Los Angeles local probate form — Probate Investigation Guardianship Information Sheet (918-LASC PROI 072)

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SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PROBATE INVESTIGATION GUARDIANSHIP INFORMATION SHEET

Case Name/ Number:_____________________________ Department: ___________

INSTRUCTIONS: This information sheet is important for introducing you, your family and minor(s) to the Probate Investigator assigned to conduct your investigation. The purpose of this interview is to obtain information for the Court.

1. MINOR CHILD/REN: List the child/ren involved in this court action:

School Name Currently Residing Minor Child/ren Full Name Date Of Birth and Grade With

2. Proposed Guardian(s)

Full legal name: _____________________________ Date of birth: ________________________

Mobile/Home Phone Number: ______________________ Email: ______________________________ Address: _______________________________________________________________________ Driver’s License Number: __________________ State: _________ Valid? Yes No ☐ ☐ Relationship to the minor(s): _______________________

Full legal name: _____________________________ Date of birth: ________________________

Mobile/Home Phone Number: ______________________ Email: ______________________________ Address: _______________________________________________________________________ Driver’s License Number: ___________________ State: ____________ Valid? Yes No ☐ ☐ Relationship to the minor(s): _______________________

3. Parents of Minor(s)

Mother’s legal name: _____________________________ Date of birth: ______________________ Mobile/ Home Number: _____________________________ Email: ______________________________ Address: ___________________________________________________________________________ Driver’s License Number: __________________ State: _________ Valid? Yes No ☐ ☐ Father’s legal name: _____________________________ Date of birth: ______________________ Mobile/ Home Number: ___________________________ Email: ______________________________ Address: ___________________________________________________________________________ Driver’s License Number:_______________________ State:___________ Valid? ☐ Yes No ☐

SCLAC PROI 072 Rev. 04/26 GUARDIANSHIP INVESTIGATION INFORMATION SHEET Page 1 of 2 For Mandatory Use

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES PROBATE INVESTIGATION GUARDIANSHIP INFORMATION SHEET

4. Household:

List the names and birthdates of other child/ren under age 18 residing in the home:

List the names and birthdates of other adults ages 18 or older residing in the home:

5. Additional Information:
• Has there been past or present Department of Children and Family Services involvement?
☐ Yes ☐ No
• Has any child listed above been a dependent of the Juvenile Court? Yes No ☐ ☐
• Is the proposed ward subject to any other legal custody orders? Yes No ☐ ☐
• Does anyone object to this petition? ☐ Yes ☐ No List name, telephone number and
email: _________________________________________________

I will email copies of the following documents to support my request to PI@lacourt.ca.gov:

☐ Minor’s school records, last report cards, progress reports, IEPs, school enrollment forms, etc. ☐ Minor’s medical records, immunization records, Medi-Cal cards. ☐ Evidence of residence, such as: Mortgage statement, rental receipts, rental or lease agreement, or utility bill showing the proposed guardian(s) as the payer at the property stated to be home for the minor.

I agree and understand that by completing the signature line, I am signing this Information form, and my
electronic signature is the legal equivalent of my manual/handwritten signature.

I declare under penalty of perjury that the foregoing is true and correct.

Signature:_______________SIGN Dated:

SCLAC PROI 072 Rev. 04/26 GUARDIANSHIP INVESTIGATION INFORMATION SHEET Page 2 of 2 For Mandatory Use