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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NO.:

FOR COURT USE ONLY

GC-340

STATE:

FAX NO.:

ZIP CODE:

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

CONSERVATORSHIP OF
(name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

ORDER APPOINTING
PROBATE CONSERVATOR OF THE

SUCCESSOR

PERSON

ESTATE

Limited Conservatorship

CONSERVATEE

CASE NUMBER:

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

The petition for appointment of
(check boxes c, d, e, and f or g to indicate personal presence):

successor

conservator came on for hearing as follows

Hearing date:

Time:

Dept.:

Room:

Judicial officer (name):

Petitioner (name):

Attorney for petitioner (name):

Attorney for
(Name):
(Address):

person cited

the conservatee on petition to appoint successor conservator:

(Telephone):

Person cited was
The conservatee on petition to appoint successor conservator was

unable to attend.

present.

able but unwilling to attend.

out of state.

present.

not present.

THE COURT FINDS

All notices required by law have been given.

Granting the conservatorship is the least restrictive alternative needed for the protection of the conservatee.

(Name):

The conservatee

is unable properly to provide for his or her personal needs for physical health, food, clothing, or shelter.
is substantially unable to manage his or her financial resources or to resist fraud or undue influence.
has voluntarily requested appointment of a conservator and good cause has been shown for the appointment.

is an adult.
will be an adult on the effective date of this order.
is a married minor.
is a minor whose marriage has been dissolved.

There is no form of medical treatment for which the conservatee has the capacity to give an informed consent.

The conservatee is an adherent of a religion defined in Probate Code section 2355(b).

successor

Granting the
is to the advantage and benefit and in the best interest of the conservatorship estate.
The conservatee cannot communicate, with or without reasonable accommodations, a desire to participate in the voting
process.

conservator powers to be exercised independently under Probate Code section 2590

Do NOT use this form for a temporary conservatorship.

Form Adopted for Mandatory Use
Judicial Council of California
GC-340 [Rev. January 15, 2016]

ORDER APPOINTING PROBATE CONSERVATOR
(Probate—Guardianships and Conservatorships)

Page 1 of 3

Probate Code, §§ 1830, 2688
www.courts.ca.gov

f.
g.

a.
b.
c.

a.
b.
c.
d.

CONSERVATORSHIP OF
(name):

CASE NUMBER:

CONSERVATEE

GC-340

The conservatee has dementia as defined in Probate Code section 2356.5, and the court finds all other facts required to
make the orders specified in item 28.
Attorney (name):
counsel to represent the conservatee in these proceedings.
The conservatee has the ability to pay
The conservatee need not attend the hearing.
The appointed court investigator is (name):
(Address and telephone):

a portion of this sum (specify): $

The cost for representation is: $

none

has been appointed by the court as legal

all

(For limited conservatorship only) The limited conservatee is developmentally disabled as defined in Probate Code section
1420.

successor

conservator is a professional fiduciary as defined by Business and Professions Code section

The
6501(f).
conservator holds a valid, unexpired, unsuspended license as a professional fiduciary issued by
The
the Professional Fiduciaries Bureau of the California Department of Consumer Affairs under chapter 6 (commencing with
section 6500) of division 3 of the Business and Professions Code.
License no.:

Issuance or last renewal date:

Expiration date:

successor

16.

(Either a, b, or c must be checked):
a.

successor

The

conservator is not the spouse of the conservatee.

The
against the conservatee for legal separation, dissolution, annulment, or adjudication of nullity of their marriage.

conservator is the spouse of the conservatee and is not a party to an action or proceeding

successor

The
the conservatee for legal separation, dissolution, annulment, or adjudication of nullity of their marriage.
It is in the best interest of the conservatee to appoint the spouse as conservator.

conservator is the spouse of the conservatee and is a party to an action or proceeding against

successor

17.

(Either a, b, or c must be checked):

successor
successor

conservator is not the domestic partner or former domestic partner of the conservatee.
conservator is the domestic partner of the conservatee and has neither terminated nor

The
The
intends to terminate their domestic partnership.
The
to terminate or has terminated their domestic partnership. It is in the best interest of the conservatee to appoint the
domestic partner or former domestic partner as conservator.

conservator is the domestic partner or former domestic partner of the conservatee and intends

successor

10.

