LIMITED CONSERVATORSHIP OF: CASE NUMBER:
Attachment to Petition for Appointment of Limited Conservator
(Use if proposed limited conservatee is developmentally disabled)
Attachment 1(h)
I, (proposed limited conservator) ____________________________, ask the court to grant me the
following powers (please check all that apply):
(1) To fix the residence or specific dwelling of the limited conservatee
Reason proposed limited conservatee cannot do this him or herself:
(2) To access the confidential records and papers of the limited conservatee
Reason proposed limited conservatee cannot do this him or herself:
(3) To consent or withhold consent to the marriage of, or the entrance into a registered domestic
partnership by, the limited conservatee
Reason proposed limited conservatee cannot do this him or herself:
(4) To contract on behalf of the limited conservatee
Reason proposed limited conservatee cannot do this him or herself:
Optional Form Probate Code §§ 1830, 2351.5
SC-6036 [Adopted 1/12013] ATTACHMENT TO PETITION FOR APPOINTMENT
OF LIMITED CONSERVATOR
American LegalNet, Inc.
www.FormsWorkFlow.com
LIMITED CONSERVATORSHIP OF: CASE NUMBER:
(5) To give or withhold medical consent on behalf of the limited conservatee (If a Capacity
Declaration (Judicial Council form GC-335) has been filed, it may be cited in support of this request)
Reason proposed limited conservatee cannot do this him or herself:
(6) To control the limited conservatee’s social and sexual contacts and relationships
Reason proposed limited conservatee cannot do this him or herself:
(7) To make decisions concerning the education of the limited conservatee
Reason proposed limited conservatee cannot do this him or herself:
Optional Form Probate Code §§ 1830, 2351.5
SC-6036 [Adopted 1/12013] ATTACHMENT TO PETITION FOR APPOINTMENT
OF LIMITED CONSERVATOR
American LegalNet, Inc.
www.FormsWorkFlow.com
LIMITED CONSERVATORSHIP OF: CASE NUMBER:
Attachment 1(i)
I, (proposed conservator) ____________________________, ask the court to grant me the following
powers (please check all that apply):
(1) Possession and management of the limited conservatee’s property (such as bank accounts,
etc.) described as follows:
Reason proposed limited conservatee cannot manage this property him or herself:
(2) Collection, possession, and/or management of the debts, rentals, wages, or other claims
due the limited conservatee, including filing suit if necessary, to collect same
Reason proposed limited conservatee cannot manage this property him or herself:
(3) To pay or discharge contractual or other obligations I may incur on behalf of the limited
conservatee
(4) To pay, compromise or defend, if necessary, claims against the limited conservatee
(5) Other powers, limitations, or duties with respect to the care of limited conservatee or the
management of the property as follows:
Optional Form Probate Code §§ 1830, 2351.5
SC-6036 [Adopted 1/12013] ATTACHMENT TO PETITION FOR APPOINTMENT
OF LIMITED CONSERVATOR
American LegalNet, Inc.
www.FormsWorkFlow.com
LIMITED CONSERVATORSHIP OF: CASE NUMBER:
Attachment 1(j)
I, (proposed conservator) ____________________________, request orders limiting civil and legal
rights (e.g., the right to marry) of the proposed limited conservatee as follows (describe rights):
The proposed limited conservatee’s rights should be limited because (explain reasons why these rights should
be limited):
Optional Form Probate Code §§ 1830, 2351.5
SC-6036 [Adopted 1/12013] ATTACHMENT TO PETITION FOR APPOINTMENT
OF LIMITED CONSERVATOR
American LegalNet, Inc.
www.FormsWorkFlow.com