San Mateo — Guardianship Information Sheet

Source: https://sanmateo.courts.ca.gov/system/files/local-forms/fcs-8-guardianship-information-form.pdf

Superior Court of California, County of San Mateo Family Court Services 400 County Center, 6 th Floor, Redwood City, CA 94063 Tel: (650) 261-5080 Fax: (650) 261-5142

GUARDIANSHIP INFORMATION SHEET

Please limit your answers to the space provided

Court #______________

Your name : ______________________________________________________________________ Other names you have used:_________________________________________________________ Birthdate:________________________ Birthplace:________ ___Age: ___________ Do you have a valid driver's license?

Home address: ___________________________________________________________________

City_______________________________________ State_______ Zip Code__________________ Mailing address: ___________________________________________________________________ City_______________________________________ State Zip Code____________ Telephone #: home: _________________________ work / message: _________________________

Attorney’s Name: _________________________________________________________________ Address:_________________________________________________________________________ City_________________________________________ State______Zip Code___________________ Telephone number: Fax number:____

Your relation to the minor(s):________________________________________________________

Children involved in this matter: Name: dob: ________________ age: _________________ Address:__________________ school: _______________

Name: dob: ________________ age: __________________ Address:___________________ school: ________________

Name: ________________________________ dob: ________________ age: _________________ Address: ___________________________________________________ school: _______________

Residence: How long in you present address ?_________ Do you rent or own?_________ How many persons live in the house?_____ How many bedrooms? Are you planning to move?______

List all persons residing in your current residence and their relationship to you:

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Your employment information: Employer: ____________________________Address: ____________________________________ Date employed: ________________ Days/hours of work: ________________________________ Job title: ____________________________ Monthly income ______________________________

Marital Status: ( circle one ) Single Married Divorced Separated Widowed Living together Name of spouse/domestic partner: _____________________________ length of relationship_______ List names and ages of children of this relationship: ________________________________________

Other marriages Name of spouse/domestic partner:_____________________________________________________ Marriage date:_______________________________ Divorce date: ___________________________ Children from those marriages:________________________________________________________

Health Are you presently receiving medical treatment? ( ) No ( ) Yes: briefly describe__________________

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FCS-8 (Rev. 01/2018) Page 1 of 2 www.sanmateo.courts.ca.gov

SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO

Domestic Violence: ♦ Where there is a history of domestic violence and /or a restraining order in effect, the protected person may request separate mediation under Family Code 3181 and/or bring a support person under Family Code 6303. ♦ If you have a copy of the current restraining order, please provide a copy to the mediator. Please describe:__________________________________________________________________

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Information pertaining to the child(ren) involved in this case: Who has custody of the children?_____________________________________________________ Who supports the children?__________________________________________________________ Are the children seeing the parent(s) ( )No ( ) Yes, if so, what is the visitation schedule _________

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Are there any current charges of child physical abuse, sexual abuse or neglect?_________________

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Is there any history or current issue with drugs or alcohol?__________________________________ Are there any problems relating to the safety of the children?________________________________ Has Child Protective Services been involved?____________________________________________

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Has a dependency petition (W &I 300) been filed?_________________________________________

Current situation: Please limit your answers to the space provided

Briefly describe situation and background: ______________________________________________

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Please list some reasonable solutions to the situation:______________________________________

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I certify that all the information provided to Family Court Services is true and correct. I understand that falsification or omission of any information may affect the deposition on my case, and that the Family Court Services staff may consider all other available Family Court Services case information regarding myself.

Signature________________________________ Date:__________________________

FCS-8 (Rev. 01/2018) Page 2 of 2 www.sanmateo.courts.ca.gov