11.
12.

13.

14.

15.

a.
b.

(Telephone):

is appointed

successor

conservator

limited conservator

of the PERSON of (name):

and Letters of Conservatorship shall issue upon qualification.

(Telephone):

THE COURT ORDERS
(Name):
18.
(Address):

(Name):
(Address):

is appointed

successor

conservator

limited conservator

of the ESTATE of (name):

and Letters of Conservatorship shall issue upon qualification.

The conservatee need not attend the hearing.

19.

20.

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 20c.

GC-340 [Rev. January 15, 2016]

Page 2 of 3

ORDER APPOINTING PROBATE CONSERVATOR
(Probate—Guardianships and Conservatorships)

CONSERVATORSHIP OF
(name):

20. (cont.)
d.

The

successor
without a specific court order.

to (name):

conservator is not authorized to take possession of money or any other property

21.

For legal services rendered,

conservatee

conservatee's estate shall pay the sum of: $

forthwith

as follows

(specify terms, including any combination of payors):

CASE NUMBER:

CONSERVATEE

GC-340

22.

23.

24.

25.

26.

27.

28.

29.

30.

31.

32.

33.

34.

Continued in attachment 21.

The conservatee is disqualified from voting.

The conservatee lacks the capacity to give informed consent for medical treatment and the
conservator of the person is granted the powers specified in Probate Code section 2355.

successor

The treatment shall be performed by an accredited practitioner of a religion as defined in Probate Code
section 2355(b).

The

successor

conservator of the estate is granted authorization under Probate Code section 2590 to exercise

independently the powers specified in attachment 24

subject to the conditions provided.

Orders relating to the capacity of the conservatee under Probate Code sections 1873 or 1901 as specified in attachment 25
are granted.
successor
Orders relating to the powers and duties of the
sections 2351–2358 as specified in attachment 26 are granted. (Do not include orders under Probate Code section 2356.5
relating to dementia.)
Orders relating to the conditions imposed under Probate Code section 2402 on the
of the estate as specified in attachment 27 are granted.
a.
successor

conservator of the person is granted authority to place the conservatee in a care or

conservator of the person under Probate Code

conservator

successor

The

nursing facility described in Probate Code section 2356.5(b).

The

successor

conservator of the person is granted authority to authorize the administration of

medications appropriate for the care and treatment of dementia described in Probate Code section 2356.5(c).

Other orders as specified in attachment 29 are granted.

The probate referee appointed is (name and address):

(For limited conservatorship only) Orders relating to the powers and duties of the

successor

limited conservator of the person under Probate Code section 2351.5 as specified in attachment 31 are granted.

(For limited conservatorship only) Orders relating to the powers and duties of the

successor

limited conservator of the estate under Probate Code section 1830(b) as specified in attachment 32 are granted.

(For limited conservatorship only) Orders limiting the civil and legal rights of the limited conservatee as specified in
attachment 33 are granted.

This order is effective on the

date signed

date minor attains majority (specify):

35.

Number of boxes checked in items 18–34:

36.

Number of pages attached:

Date:

JUDICIAL OFFICER

SIGNATURE FOLLOWS LAST ATTACHMENT

GC-340 [Rev. January 15, 2016]

Page 3 of 3

ORDER APPOINTING PROBATE CONSERVATOR
(Probate—Guardianships and Conservatorships)

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

Order Appointing Probate Conservator

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): 3
Fields(s): 165
Average fields per page: 55
Reading Level: Grade 12
LIST Grouping(s): FA-00-00-00-00.

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.

Here are the fields we could identify.

