San Luis Obispo — PR013

Source: https://www.slo.courts.ca.gov/documents/san-luis-obispo/PR_013_2_SLO.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, STATE BAR NUMBER AND ADDRESS) FOR COURT USE ONLY

TELEPHONE NUMBER: FAX NO. (Optional):

EMAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN LUIS OBISPO

STREET ADDRESS: 1035 Palm Street, Room 385
MAILING ADDRESS: Same as above
CITY AND ZIP CODE: San Luis Obispo, CA 93408
BRANCH NAME: San Luis Obispo Division

LPS CONSERVATORSHIP OF: CASE NUMBER:

CITATION FOR REAPPOINTMENT OF LPS CONSERVATOR

THE PEOPLE OF THE STATE OF CALIFORNIA TO (name of conservatee): ___________________________________________________.

YOU ARE HEREBY CITED and required to appear before this Court at the courtroom of the above-entitled Court, 1035 Palm Street, San Luis Obispo, California on:

Date: __________________________________
Time: _________________a.m.
Department: _________________

You are requested to show cause, if and why, the Petitioner
_______________________, or some other suitable person should not be appointed
conservator of your person.

A conservatorship may be granted for the person who is unable to properly
provide for his or her personal needs for physical health, food, clothing or shelter. A
conservatorship of the estate may be provided for the person who is substantially
unable to manage his or her own financial resources, or resist fraud or undue influence.

At this hearing, you may be adjudged unable to provide for your personal needs
or to manage your financial resources and by reason thereof, a conservator may be
appointed for your person or property. Such adjudications upon this hearing may
transfer your right to contract, manage and control your property, and to fix your
residence. The Court or your attorney, at this hearing, will explain the nature, purpose

Form Adopted for Optional Use CITATION FOR REAPPOINTMENT OF LPS Page 1 of 3San Luis Obispo Superior Court Local Form PR013 CONSERVATOR Rev. 1/1/15

LPS CONSERVATORSHIP OF: CASE NUMBER

and effect of the proceedings to you and answer questions concerning such explanation. You shall have the right to appear at the hearing and oppose the petition to appoint a conservator; you shall have the right to legal counsel appointed for you by the Court if you are unable to retain one. Further you have the right to a jury trial upon this matter if you so desire.

Your conservator may additionally have the right to place you in a medical,

psychiatric, nursing or other state –licensed facility or State hospital or other non- medical facility approved by the State Department of Health. Your conservator may additionally have the right to require you to receive treatment unrelated to remedying or preventing the recurrence of your alleged grave disability pursuant to Welfare and Institutions Code § 5358. Certain disabilities may be imposed on you, which include the prohibition to operate a motor vehicle, to enter into contracts in excess of fifteen dollars ($15.00), to possess a firearm, to refuse or consent to treatment specifically related to your mental disorder and to posses the right to vote.

Dated:_____________________

Susan Matherly Court Executive Officer

By:

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Deputy Clerk

FOR COURT USE

Form Adopted for Optional Use CITATION FOR REAPPOINTMENT OF LPS Page 2 of 3San Luis Obispo Superior Court Local Form PR013 CONSERVATOR Rev. 1/1/15

LPS CONSERVATORSHIP OF: CASE NUMBER

CERTIFICATE OF PERSONAL SERVICE

STATE OF CALIFORNIA ) ) ss. COUNTY OF____________ )

I am at all times herein mentioned a citizen of the United States and resided at __________________________________(address), over the age of 18 and not a party to the above titled action.

On_______________ (date) at ____________(time), I served the following documents on the proposed conservatee, ___________, by personally handing them to him/ her (circle one).

PETITION FOR REAPPOINTMENT OF CONSERVATOR; CITATION AND NOTICE OF HEARING

Executed at ______________________________ (location), California on _________________ (date of signature).

I DECLARE UNDER PENALTY OF PERJURY THAT THE FORGOING IS TRUE AND

CORRECT

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Signature

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Printed Name

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Title (if applicable)

Form Adopted for Optional Use CITATION FOR REAPPOINTMENT OF LPS Page 3 of 3San Luis Obispo Superior Court Local Form PR013 CONSERVATOR Rev. 1/1/15