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

FOR COURT USE ONLY

GC-141

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 THE
(Name):

PERSON

ESTATE     OF 

ORDER APPOINTING TEMPORARY CONSERVATOR

CONSERVATEE

CASE NUMBER:

WARNING: THIS APPOINTMENT IS NOT EFFECTIVE UNTIL LETTERS HAVE ISSUED.

1. 

The petition for appointment of a temporary conservator came on for hearing as follows (check boxes c–j to indicate personal
presence):
a.

Judicial officer (name):

b. 

Hearing date:

Time:

Dept.:

Room:

Petitioner (name):
Attorney for petitioner (name):
Conservatee (name):
Attorney for conservatee (name):
Conservatee’s spouse or registered domestic partner, and relatives (names and relationships):

h.

Attorneys for persons listed in item g (names and persons represented):

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

THE COURT FINDS

2. 

a.
b.
Cause Exception to Notice on Petition for Appointment of Temporary Conservator filed on (date):

Notice of time and place of hearing has been given as required by law.
Notice of time and place of hearing has been modified or dispensed with under Order on Ex Parte Application for Good 

.

3.

It is necessary that a temporary conservator be appointed to

provide for temporary care, maintenance, and support

protect property from loss or injury

pending the hearing on the petition for appointment of a general conservator.
pending an appeal under Probate Code section 1301.
during the suspension of powers of the conservator.

4.

To prevent irreparable harm, the residence of the conservatee must be changed. No means less restrictive of the 
conservatee's liberty will prevent irreparable harm.

Form Adopted for Mandatory Use
Judicial Council of California
GC-141 [New  January 1, 2009]

ORDER APPOINTING TEMPORARY CONSERVATOR
(Probate—Guardianships and Conservatorships)

 Page 1 of 2

    Probate Code, §§ 2250–2254 

c.
d.
e.
f.
g.

i.
j.

a.
b.
c.

TEMPORARY CONSERVATORSHIP OF

(Name):

CASE NUMBER:

CONSERVATEE

5.

6.

The conservatee must be removed from the State of California to permit the performance of nonpsychiatric medical treatment 
essential to the conservatee's physical survival. The conservatee consents to this medical treatment.
The conservatee need not attend the hearing.

GC-141

THE COURT ORDERS

7. a.

(Name):
(Address):

(Name):
(Address):

is appointed temporary conservator of the PERSON of (name):
and Letters shall issue upon qualification.

(Telephone):

(Telephone):

is appointed temporary conservator of the ESTATE of (name):
and Letters shall issue upon qualification.

8.

a. 

Bond is not required.

Bond is fixed at: $

Deposits of: $

to be furnished by an authorized surety company or as otherwise provided by 
law.
are ordered to be placed in a blocked account at (specify institution and location):

and receipts shall be filed. No withdrawals shall be made without a court order.

Additional orders in attachment 8c.

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

The temporary conservator is authorized to change the residence of the conservatee to (address):

The temporary conservator is authorized to remove the conservatee from the State of California to the following address to 
permit the performance of nonpsychiatric medical treatment essential to the conservatee’s physical survival (address):

The conservatee need not attend the hearing.
In addition to the powers granted by law, the temporary conservator is granted other powers. These powers are specified

in attachment 12

below (specify):

b.

b.

c.

d.

9. 

10.

11.
12.

13.
14.

Other orders as specified in attachment 13 are granted.
Unless modified by further order of the court, this order expires on (date):

15. Number of boxes checked in items 7–14:

16.

Number of pages attached:

Date:

SIGNATURE FOLLOWS LAST ATTACHMENT

JUDICIAL OFFICER

GC-141 [New January 1, 2009]

ORDER APPOINTING TEMPORARY CONSERVATOR
(Probate—Guardianships and Conservatorships)

Page 2 of 2

Order Appointing Temporary Conservator

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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): 84
Average fields per page: 42
Reading Level: Grade 10
LIST Grouping(s): Unknown

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

Order Appointing Temporary Conservator

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