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topmost_subform_page_fill_text__2 was topmostSubform[0].Page1[0].FillText17[0] (0.44 conf)
topmost_subform_page_fill_text__3 was topmostSubform[0].Page1[0].FillText18[0] (0.44 conf)
topmost_subform_page_fill_text__4 was topmostSubform[0].Page1[0].FillText19[0] (0.44 conf)
topmost_subform_page_fill_text__5 was topmostSubform[0].Page1[0].FillText20[0] (0.44 conf)
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topmost_subform_page_check_box__3 was topmostSubform[0].Page1[0].CheckBox09[0] (0.39 conf)
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topmost_subform_page_order_est_appt__3 was topmostSubform[0].Page2[0].OrderEstAppt[2] (0.39 conf)
topmost_subform_page_fill_text__31 was topmostSubform[0].Page3[0].FillText48[0] (0.44 conf)
topmost_subform_page_check_box__63 was topmostSubform[0].Page3[0].CheckBox33[0] (0.39 conf)
topmost_subform_page_check_box__64 was topmostSubform[0].Page3[0].CheckBox24[0] (0.39 conf)
topmost_subform_page_check_box__65 was topmostSubform[0].Page3[0].CheckBox50[0] (0.39 conf)
topmost_subform_page_check_box__66 was topmostSubform[0].Page3[0].CheckBox51[0] (0.39 conf)
topmost_subform_page_check_box__67 was topmostSubform[0].Page3[0].CheckBox51[1] (0.39 conf)
topmost_subform_page_fill_text__32 was topmostSubform[0].Page3[0].FillText46[0] (0.44 conf)
topmost_subform_page_fill_text__33 was topmostSubform[0].Page3[0].FillText47[0] (0.44 conf)
topmost_subform_page_check_box__68 was topmostSubform[0].Page3[0].CheckBox52[0] (0.39 conf)
topmost_subform_page_check_box__69 was topmostSubform[0].Page3[0].CheckBox52[1] (0.39 conf)
topmost_subform_page_check_box__70 was topmostSubform[0].Page3[0].CheckBox53[0] (0.39 conf)
topmost_subform_page_check_box__71 was topmostSubform[0].Page3[0].CheckBox54[0] (0.39 conf)
topmost_subform_page_check_box__72 was topmostSubform[0].Page3[0].CheckBox55[0] (0.39 conf)
topmost_subform_page_check_box__73 was topmostSubform[0].Page3[0].CheckBox56[0] (0.39 conf)
topmost_subform_page_check_box__74 was topmostSubform[0].Page3[0].CheckBox57[0] (0.39 conf)
topmost_subform_page_check_box__75 was topmostSubform[0].Page3[0].CheckBox60[0] (0.39 conf)
topmost_subform_page_check_box__76 was topmostSubform[0].Page3[0].CheckBox61[0] (0.39 conf)
topmost_subform_page_check_box__77 was topmostSubform[0].Page3[0].CheckBox62[0] (0.39 conf)
topmost_subform_page_check_box__78 was topmostSubform[0].Page3[0].CheckBox64[0] (0.39 conf)
topmost_subform_page_check_box__79 was topmostSubform[0].Page3[0].CheckBox71[0] (0.39 conf)
