legal rights of the proposed limited conservatee be restricted by the Limited Conservator's powers:

Yes No Right to choice of residence or specific dwelling.

Yes No Right to sole access to his/her own confidential records and papers.

Yes No Right to make decisions concerning his/her education

Yes No Right to contract.

Yes No Right to give or withhold consent to medical treatment

Yes No Right to control his/her own social and sexual contacts and relationships. Right to consent or withhold consent to marriage, or the entrance into a registered domestic Yes No partnership. (If the item that this Attachment concerns is made under penalty of perjury, all statements in this Page of Attachment are made under penalty of perjury.) (Add pages as required)

Adopted for Optional Use ATTACHMENT 1h, 1j (PERSON) TO PETITION FOR Monterey Superior Court
CI-144 [Eff. 10/19] APPOINTMENT OF CONSERVATOR