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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY (name, address, and State Bar number):
After recording return to:

GC-350

TEL NO.:

FAX NO. (optional):

E-MAIL ADDRESS (optional):

ATTORNEY FOR (name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CONSERVATORSHIP OF (name):

LETTERS OF CONSERVATORSHIP

Person

Estate

Limited Conservatorship

CONSERVATEE

FOR COURT USE ONLY

FOR RECORDER'S USE ONLY

CASE NUMBER:

(Name):

conservator

limited conservator

of the

is the appointed
estate

person

of (name):
(For conservatorship that was on December 31, 1980, a guardianship of an adult or of
the person of a married minor)
was appointed the guardian of the
(specify):

by order dated
person

and is now the conservator of the

(Name):

person

estate

of (name):

Other powers have been granted or conditions imposed as follows:

b.
c.

e.
f.

Exclusive authority to give consent for and to require the conservatee to receive
medical treatment that the conservator in good faith based on medical advice
determines to be necessary even if the conservatee objects, subject to the limitations
stated in Probate Code section 2356.
(1)

This treatment shall be performed by an accredited practitioner of the religion whose tenets and practices call
for reliance on prayer alone for healing of which the conservatee was an adherent prior to the establishment of
the conservatorship.
(If court order limits duration) This medical authority terminates on (date):

(2)
Authority to place the conservatee in a care or nursing facility described in Probate Code section 2356.5(b).
Authority to authorize the administration of medications appropriate for the care and treatment of dementia described in
Probate Code section 2356.5(c).
Powers to be exercised independently under Probate Code section 2590 are specified in Attachment 3d (specify powers,
restrictions, conditions, and limitations).
Conditions relating to the care and custody of property under Probate Code section 2402 are specified in Attachment 3e.
Conditions relating to the care, treatment, education, and welfare of the conservatee under Probate Code section 2358
are specified in Attachment 3f.
(For limited conservatorship only) Powers of the limited conservator of the person under Probate Code section 2351.5 are
specified in Attachment 3g.
(For limited conservatorship only) Powers of the limited conservator of the estate under Probate Code section 1830(b) are
specified in Attachment 3h.
Other powers granted or conditions imposed are specified in Attachment 3i.

(SEAL)

The conservator is not authorized to take possession of money or any other property without a
specific court order.

Number of pages attached:

WITNESS, clerk of the court, with seal of the court affixed.
Date:

Clerk, by

This form may be recorded as notice of the establishment of a conservatorship of the estate as provided in Probate Code § 1875.

Form Adopted for Mandatory Use
Judicial Council of California
GC-350 [Rev. July 1, 2015]

LETTERS OF CONSERVATORSHIP
(Probate—Guardianships and Conservatorships)

, Deputy

Page 1 of 2

Probate Code, §§ 1834,
2890–2893;
Code of Civil Procedure, § 2015.6
www.courts.ca.gov

CONSERVATORSHIP OF (name):

CASE NUMBER:

GC-350

CONSERVATEE

NOTICE TO INSTITUTIONS AND FINANCIAL INSTITUTIONS
(Probate Code sections 2890–2893)

When these Letters of Conservatorship (Letters) are delivered to you as an employee or other representative of an institution or
financial institution (described below) in order for the conservator of the estate (1) to take possession or control of an asset of the
conservatee named above held by your institution (including changing title, withdrawing all or any portion of the asset, or transferring all
or any portion of the asset) or (2) to open or change the name of an account or a safe-deposit box in your financial institution to reflect
the conservatorship, you must fill out Judicial Council form GC-050 (for an institution) or form GC-051 (for a financial institution). An
officer authorized by your institution or financial institution must date and sign the form, and you must file the completed form with the
court.

There is no filing fee for filing the form. You may either arrange for personal delivery of the form or mail it to the court for filing at the
address given for the court on page 1 of these Letters.

The conservator should deliver a blank copy of the appropriate form to you with these Letters, but it is your institution’s or financial
institution’s responsibility to complete the correct form, have an authorized officer sign it, and file the completed form with the court. If
the correct form is not delivered with these Letters or is unavailable for any other reason, blank copies of the forms may be obtained
from the court. The forms may also be accessed from the judicial branch’s public Web site free of charge. The Internet address (URL) is
www.courts.ca.gov/forms/. Select the form group Probate—Guardianships and Conservatorships and scroll down to form GC-050 for
an institution or form GC-051 for a financial institution. The forms may be printed out as blank forms and filled in by typewriter or may be
filled out online and printed out ready for signature and filing.

An institution under California Probate Code section 2890(c) is an insurance company, agent, or broker; an investment company; an
investment bank; a securities broker-dealer; an investment advisor; a financial planner; a financial advisor; or any other person who
takes, holds, or controls an asset subject to a conservatorship or guardianship other than a financial institution. Institutions must file a
Notice of Taking Possession or Control of an Asset of Minor or Conservatee (form GC-050) for an asset of the conservatee held by the
institution. A single form may be filed for all affected assets held by the institution.

A financial institution under California Probate Code section 2892(b) is a bank, a trust, a savings and loan association, a savings bank,
an industrial bank, or a credit union. Financial institutions must file a Notice of Opening or Changing a Guardianship or Conservatorship
Account or Safe-Deposit Box (form GC-051) for an account or a safe-deposit box held by the financial institution. A single form may be
filed for all affected accounts or safe-deposit boxes held by the financial institution.

LETTERS OF CONSERVATORSHIP

AFFIRMATION

I solemnly affirm that I will perform according to law the duties of

conservator

limited conservator.

Executed on (date):

, at (place):

(TYPE OR PRINT NAME)

(SIGNATURE OF APPOINTEE)

I certify that this document, including any attachments, is a correct copy of the original on file in my office, and that the Letters issued to
the person appointed above have not been revoked, annulled, or set aside, and are still in full force and effect.

CERTIFICATION

(SEAL)

Date:

Clerk, by

, Deputy

GC-350 [Rev. July 1, 2015]

Page 2 of 2

LETTERS OF CONSERVATORSHIP
(Probate—Guardianships and Conservatorships)

For your protection and privacy, please press the Clear
This Form button after you have printed the form.

Letters of Conservatorship

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 2
Fields(s): 57
Average fields per page: 28
Reading Level: Grade 11
LIST Grouping(s): ES-00-00-00-00, ES-02-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

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We've done our best to group similar variables togther to avoid overwhelming the user.

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Letters of Conservatorship

About This Form:

Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02