topmost_subform_page_check_box__80 was topmostSubform[0].Page3[0].CheckBox72[0] (0.39 conf)
topmost_subform_page_fill_text__34 was topmostSubform[0].Page3[0].FillText49[0] (0.44 conf)
topmost_subform_page_check_box__81 was topmostSubform[0].Page3[0].CheckBox80[0] (0.39 conf)
topmost_subform_page_check_box__82 was topmostSubform[0].Page3[0].CheckBox82[0] (0.39 conf)
topmost_subform_page_check_box__83 was topmostSubform[0].Page3[0].CheckBox84[0] (0.39 conf)
topmost_subform_page_check_box__84 was topmostSubform[0].Page3[0].CheckBox85[0] (0.39 conf)
topmost_subform_page_check_box__85 was topmostSubform[0].Page3[0].CheckBox86[0] (0.39 conf)
topmost_subform_page_check_box__86 was topmostSubform[0].Page3[0].CheckBox86[1] (0.39 conf)
topmost_subform_page_fill_text__35 was topmostSubform[0].Page3[0].FillText50[0] (0.44 conf)
topmost_subform_page_fill_text__36 was topmostSubform[0].Page3[0].FillText51[0] (0.44 conf)
topmost_subform_page_fill_text__37 was topmostSubform[0].Page3[0].FillText52[0] (0.44 conf)
topmost_subform_page_fill_text__38 was topmostSubform[0].Page3[0].FillText53[0] (0.44 conf)
topmost_subform_page_check_box__87 was topmostSubform[0].Page3[0].CheckBox87[0] (0.39 conf)
topmost_subform_page_caption_px_sf_title_party_name_ft__2 was topmostSubform[0].Page3[0].CaptionPx_sf[0].TitlePartyName[0].Party2_ft[0] (0.40 conf)
topmost_subform_page_caption_px_sf_case_number_ft__2 was topmostSubform[0].Page3[0].CaptionPx_sf[0].CaseNumber[0].CaseNumber_ft[0] (0.40 conf)
topmost_subform_page_check_box__88 was topmostSubform[0].Page3[0].CheckBox33[1] (0.39 conf)
topmost_subform_page_check_box__89 was topmostSubform[0].Page3[0].CheckBox24[1] (0.39 conf)
topmost_subform_page_check_box__90 was topmostSubform[0].Page3[0].CheckBox24[2] (0.39 conf)
topmost_subform_page_check_box__91 was topmostSubform[0].Page3[0].CheckBox24[3] (0.39 conf)
topmost_subform_page_check_box__92 was topmostSubform[0].Page3[0].CheckBox33[2] (0.39 conf)
topmost_subform_page_check_box__93 was topmostSubform[0].Page3[0].CheckBox24[4] (0.39 conf)
topmost_subform_page_check_box__94 was topmostSubform[0].Page3[0].CheckBox33[3] (0.39 conf)
topmost_subform_page_check_box__95 was topmostSubform[0].Page3[0].CheckBox24[5] (0.39 conf)
topmost_subform_page_check_box__96 was topmostSubform[0].Page3[0].CheckBox24[6] (0.39 conf)
topmost_subform_page_check_box__97 was topmostSubform[0].Page3[0].CheckBox24[7] (0.39 conf)
topmost_subform_page_checkbox was topmostSubform[0].Page3[0].Checkbox[0] (0.38 conf)

