Transcription of GC-335 Capacity Declaration—Conservatorship
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Form Adopted for Mandatory Use Judicial Council of California GC-335 [Rev. January 1, 2019] Capacity DECLARATION CONSERVATORSHIPP robate Code, 811, 813, 1801, 1825, 1881, 1910, 1 of 3 SUPERIOR COURT OF CALIFORNIA, COUNTY OFBRANCH NAME:CITY AND ZIP CODE:STREET ADDRESS:MAILING ADDRESS:CONSERVATEEPROPOSED CONSERVATEEFOR COURT USE ONLYCASE NUMBER: Capacity DECLARATION CONSERVATORSHIPATTORNEY OR PARTY WITHOUT ATTORNEYSTATE:ZIP CODE:CITY:STREET ADDRESS:FIRM NAME:NAME:TELEPHONE NO.:FAX NO.:E-MAIL ADDRESS:ATTORNEY FOR (name):STATE BAR NUMBER:GC-335TO PHYSICIAN, PSYCHOLOGIST, OR RELIGIOUS HEALING TO ATTEND COURT HEARINGCONSERVATORSHIP OF THE OF (Name):PERSONESTATEThe purpose of this form is to enable the court to determine whether the (proposed) conservatee (check all that apply):is able to attend a court hearing to determine whether a conservator should be appointed to care for him or her. The court hearing is set for (date).
impressions. of the (proposed) conservatee's mental abilities. Where appropriate, you may refer to scores on standardized rating instruments. A. Alertness and attention a (Instructions for items 6A–6C): Check the appropriate designation as follows: a = no apparent impairment; b
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