GC-400(C) (8) Schedule C, Disbursements, Medical Expenses—Standard Account

Source: https://www.courts.ca.gov/documents/gc400c8.pdf

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GC-400(C)(8)

CONSERVATORSHIP GUARDIANSHIP OF CASE NUMBER:

(Name): Conservatee Minor

Schedule C, Disbursements, Medical Expenses—Standard Account

Medical expenses of conservatee or ward (Net of direct medical insurance payments, but including insurance premiums paid from estate. Show insurance reimbursements of estate payments as a receipt. You may use form GC-400(A)(6) for that purpose.)

Date Check Payee and Purpose of Payment Amounts (mm/dd/yyyy) No.

$

Subtotal, Medical Expenses: $

(Add pages as required. Check the box at the bottom of the last page of this disbursement category and total the amount of the category. Include that sum in the total of disbursements on line 8 of the Summary of Account (form GC-400(SUM)/GC-405(SUM)). The page total to the right is the number of pages in Schedule C.) Page C of pages

Form Approved for Optional Code, §§ 1060–1064, 2620; Use SCHEDULE C, DISBURSEMENTS, MEDICAL EXPENSES— Probate Judicial Council of California Cal. Rules of Court, rule 7.575 GC-400(C)(8) [New January 1, 2008] STANDARD ACCOUNT www.courtinfo.ca.gov (Probate—Guardianships and Conservatorships)

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