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Here is the text we could read:

CONFIDENTIAL (DO NOT ATTACH TO PETITION)

GC-312

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):

FOR COURT USE ONLY

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:

CONSERVATORSHIP OF (Name):

CONFIDENTIAL SUPPLEMENTAL INFORMATION 
(Probate Conservatorship)

Conservatorship of

Person

Estate

Limited Conservatorship

PROPOSED CONSERVATEE

1. a. Proposed conservatee (name):

b. Date of birth:

c. Social security No.:

CASE NUMBER:

HEARING DATE:

DEPT.:

TIME:

2.

UNABLE TO PROVIDE FOR PERSONAL NEEDS* The following facts support petitioner's allegation that the proposed 
conservatee is unable to provide properly for his or her needs for physical health, food, clothing, and shelter (specify in detail, 
enlarging upon the reasons stated in the petition; provide specific examples from the proposed conservatee's daily life 
showing significant behavior patterns):

Specified in Attachment 2.

* If this item is not applicable, complete item 8.

Form Adopted for Mandatory Use 
Judicial Council of California 
GC-312 [Rev. January 1, 2001]

CONFIDENTIAL SUPPLEMENTAL INFORMATION 
(Probate Conservatorship)

(Continued on reverse)

Page one of four
Probate Code, § 1821

CONSERVATORSHIP OF (Name):

CASE NUMBER:

CONFIDENTIAL

PROPOSED CONSERVATEE

3.

UNABLE TO MANAGE FINANCIAL RESOURCES*   The following facts support petitioner's allegation that the proposed 
conservatee is substantially unable to manage his or her financial resources or to resist fraud or undue influence (specify in 
detail, enlarging upon the reasons stated in the petition; provide specific examples from the proposed conservatee's daily 
life showing significant behavior patterns):

Specified in Attachment 3.

4.

RESIDENCE ("Residence" means the place usually described as "home"; for example, owned real property or long-term rental.)
a. 

The proposed conservatee is located at (street address, city, state):

b.                                                                                                                                                              (street address, city, state):

The proposed conservatee's residence is*

the address in item 4a

other 

c. 

Ability to live in residence*  The proposed conservatee is
(1)

living in his or her residence and
(a)
(b)
(c)

will continue to live there unless circumstances change.
will need to be moved after a conservator is appointed (specify supporting facts below in item 4c(3)).
other (specify and give supporting facts below in item 4c(3)).

* If this item is not applicable, complete item 8.

(Continued on page three

GC-312 [Rev. January 1, 2001]

CONFIDENTIAL SUPPLEMENTAL INFORMATION 
(Probate Conservatorship)

Page two of four

CONSERVATORSHIP OF (Name):

CASE NUMBER:

CONFIDENTIAL

PROPOSED CONSERVATEE

4. c.   (continued)
(2)

not living in his or her residence and
(a)
(b)
(c)

will return by 
will not return to live there (specify supporting facts below in item 4c(3)).
other (specify and give supporting facts below in item 4c(3)).

(date):

(specify supporting facts below in item 4c(3)).

(3)

                             (specify if required):
Supporting facts 

Specified in Attachment 4c.

5. ALTERNATIVES TO CONSERVATORSHIP*  Petitioner has considered the following alternatives to conservatorship and found 

them to be unsuitable or unavailable to the proposed conservatee (specify the alternatives considered and the reason or reasons 
each is unsuitable or unavailable):
a.  Voluntary acceptance of informal or formal assistance (give reason this is unsuitable or unavailable):

 Reasons specified in Attachment 5.

b.  Special or limited power of attorney (give reason this is unsuitable or unavailable):

c.  General power of attorney (give reason this is  unsuitable or unavailable):

d.   Durable power of attorney for

                                                                                                                                 (give reason this is unsuitable or unavailable):

estate management 

health care

e.  Trust (give reason this is unsuitable or unavailable):

f.  Other alternatives considered (specify and give reason each is unsuitable or unavailable):

6.

a.

