Ventura — Confirmation of Viewing Conservatorship Video

Source: https://ventura.courts.ca.gov/system/files/vn182.pdf

VN182

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address) Telephone Number FOR COURT USE ONLY

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF VENTURA

4353 E. VINEYARD AVE., OXNARD, CA 93036

CONSERVATORSHIP OF (NAME):

CASE NUMBER: CONFIRMATION OF VIEWING CONSERVATORSHIP VIDEO
(Ventura County Local Rule 10.02A(3)

This shall confirm that (name of Proposed Conservator(s)) _______________________________________________,

viewed the video “With Heart: Understanding Conservatorship”, pursuant to Rule 10.02A(3) of the Ventura County Rules

of Court.

The video was viewed on (date) ______________________________________ on www.youtube.com.

Other: ______________________________________________________________________

I am the [proposed] conservator and I certify that I have viewed this video:

Date: _____________________

Print Name: ________________________________ Signature: ____________________________

Print Name: ________________________________ Signature: ____________________________

Optional Form CONFIRMATION OF VIEWING CONSERVATORSHIP VIDEOVN182 (Rev. 01/22)