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ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY

SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. Main Street El Cento, CA 92243

CONSERVATORSHIP OF: (Name):________________________________ (PROPOSED) CONSERVATEE DECLARATION OF COMPLETION OF ORIENTATION AND CASE NUMBER: TRAINING FOR NON-PROFESSIONAL CONSERVATORS

I, ___________________________, declare as follows:

1. On ________________ I successfully completed the orientation and training for non-professional conservators (certificate of completion attached).

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

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Date Printed Name

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Signature

Form Approved for Mandatory Use DECLARATION OF COMPLETION OF ORIENTATION PR-02 (Adopted 01/01/17) AND TRAINING FOR NON-PROFESSIONAL CONSERVATORS