Declaration Form Of Service printable pdf download

Declaration Form Of Service

INSTRUCTIONS

4 OF 4 DOCUMENTS NEEDED WHEN REQUESTING REAPPOINTMENT

Numbers on the left hand side of these instructions match numbers on the form

REMEMBER USE BLACK INK PEN ONLY

DECLARATION OF SERVICE

Once you have completed and filed the “Petition for Re-Appointment” and you are given a

hearing date, you will need to complete the “Notice of Hearing “ form. You will than need to

make six (6) copies of these two documents “Petition for Re-Appointment” and “Notice of

Hearings” and then mail or give copies to certain parties and\or agencies connected with the

case. You will need to document whether you mailed or gave and to whom you notified of the

hearing on the following “Declaration of Service”

1. Fill in the Court Case#

2. Fill in the Conservatee’s (patient’s) name

Fifteen days (15) days prior to the hearing, you are required by law to give or mail

copies of the “Petition for Re-appointment as Conservator” and “Notice of Hearing”

to the parties/agencies/attorneys on this form.

3. For each party/agency/attorney you will check the box if you mailed or gave a copy

of the “Petition for Re-Appointment as Conservator” and “Notice of Hearing” and the

date you mailed or gave them the copies.

4. Fill in the Conservatee’s (patient’s) name

5. Fill in the facility name and address where the Conservatee is currently living.

(You need only send copies to the Veteran’s Administration if the Conservatee is a

Veteran).

6. Fill in the name and address of any other parties/ agencies/attorneys to whom you are

required to give Notice to.

7. If you have questions, please call the Mental Health Clerk’s Office at (323) 226-2917

or 2918.

declaration of service.doc

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Declaration Form Of Service