SERVICES PROVIDED* (complete a or b, or both a and b)
During the year before this petition was filed,
(1) health services
were provided

Explained in Attachment 6a(1).

were not provided

to the proposed conservatee (explain):

(2) social services

were provided

were not provided

to the proposed conservatee (explain):

Explained in Attachment 6a(2).

* If this item is not applicable, complete item 8.

GC-312 [Rev. January 1, 2001]

Page three of four

(Continued on page four)

CONFIDENTIAL SUPPLEMENTAL INFORMATION 
(Probate Conservatorship)

CONSERVATORSHIP OF (Name):

CASE NUMBER:

CONFIDENTIAL

PROPOSED CONSERVATEE

6. a.   (continued)

(3)   estate management assistance
       conservatee (explain):

Explained in Attachment 6a(3).

was provided

was not provided

to the proposed

b.

Petitioner has no knowledge of what
assistance was provided to the proposed conservatee during the year before this petition was filed. Petitioner has no 
reasonable means of determining what services were provided.

estate management

health services

social services

7. SUPPORTING FACTS (AFFIDAVITS)  The information provided above is stated

a.  Item 1:

on petitioner's own knowledge

in an affidavit (declaration) by another person attached as Attachment 1a.

b.  Item 2:

on petitioner's own knowledge

in an affidavit (declaration) by another person attached as Attachment 2a.

c.  Item 3:

on petitioner's own knowledge

in an affidavit (declaration) by another person attached as Attachment 3a.

d.  Item 4:

on petitioner's own knowledge

in an affidavit (declaration) by another person attached as Attachment 4a.

e.  Item 5:

on petitioner's own knowledge

in an affidavit (declaration) by another person attached as Attachment 5a.

f.   Item 6:

on petitioner's own knowledge

in an affidavit (declaration) by another person attached as Attachment 6a.

8.

ITEMS NOT APPLICABLE   The following items on this form were not applicable to the proposed conservatee:

2

3

4b

4c

5

6  

(specify reasons each item is not applicable):

Reasons specified in Attachment 8.

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

DECLARATION

9.

Number of pages attached: 

Date:

(TYPE OR PRINT NAME)

(SIGNATURE OF PETITIONER)

GC-312 [Rev. January 1, 2001]

Page four of four

CONFIDENTIAL SUPPLEMENTAL INFORMATION 
(Probate Conservatorship)

Confidential Supplemental Information

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): 4
Fields(s): 102
Average fields per page: 25
Reading Level: Grade 11
LIST Grouping(s): Unknown

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.

c_page_p_party_info_phone was GC-312[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Phone[0] (0.52 conf)
c_page_p_caption_party_info was GC-312[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Fax[0] (0.37 conf)
c_page_p_party_info_email was GC-312[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Email[0] (0.37 conf)
g_c_page_p_party_info was GC-312[0].Page1[0].p1Caption[0].AttyPartyInfo[0].AttyFor[0] (0.37 conf)
c_page_p_party_info_name was GC-312[0].Page1[0].p1Caption[0].AttyPartyInfo[0].AttorneyInfo[0].AttorneyName[0] (0.39 conf)
c_page_p_court_info_county was GC-312[0].Page1[0].p1Caption[0].CourtInfo[0].CrtCounty[0] (0.38 conf)
c_page_p_caption_info_street was GC-312[0].Page1[0].p1Caption[0].CourtInfo[0].CrtStreet[0] (0.38 conf)
page_p_caption_court_info_mailing was GC-312[0].Page1[0].p1Caption[0].CourtInfo[0].CrtMailingAdd[0] (0.35 conf)
g_c_page_p_caption_court_info_crt_city_zip was GC-312[0].Page1[0].p1Caption[0].CourtInfo[0].CrtCityZip[0] (0.36 conf)
c_page_p_caption_court_info was GC-312[0].Page1[0].p1Caption[0].CourtInfo[0].CrtBranch[0] (0.38 conf)
c_page_p_title_name__1 was GC-312[0].Page1[0].p1Caption[0].TitlePartyName[0].ConservatorshipName[0] (0.32 conf)
c_page_p_title_name__2 was GC-312[0].Page1[0].p1Caption[0].TitlePartyName[0].secondline[0] (0.33 conf)
c_page_p_form_title_person was GC-312[0].Page1[0].p1Caption[0].FormTitle[0].#subform[0].Person[0] (0.37 conf)
g_c_page_p_form_title was GC-312[0].Page1[0].p1Caption[0].FormTitle[0].#subform[1].Estate[0] (0.37 conf)
c_page_p_form_title_limited was GC-312[0].Page1[0].p1Caption[0].FormTitle[0].#subform[2].LimitedCon[0] (0.40 conf)
g_c_page_p_case_number was GC-312[0].Page1[0].p1Caption[0].CaseNumber[0].CaseNumber[0] (0.36 conf)
c_page_p_hearing_date_dt was GC-312[0].Page1[0].p1Caption[0].HearingDate[0].HearingDt[0] (0.36 conf)
g_c_page_p_proposed was GC-312[0].Page1[0].p1Caption[0].ProposedConservatee[0] (0.31 conf)
g_c_page_p_caption_b was GC-312[0].Page1[0].p1Caption[0].DOB[0] (0.40 conf)
g_c_page_p_caption was GC-312[0].Page1[0].p1Caption[0].SS[0] (0.33 conf)
g_c_page_dept_time__1 was GC-312[0].Page1[0].Dept-Time[0].Dept[0] (0.43 conf)
g_c_page_dept_time__2 was GC-312[0].Page1[0].Dept-Time[0].Time[0] (0.43 conf)
g_c_page_text_field__1 was GC-312[0].Page1[0].TextField2[0] (0.41 conf)
g_c_page_area_check_box was GC-312[0].Page1[0].#area[0].CheckBox19[0] (0.37 conf)
g_c_page_specified_attach__1 was GC-312[0].Page1[0].#subform[3].SpecifiedInAttach[0] (0.38 conf)
c_page_title_party_name__1 was GC-312[0].Page2[0].pxCaption[0].TitlePartyName[0].secondline[0] (0.33 conf)
g_c_page_px_caption_title_party_name_conservatorship__1 was GC-312[0].Page2[0].pxCaption[0].TitlePartyName[0].ConservatorshipName[0] (0.32 conf)
g_c_page_px_case_number__1 was GC-312[0].Page2[0].pxCaption[0].CaseNumber[0].CaseNumber[0] (0.36 conf)
g_c_page_unable_manage was GC-312[0].Page2[0].UnableToManage[0] (0.34 conf)
g_c_page_specified_attach__2 was GC-312[0].Page2[0].SpecifiedInAttach3[0] (0.38 conf)
g_c_page_text_field__2 was GC-312[0].Page2[0].TextField2[0] (0.41 conf)
c_page_residence_info_text_field was GC-312[0].Page2[0].Residence-Info[0].Residence-Text-Field[0] (0.31 conf)
c_page_b_proposed_field_name was GC-312[0].Page2[0].b\.TheProposedTextField[0].AttorneyName[0] (0.37 conf)
g_c_page_check_box_b__1 was GC-312[0].Page2[0].CheckBox-4b[0] (0.35 conf)
g_c_page_check_box_b__2 was GC-312[0].Page2[0].CheckBox-4b[1] (0.35 conf)
g_c_page_chck_bx__1 was GC-312[0].Page2[0].ChckBx-4c[0] (0.36 conf)
g_c_page_ck_bx_b__1 was GC-312[0].Page2[0].CkBx-4c1a-b-c[0] (0.36 conf)
g_c_page_ck_bx_b__2 was GC-312[0].Page2[0].CkBx-4c1a-b-c[1] (0.36 conf)
g_c_page_ck_bx_b__3 was GC-312[0].Page2[0].CkBx-4c1a-b-c[2] (0.36 conf)
c_page_title_party_name__2 was GC-312[0].Page3[0].pxCaption[0].TitlePartyName[0].secondline[0] (0.33 conf)
g_c_page_px_caption_title_party_name_conservatorship__2 was GC-312[0].Page3[0].pxCaption[0].TitlePartyName[0].ConservatorshipName[0] (0.32 conf)
g_c_page_px_case_number__2 was GC-312[0].Page3[0].pxCaption[0].CaseNumber[0].CaseNumber[0] (0.36 conf)
g_c_page_chck_bx__2 was GC-312[0].Page3[0].ChckBx-4c-3[0] (0.35 conf)
g_c_page_text_field__3 was GC-312[0].Page3[0].TextField2[0] (0.41 conf)
g_c_page_residence_text_field__1 was GC-312[0].Page3[0].Residence-Text-Field[0] (0.33 conf)
g_c_page_reasons_specified was GC-312[0].Page3[0].ReasonsSpecified[0] (0.34 conf)
g_c_special_txt_residence_text was GC-312[0].Page3[0].Special-txt-bx[0].Residence-Text-Field[1] (0.33 conf)
g_c_page_general_txt_text was GC-312[0].Page3[0].General-Txt-bx[0].Residence-Text-Field[2] (0.32 conf)
c_durable_text_box_residence was GC-312[0].Page3[0].Durable-text-box[0].Residence-Text-Field[3] (0.39 conf)
c_page_txt_box_residence_text was GC-312[0].Page3[0].Trust-txt-box[0].Residence-Text-Field[4] (0.32 conf)
g_c_page_f_alt_text was GC-312[0].Page3[0].f\.OtherAlt-textbox[0].Residence-Text-Field[5] (0.37 conf)
g_c_page_health_care was GC-312[0].Page3[0].HealthCare[0] (0.38 conf)
g_c_page_estate_mgmt was GC-312[0].Page3[0].EstateMgmt[0] (0.38 conf)
g_c_page_chck_bx__3 was GC-312[0].Page3[0].ChckBx-6a[0] (0.36 conf)
g_c_page_chck_bx__4 was GC-312[0].Page3[0].ChckBx-6a-1[0] (0.38 conf)
g_c_page_chck_bx__5 was GC-312[0].Page3[0].ChckBx-6a-1[1] (0.38 conf)
g_c_page_chck_bx_explained__1 was GC-312[0].Page3[0].ChckBx-6a-1-Explained[0] (0.33 conf)
g_c_page_residence_text_field__2 was GC-312[0].Page3[0].Residence-Text-Field[6] (0.33 conf)
g_c_page_chck_bx__6 was GC-312[0].Page3[0].ChckBx-6a-2[0] (0.38 conf)
g_c_page_chck_bx__7 was GC-312[0].Page3[0].ChckBx-6a-2[1] (0.38 conf)
g_c_page_chck_bx_explained__2 was GC-312[0].Page3[0].ChckBx-6a-2-Explained[0] (0.33 conf)
g_c_page_residence_text_field__3 was GC-312[0].Page3[0].Residence-Text-Field[7] (0.33 conf)
g_c_page_chck_bx__8 was GC-312[0].Page3[0].ChckBx-4c[0] (0.36 conf)
g_c_page_ck_bx_b__4 was GC-312[0].Page3[0].CkBx-4c2-a-b-c[0] (0.37 conf)
g_c_page_ck_bx_b__5 was GC-312[0].Page3[0].CkBx-4c2-a-b-c[1] (0.37 conf)
g_c_page_ck_bx_b__6 was GC-312[0].Page3[0].CkBx-4c2-a-b-c[2] (0.37 conf)
g_c_page_hearing_date was GC-312[0].Page3[0].HearingDate1[0] (0.35 conf)
g_c_page_chck_bx__9 was GC-312[0].Page3[0].ChckBx-4c-3-2[0] (0.33 conf)
c_page_title_party_name__3 was GC-312[0].Page4[0].pxCaption[0].TitlePartyName[0].secondline[0] (0.33 conf)
g_c_page_px_caption_title_party_name_conservatorship__3 was GC-312[0].Page4[0].pxCaption[0].TitlePartyName[0].ConservatorshipName[0] (0.32 conf)
g_c_page_px_case_number__3 was GC-312[0].Page4[0].pxCaption[0].CaseNumber[0].CaseNumber[0] (0.36 conf)
g_c_page_pg_date was GC-312[0].Page4[0].Pg-4-Date[0] (0.33 conf)
g_c_page_fill_text was GC-312[0].Page4[0].FillText56[0] (0.38 conf)
g_c_page_num_pages was GC-312[0].Page4[0].NumPages[0] (0.33 conf)
g_c_page_ck_bx__1 was GC-312[0].Page4[0].CkBx-8-2[0] (0.29 conf)
g_c_page_ck_bx__2 was GC-312[0].Page4[0].CkBx-8-3[0] (0.29 conf)
g_c_page_ck_bx_b__7 was GC-312[0].Page4[0].CkBx-8-4b[0] (0.29 conf)
g_c_page_ck_bx__3 was GC-312[0].Page4[0].CkBx-8-4c[0] (0.29 conf)
g_c_page_ck_bx__4 was GC-312[0].Page4[0].CkBx-8-5[0] (0.29 conf)
g_c_page_ck_bx__5 was GC-312[0].Page4[0].CkBx-8-6[0] (0.29 conf)
g_c_page_ck_bx_reasons was GC-312[0].Page4[0].CkBx-8-Reasons[0] (0.29 conf)
g_c_page_residence_text_field__4 was GC-312[0].Page4[0].Residence-Text-Field[0] (0.33 conf)
g_c_page_chck_bx__10 was GC-312[0].Page4[0].ChckBx-6a-3[0] (0.38 conf)
g_c_page_chck_bx__11 was GC-312[0].Page4[0].ChckBx-6a-3[1] (0.38 conf)
g_c_page_chck_bx_explained__3 was GC-312[0].Page4[0].ChckBx-6a-3-Explained[0] (0.33 conf)
g_c_page_residence_text_field__5 was GC-312[0].Page4[0].Residence-Text-Field[1] (0.33 conf)
g_c_page_chck_bx_b__1 was GC-312[0].Page4[0].ChckBx-6b[0] (0.36 conf)
g_c_page_chck_bx_b__2 was GC-312[0].Page4[0].ChckBx-6b-1-2-3[0] (0.27 conf)
g_c_page_chck_bx_b__3 was GC-312[0].Page4[0].ChckBx-6b-1-2-3[1] (0.27 conf)
g_c_page_chck_bx_b__4 was GC-312[0].Page4[0].ChckBx-6b-1-2-3[2] (0.27 conf)
g_c_page_ck_bx__6 was GC-312[0].Page4[0].CkBx-7a[0] (0.35 conf)
g_c_page_ck_bx_b__8 was GC-312[0].Page4[0].CkBx-7b[0] (0.35 conf)
g_c_page_ck_bx__7 was GC-312[0].Page4[0].CkBx-7c[0] (0.35 conf)
g_c_page_ck_bx__8 was GC-312[0].Page4[0].CkBx-7d[0] (0.35 conf)
g_c_page_ck_bx_e__1 was GC-312[0].Page4[0].CkBx-7e[0] (0.35 conf)
g_c_page_ck_bx_f__1 was GC-312[0].Page4[0].CkBx-7f[0] (0.35 conf)
g_c_page_ck_bx__9 was GC-312[0].Page4[0].CkBx-7a-2[0] (0.33 conf)
g_c_page_ck_bx_b__9 was GC-312[0].Page4[0].CkBx-7b-2[0] (0.33 conf)
g_c_page_ck_bx__10 was GC-312[0].Page4[0].CkBx-7c-2[0] (0.33 conf)
g_c_page_ck_bx__11 was GC-312[0].Page4[0].CkBx-7d-2[0] (0.39 conf)
g_c_page_ck_bx_e__2 was GC-312[0].Page4[0].CkBx-7e-2[0] (0.33 conf)
g_c_page_ck_bx_f__2 was GC-312[0].Page4[0].CkBx-7f-2[0] (0.33 conf)

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

Suggested Screen 0:

c_page_p_party_info_phone
c_page_p_caption_party_info
c_page_p_party_info_email
g_c_page_p_party_info
c_page_p_party_info_name
c_page_p_form_title_person
c_page_b_proposed_field_name

Suggested Screen 1:

c_page_p_court_info_county
c_page_p_caption_info_street
page_p_caption_court_info_mailing
g_c_page_p_caption_court_info_crt_city_zip
c_page_p_caption_court_info

Suggested Screen 2:

g_c_page_p_form_title
c_page_p_form_title_limited
g_c_page_p_proposed
g_c_page_unable_manage
g_c_page_reasons_specified
g_c_page_health_care
g_c_page_num_pages

Suggested Screen 3:

g_c_page_p_caption_b
g_c_page_p_caption
g_c_page_f_alt_text

Suggested Screen 4:

c_page_p_hearing_date_dt
g_c_page_area_check_box
g_c_page_check_box_b__1
g_c_page_check_box_b__2
g_c_page_pg_date

Suggested Screen 5:

c_page_p_title_name__1
c_page_p_title_name__2
c_page_title_party_name__1
c_page_title_party_name__2
c_page_title_party_name__3

Suggested Screen 6:

g_c_page_px_caption_title_party_name_conservatorship__1
g_c_page_px_caption_title_party_name_conservatorship__2
g_c_page_px_caption_title_party_name_conservatorship__3

Suggested Screen 7:

g_c_page_text_field__1
g_c_page_specified_attach__1
g_c_page_specified_attach__2
g_c_page_text_field__2
c_page_residence_info_text_field
g_c_page_text_field__3
g_c_page_residence_text_field__1
g_c_special_txt_residence_text
g_c_page_general_txt_text
g_c_page_residence_text_field__2
g_c_page_residence_text_field__3
g_c_page_fill_text
g_c_page_residence_text_field__4
g_c_page_residence_text_field__5

Suggested Screen 8:

c_durable_text_box_residence
c_page_txt_box_residence_text

Suggested Screen 9:

g_c_page_estate_mgmt

Suggested Screen 10:

g_c_page_chck_bx__1
g_c_page_chck_bx__2
g_c_page_chck_bx__3
g_c_page_chck_bx__4
g_c_page_chck_bx__5
g_c_page_chck_bx_explained__1
g_c_page_chck_bx__6
g_c_page_chck_bx__7
g_c_page_chck_bx_explained__2
g_c_page_chck_bx__8
g_c_page_chck_bx__9
g_c_page_chck_bx__10
g_c_page_chck_bx__11
g_c_page_chck_bx_explained__3
g_c_page_chck_bx_b__1
g_c_page_chck_bx_b__2
g_c_page_chck_bx_b__3
g_c_page_chck_bx_b__4

Suggested Screen 11:

g_c_page_p_case_number
g_c_page_px_case_number__1
g_c_page_px_case_number__2
g_c_page_hearing_date
g_c_page_px_case_number__3

Suggested Screen 12:

g_c_page_dept_time__1
g_c_page_dept_time__2
g_c_page_ck_bx_b__1
g_c_page_ck_bx_b__2
g_c_page_ck_bx_b__3
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g_c_page_ck_bx_reasons
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g_c_page_ck_bx__9
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g_c_page_ck_bx__11
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g_c_page_ck_bx_f__2

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