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

Suggested Screen 0:

topmost_subform_page_check_box__1
topmost_subform_page_fill_text__1
topmost_subform_page_fill_text__2
topmost_subform_page_fill_text__3
topmost_subform_page_fill_text__4
topmost_subform_page_fill_text__5
topmost_subform_page_check_box__2
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topmost_subform_page_check_box__3
topmost_subform_page_fill_text__7
topmost_subform_page_check_box__4
topmost_subform_page_check_box__5
topmost_subform_page_check_box__6
topmost_subform_page_fill_text__8
topmost_subform_page_fill_text__9
topmost_subform_page_fill_text__10
topmost_subform_page_check_box__7
topmost_subform_page_check_box__8
topmost_subform_page_check_box__9
topmost_subform_page_check_box__10
topmost_subform_page_check_box__11
topmost_subform_page_fill_text__11
topmost_subform_page_check_box__12
topmost_subform_page_check_box__13
topmost_subform_page_check_box__14
topmost_subform_page_check_box__15
topmost_subform_page_check_box__16
topmost_subform_page_check_box__17
topmost_subform_page_check_box__18
topmost_subform_page_check_box__19
topmost_subform_page_check_box__20
topmost_subform_page_check_box__21
topmost_subform_page_check_box__22
topmost_subform_page_check_box__23
page_std_p_header_county
page_std_p_header_info__1
page_std_p_header_info_city__1
page_std_p_header_info__2
page_std_p_header_info__3
topmost_subform_page_std_p_header_sf_title_party_name_ft
page_std_p_header_number
page_std_p_form_title__1
page_std_p_form_title__2
std_p_header_check_bx
topmost_subform_page_std_p_header_sf_form_title_chck_bx
page_std_p_header_sf_info__1
page_std_p_header_info_zip
page_std_p_header_info_city__2
page_std_p_header_info__4
page_std_p_header_sf_info__2
page_std_p_header_info_name
page_std_p_header_info_dc
page_std_p_header_info_phone
page_std_p_header_sf_info__3
page_std_p_header_info_email
page_std_p_header_sf_info__4
topmost_subform_page_check_box__24
topmost_subform_page_check_box__25
topmost_subform_page_check_box__26
topmost_subform_page_check_box__27
topmost_subform_page_check_box__28
topmost_subform_page_caption_px_sf_title_party_name_ft__1
topmost_subform_page_caption_px_sf_case_number_ft__1
topmost_subform_page_check_box__29
topmost_subform_page_check_box__30
topmost_subform_page_fill_text__12
topmost_subform_page_fill_text__13
topmost_subform_page_check_box__31
topmost_subform_page_check_box__32
topmost_subform_page_check_box__33
topmost_subform_page_fill_text__14
topmost_subform_page_check_box__34
topmost_subform_page_check_box__35
topmost_subform_page_fill_text__15
topmost_subform_page_fill_text__16
topmost_subform_page_check_box__36
topmost_subform_page_check_box__37
topmost_subform_page_check_box__38
topmost_subform_page_fill_text__17
topmost_subform_page_fill_text__18
topmost_subform_page_fill_text__19
topmost_subform_page_fill_text__20
topmost_subform_page_fill_text__21
topmost_subform_page_fill_text__22
topmost_subform_page_check_box__39
topmost_subform_page_check_box__40
topmost_subform_page_check_box__41
topmost_subform_page_fill_text__23
topmost_subform_page_fill_text__24
topmost_subform_page_fill_text__25
topmost_subform_page_fill_text__26
topmost_subform_page_fill_text__27
topmost_subform_page_check_box__42
topmost_subform_page_check_box__43
topmost_subform_page_check_box__44
topmost_subform_page_fill_text__28
topmost_subform_page_check_box__45
topmost_subform_page_fill_text__29
topmost_subform_page_fill_text__30
topmost_subform_page_check_box__46
topmost_subform_page_check_box__47
topmost_subform_page_check_box__48
topmost_subform_page_check_box__49
topmost_subform_page_check_box__50
topmost_subform_page_check_box__51
topmost_subform_page_check_box__52
topmost_subform_page_check_box__53
topmost_subform_page_check_box__54
topmost_subform_page_check_box__55
topmost_subform_page_check_box__56
topmost_subform_page_check_box__57
topmost_subform_page_check_box__58
topmost_subform_page_check_box__59
topmost_subform_page_check_box__60
topmost_subform_page_check_box__61
topmost_subform_page_check_box__62
topmost_subform_page_order_est_appt__1
topmost_subform_page_order_est_appt__2
topmost_subform_page_order_est_appt__3
topmost_subform_page_fill_text__31
topmost_subform_page_check_box__63
topmost_subform_page_check_box__64
topmost_subform_page_check_box__65
topmost_subform_page_check_box__66
topmost_subform_page_check_box__67
topmost_subform_page_fill_text__32
topmost_subform_page_fill_text__33
topmost_subform_page_check_box__68
topmost_subform_page_check_box__69
topmost_subform_page_check_box__70
topmost_subform_page_check_box__71
topmost_subform_page_check_box__72
topmost_subform_page_check_box__73
topmost_subform_page_check_box__74
topmost_subform_page_check_box__75
topmost_subform_page_check_box__76
topmost_subform_page_check_box__77
topmost_subform_page_check_box__78
topmost_subform_page_check_box__79
topmost_subform_page_check_box__80
topmost_subform_page_fill_text__34
topmost_subform_page_check_box__81
topmost_subform_page_check_box__82
topmost_subform_page_check_box__83
topmost_subform_page_check_box__84
topmost_subform_page_check_box__85
topmost_subform_page_check_box__86
topmost_subform_page_fill_text__35
topmost_subform_page_fill_text__36
topmost_subform_page_fill_text__37
topmost_subform_page_fill_text__38
topmost_subform_page_check_box__87
topmost_subform_page_caption_px_sf_title_party_name_ft__2
topmost_subform_page_caption_px_sf_case_number_ft__2
topmost_subform_page_check_box__88
topmost_subform_page_check_box__89
topmost_subform_page_check_box__90
topmost_subform_page_check_box__91
topmost_subform_page_check_box__92
topmost_subform_page_check_box__93
topmost_subform_page_check_box__94
topmost_subform_page_check_box__95
topmost_subform_page_check_box__96
topmost_subform_page_check_box__97
topmost_subform_page_checkbox

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