ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):

FOR COURT USE ONLY

GC-115  

FAX NO. (Optional):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF 

TELEPHONE NO.:

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

TEMPORARY CONSERVATORSHIP OF

(Name):

b.
c.
d.
e.
f.
g.

h.

i.
j.

a.
b.
c.

2.

3.

4.

ORDER ON EX PARTE APPLICATION FOR GOOD CAUSE EXCEPTION 
TO NOTICE OF HEARING ON PETITION FOR APPOINTMENT OF    
TEMPORARY CONSERVATOR of the

Person

Estate

CONSERVATEE

CASE NUMBER:

1.

The ex parte application for good cause exception to notice of hearing on the petition for appointment of temporary conservator was 
presented as follows (check boxes c–j to indicate personal presence):
a.

Judicial officer (name):

Date presented:

Time:

Dept.:

Room:

Applicant (name):
Attorney for applicant (name):
Proposed conservatee (name):
Attorney for proposed conservatee (name):
Proposed conservatee's spouse or registered domestic partner and relatives (names and relationships):

Attorney for persons listed in item g (name or names of all attorneys and persons represented):

Public Guardian (name):
Attorney for Public Guardian (name):

THE COURT FINDS

Notice of the time and place of the application has been given as required by law.
Notice of the time and place of the application should be dispensed with.
Notice of the time and place of the application should be dispensed with only for (names):

Good cause exists for an exception to notice of the hearing of the petition of (name):
for appointment of a temporary conservator of the proposed conservatee named above. The exception is essential to protect 
the proposed conservatee, or his or her estate, from substantial harm.

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 medical 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 
conservatee's pain or extreme discomfort or a significant risk of harm.

Form Approved for Optional Use
Judicial Council of California
GC-115 [New January 1, 2009]

ORDER ON EX PARTE APPLICATION FOR GOOD CAUSE 
EXCEPTION TO NOTICE OF HEARING ON PETITION FOR 
APPOINTMENT OF TEMPORARY CONSERVATOR
(Probate—Guardianships and Conservatorships)

Page 1 of 2

Probate Code, § 2250;
Cal. Rules of Court, rule 7.1062
www.courtinfo.ca.gov

(Name):

4. 

5.

6.

7.

TEMPORARY CONSERVATORSHIP OF 

CASE NUMBER:

GC-115  

CONSERVATEE

b.

c.

An immediate and substantial financial emergency. Means other than an exception to notice of the hearing on the 
appointment of a temporary conservator are likely to be ineffective to prevent loss or further loss to the proposed 
conservatee’s estate during the notice period.

An immediate emergency that is likely to cause substantial harm to the proposed conservatee during the notice 
period.

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

Notice should be dispensed with to the persons 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):

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):

THE COURT ORDERS

8.

Notice of the application for an exception to notice of hearing on the petition for appointment of a temporary conservator is

a.

b.

dispensed with.
dispensed with for the following named persons only: 

9.

Notice of the hearing on the petition of (name):

for appointment of a temporary conservator is
a.

dispensed with.
dispensed with for the following named persons only: 

b.

c.

modified as follows for the following named person(s): 

Name

Period of Notice

Manner of Giving Notice

10.

Other orders as specified on Attachment 10 are made.

11. Number of pages attached:

Date:

JUDICIAL  OFFICER

SIGNATURE FOLLOWS LAST ATTACHMENT

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)