Fill and Sign the Temporary Conservator of the Form

FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF CASE NUMBER: ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FAX NO. (Optional): GC-115 STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): CONSERVATEE (Name): ORDER ON EX PARTE APPLICATION FOR GOOD CAUSE EXCEPTION TO NOTICE OF HEARING ON PETI TION FOR APPOINTMENT OF TEMPORARY CONSERVATOR of the Person Estate Probate Code, § 2250; Cal. Rules of Court, rule 7.1062 Form Approved for Optional Use Judicial Council of California GC-115 [New January 1, 2009] Page 1 of 2 ORDER ON EX PARTE APPLICATION FOR GOOD CAUSE EXCEPTION TO NOTICE OF HEARING ON PETITION FOR APPOINTMENT OF TEMPORARY CONSERVATOR(Probate—Guardianships and Conservatorships) Judicial officer (name): Date presented: Room: Time: Dept.: Applicant (name): Attorney for applicant (name): Attorney for proposed conservatee (name): 1. a. c. d.e.f.g. b. Proposed conservatee (name): Public Guardian (name): Attorney for Public Guardian (name): Attorney for persons listed in item g (name or names of all attorneys and persons represented): h. i. j. 2. THE COURT FINDS 3. 4. Immediate and substantial harm would be caused to the proposed conservatee, or his or her estate, during the notice period required by Probate Code section 2250(e) because of: a. An immediate and substantial medi cal emergency for which treatment is reasonably unavailable without the appointment of a temporary conservator. Treatment cannot wait for the notice period because of the proposed TEMPORARY CONSERVATORSHIP OF The ex parte application for good cause ex ception to notice of hearing on the petition for appointment of temporary conservator was presented as follows (check boxes c–j to indicate personal presence): Proposed conservatee's spou se or registered domestic partner and relatives (names and relationships): Good cause exists for an exception to no tice of the hearing of the petition of (name): for appointment of a temporary conservato r of the proposed conservatee named above. The exception is essential to protect the proposed conservatee, or his or her estate, from substantial harm. Notice of the time and place of the app lication has been given as required by law. Notice of the time and place of th e application should be dispensed with. Notice of the time and place of the ap plication should be dispensed with only for (names): a. b.c. conservatee's pain or extreme discomfor t or a significant risk of harm. GC-115 [New January 1, 2009]Page 2 of 2 ORDER ON EX PARTE APPLICATION FOR GOOD CAUSE EXCEPTION TO NOTICE OF HEARING ON PETITION FOR APPOINTMENT OF TEMPORARY CONSERVATOR(Probate—Guardianships and Conservatorships) GC-115 b. An immediate and substantial financial emergency. Means other than an e xception to notice of the hearing on the appointment of a temporary cons ervator are likely to be ineffective to prev ent loss or further loss to the proposed conservatee’s estate during the notice period. c. An immediate emergency that is likely to cause substantial harm to the proposed conservatee during the notice period. 5. Notice should be dispensed with to the per sons named below because of the harm he, she, or they, or another person, might do to the proposed conservatee, or his or her estate, if notice is given to the persons (specify names): 6. Notice should be dispensed with to the persons named below because applicant cannot find him, her, or them despite the exercise of due diligence (specify names): 4. Date: JUDICIAL OFFICER SIGNATURE FOLLOWS LAST ATTACHMENT The period of notice or the manner of giving notice to the persons named below should be modified as follows (specify names, period of notice, and manner of giving notice): Name Period of Notice Manner of Giving Notice 7. THE COURT ORDERS 8. Notice of the heari ng on the petition of (name): dispensed with. modified as follows for the following named person(s): Name Period of Notice Manner of Giving Notice a. b. dispensed with for the following named persons only: c. 10. Other orders as specified on Attachment 10 are made. 11. Number of pages attached: for appointment of a temporary conservator is CASE NUMBER: (Name): CONSERVATEE TEMPORARY CONSERVATORSHIP OF Notice of the application for an exception to notice of hearing on the petition for appointment of a temporary conservator is 9. dispensed with. a. b. dispensed with for the fo llowing named persons only: