Fillable Guardianship Questionnaire

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Guardianship Questionnaire

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The Guardianship Questionnaire form is 7 pages long and contains:

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  • 12 check-boxes
  • 208 other fields

Country of origin: US
File type: PDF

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PPR-24 R10-17 Probate Court Guardianship Questionnaire
• Copy of the legal (not hospital) birth certificate for the child, and
• Current school records for the child
Before you can act as guardian, you must have an ORDER APPOINTING GUARDIAN signed by
a Judge and LETTERS OF GUARDIANSHIP issued by the Probate Clerk’s office, located on the
3
rd
floor of the B.F. Sisk Courthouse. You must fill in necessary information on the Order and
Letters and SIGN AND DATE THE LETTERS. After the Judge signs the order, you may go to
the Probate Clerk’s Office to get your copies of the Order and Letters, or you may provide a self-
addressed, stamped envelope so the copies can be mailed to you. Extra copies may be ordered
from the Probate Clerk’s office. There may be a fee.
An investigation by a Court Investigator is required prior to the establishment of the
guardianship. A Court Investigator will be contacting you before the hearing.
SUPERIOR COURT OF CALIFORNIA • COUNTY OF FRESNO
Central Division, Probate Department, Room 300
1130 ‘O’ Street, Fresno, California 93724-0002
(559) 457-1888
Dear Proposed Guardian of the Person of a Minor,
You are beginning a very serious legal proceeding in which the Court must determine what is in
the best interest of a child who is without proper parental care. The Court must have information
about the child, you, and your family before making its determination.
YOU MUST COMPLETE AND SUBMIT THE ATTACHED QUESTIONNAIRE WITH TWO
COPIES WHEN YOU FILE YOUR PETITION TO BE APPOINTED. A SEPARATE
QUESTIONNAIRE IS REQUIRED FOR EACH PROPOSED GUARDIAN.
The following documents must also be submitted with the petition:
PPR-24 R10-17
Probate Court Guardianship Questionnaire
1
PROBATE COURT GUARDIANSHIP QUESTIONNAIRE
SEPARATE QUESTIONNAIRE NEEDED FOR EACH PROPOSED GUARDIAN (If further
explanation is needed on any item, please attach additional page(s)).
Case Number:
___________
___________
Date of Birth:
Child’s address:
School:
Name of child:
Date of Birth:
Child’s address:
School:
Name of child:
Date of Birth:
Child’s address:
School:
Name of child:
Date of Birth:
Child’s address:
School:
Name of proposed guardian:
Relationship to child:
Other names used including maiden (birth) name:
Age:
Date of birth:
Place of birth:
Address:
City:
State:
Zip:
Home Phone:
Business Phone:
Sex:
Height:
Weight:
Eyes:
Hair:
Driver’s License/I.D. number:
SSN:
NATURAL MOTHER OF CHILD
Name:
Address:
(if unknown, list last know address)
City:
State:
Zip:
Phone:
Height:
Weight:
Eyes:
Hair:
Driver’s License/I.D. number:
SSN:
Date of birth:
Birth place:
NATURAL FATHER OF CHILD
Name:
Address:
(if unknown, list last known address)
City:
State:
Zip:
Phone:
Height:
Weight:
Eyes:
Hair:
Driver’s License/I.D. number:
SSN:
Date of birth:
Place of birth:
N
ame of child:
PPR-24 R10-17
Probate Court Guardianship Questionnaire
2
PROBATE COURT GUARDIANSHIP QUESTIONNAIRE
Other children of mother or father of proposed ward:
Name:
Age:
Date of birth:
Address (with whom)?
Employment of Proposed Guardian
Occupation:
Monthly income (salary, commission, etc.):
If unemployed, what are your employment plans?
Present or last employer:
Address:
Work days and hours:
Employment began:
Ended:
Type of work:
Gross monthly income (all sources, excluding support):
Monthly expenses:
Marital History of Proposed Guardian
List all marriages
Name Date and Place How Terminated Date Separated Final
Proposed Guardian’s children (including adult children, first and last names):
Names Age DOB Children’s address School (if going)
If not, grade last attended:
Age left school:
Education
High school graduate:
Place and Name of High School:
Reason:
List Colleges or University Attended: Degree or Units/Majors:
PPR-24 R10-17
Probate Court Guardianship Questionnaire
3
PROBATE COURT GUARDIANSHIP QUESTIONNAIRE
Health
Present health status: Good Fair Poor
If fair or poor, explain:
Are you taking any medications?
Yes No
If yes, what kind and for what reasons:
Special health problems:
Have you ever had a history with any of the following:
Alcohol: Yes No Drugs: Yes No
If ‘Yes’, your date of sobriety:
Mental/Emotional Problems: Yes No
Criminal Record
Criminal Record
Have charges ever been filed against you for any crime other than traffic citations?
Yes No If yes, please specify:
List Arrest Where When Charges
Officer’s Name:
Agent’s Name:
Housing
Rent Own Buying Amount per month: $________________
House or Apartment How many bedrooms/baths?
How long have you been in this residence?
List your residence for the past three years:
Are you on probation now ?
Are you on parole now?
Child Protective Services
Have you had history with CPS?
PPR-24 R10-17
Probate Court Guardianship Questionnaire
4
Name:
Other names used (incl. maiden/birth name):
Age: Date of birth: Place of birth:
Employer: Address:
Monthly income: Business phone:
Sex: Height: Weight: Eyes: Hair:
Driver’s License/I.D. number: SSN:
Relationship to Guardian: Relationship to Child:
Name:
Other names used (incl. maiden/birth name):
Age: Date of birth: Place of birth:
Employer: Address:
Monthly income: Business Phone:
Sex: Height: Weight: Eyes: Hair:
Driver’s License/I.D. number:
SSN:
Relationship to Guardian: Relationship to Child:
Name:
Other names used (incl. maiden/birth name):
Age: Date of birth: Place of birth:
Employer: Address:
Monthly income: Business phone:
Sex Height Weight Eyes Hair
Driver’s License/I.D. number: SSN:
Relationship to Guardian: Relationship to child:
PROBATE COURT GUARDIANSHIP QUESTIONNAIRE
Plans for Child Care if Needed: (if more space is needed, attach additional page(s))
1. Child care provider licensed:
unlicensed
Name:
Address:
Phone:
Relationship to child:
Household Composition
Please list all other adults and children in the home, including your adult children.
(if more space is needed, attach additional page(s).)
PPR-24 R10-17
Probate Court Guardianship Questionnaire
5
PROBATE COURT GUARDIANSHIP QUESTIONNAIRE
SUMMARY OF VIEWS
Please summarize your views and concerns as clearly as possible on the following pages. If
additional space is needed, attach additional page(s) and refer to the question number.
1. Why are you seeking guardianship of the child?
2. If the child lives with you, when did you get custody and how? Do the child’s parents agree
with the guardianship?
3. Is there anyone who opposes your guardianship? Explain.
PPR-24 R10-17
Probate Court Guardianship Questionnaire
6
PROBATE COURT GUARDIANSHIP QUESTIONNAIRE
4. How do you plan to care for the needs of the child with regard to housing, finances,
schooling, childcare and supervision, discipline and guidance?
5. Does the child have any special problems? How are you qualified to help with these
problems?
I declare under penalty of perjury under the laws of the State of California that the foregoing is
true and correct.
Dated:
(Type or print name)
(Signature)
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Guardianship Questionnaire

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Completed 1 October 2019

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