Solano — 7020 verification viewing conservatorship video

Source: https://solano.courts.ca.gov/system/files/7020-verification-viewing-conservatorship-video-eff-07-01-2011.pdf

7020

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): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SOLANO STREET ADDRESS: 600 Union Avenue 321 Tuolumne Street MAILING ADDRESS: P.O. Caller 5000 321 Tuolumne Street CITY AND ZIP CODE: Fairfield, CA 94533 Vallejo, CA 94590 IN RE THE CONSERVATORSHIP OF:

CASE NUMBER:

VERIFICATION OF VIEWING OF CONSERVATORSHIP VIDEO

Instructions

Before you may be appointed as a conservator, you must watch a video called With Heart: Understanding Conservatorships. This video discusses the duties and responsibilities of a conservator.

The video is available to you in two ways: • You may make an appointment with the Court Investigators Office to view it at the courthouse. • You may view the video online at https://www.youtube.com/watch?v=A-SX6YkFsP4

Once you have watched the video, you must fill out, sign, and file this form with the court.

I have petitioned the court to be appointed the conservator of the person and/or estate of (name):_____________________________________________________________________.

I viewed the court’s videotape presentation on the duties and responsibilities of the conservator on (date) ___________________________________ at the following location:

Court Investigators Office On-line viewing located at https://www.youtube.com/watch?v=A-SX6YkFsP4

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

(Type or print name) (Signature of Declarant)

VERIFICATION RE: VIEWING OF CONSERVATORSHIP VIDEO

Adopted for Mandatory Use SCLR 15.52 Solano County Local Form no. 7020 Eff. 07/11 Page 1 of 1