SHC-PB-02 (Rev. 01/01/2020
)
Please visit our Self-Help Portal at: https://selfhelp.occourts.org
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SUPERIOR COURT OF CALIFORNIA
COUNTY
OF ORANGE
SEL
F-HELP CENTER
www.occourts.org/self-help
TEMPORARY GUARDIANSHIP
The Self-Help Center provides a free document review
service. To obtain an appointment to have your documents
reviewed, you must first fully complete the forms.
Pleaseuseblackink.
Self-Help Center Locations:
GC-110(P), Page 1 of 4
Judicial Council of California,
www.courtinfo.ca.gov
Rev. January 1, 2009,
Alternative Mandatory Form
Instead of Form GC-110
Probate Code, § 2250;
Cal. Rules of Court, rule 7.101
Petition for Appointment of Temporary Guardian of the Person
1
(Probate—Guardianships and Conservatorships)
Clerk stamps date here when form is filed.
Fill in court name and street address:
Superior Court of California,
Case Number:
Clerk fills in case number when form is filed.
GC-110(P)
Petition for Appointment of
Temporary Guardian of the Person
You may use this form or Petition for Appointment of Temporary Guardian or
Conservator (form GC-110) to ask the court to appoint a temporary guardian of
the person for a minor child. (You must use form GC-110 to ask for
appointment of a temporary guardian of a minor child’s estate or person and
estate.) You may use this form to request appointment of a temporary guardian
for one or more than one child. A petition for appointment of a (general)
guardian concerning this child or these children (form GC-210 or form
GC-210(P)) must have already been filed in this case or filed with this petition.
Temporary guardianship of (all children’s names):
Your name (include the names of all persons who are requesting the
court to appoint them or the person named in as temporary guardian
of the child or children named above and in . All must sign this form.):
1
Your address and telephone number:
2
Phone:
4
Street: Apt.:
City:
State:
Zip:
Your lawyer (if you have one):
Name:
Bar No.:
Street:
City:
State: Zip:
Firm name, if any:
3
Suite:
a.
Phone:
Fax (optional): E-mail (optional):
b.
4
I/We want to be the temporary guardian of the child or children named in . (Go to .)
I/We want the person or persons named here to be the temporary guardian of the child or
children named above. Tell the court about the proposed guardian(s) below.
Name(s):
Street:
City:
Apt.:
State:
Zip:
Phone:
I am the child or one of the children named in and one of the persons named in .
I am at least 12 years old. I want the person named here to be my temporary guardian.
My date of birth is (month/day/year):
County of
5
6
6
6
1
ORANGE
700 Civic Center Drive West
Santa Ana, CA 92701
CENTRAL JUSTICE CENTER
The relationship of the proposed temporary guardian named in or to the child or
children named in
is (check all that apply):
6
Not related to the child or children (explain proposed guardian’s interest in or connection to the child):
6
Child’s full legal name:
Child’s current address:
b
.
The child or children who need a temporary guardian are:
a.
Check here if you want a temporary guardian for additional children. Give the information asked above for
each additional child on a separate sheet of paper. Write “Form GC-110(P)—Attachment 6: Additional
Children” at the top of the paper and attach it to this form.
Child’s current phone number:
Case Number:
Temporary guardianship of (all children’s names):
Rev. January 1, 2009
GC-110(P), Page 2 of 4
Petition for Appointment of Temporary Guardian of the Person
(Probate—Guardianships and Conservatorships)
5
1 4
Aunt
Uncle
Brother (adult)
Sister (adult)
Grandmother (father’s mother)
Grandfather (father’s father)
Grandmother (mother’s mother)
Grandfather (mother’s father)
Other Relative (explain relationship to child or children):
Child’s full legal name:
Child’s current address:
7
The child or children need temporary care, maintenance, and support right now because (explain):
Check here if you need more space. Continue your explanation on a separate sheet of paper. Write
“GC-110(P)—Item 7: Reasons for Appointment of Temporary Guardian” at the top of the paper and attach it
to this form.
Why do the child or children in need a temporary guardian right now?
6
Child’s current phone number:
I/We ask the court to:
Rev. January 1, 2009
GC-110(P), Page 3 of 4
Case Number:
Temporary guardianship of (all children’s names):
8
Appoint the person named in or temporary guardian of the person of the child or children named in
and issue Letters of Temporary Guardianship of the Person.
The child or children in .
4
Petition for Appointment of Temporary Guardian of the Person
(Probate—Guardianships and Conservatorships)
Do I/we believe the child or children in will go to the court hearing?
9
Order that I am/we are excused from having to give notice of the hearing on this petition for appointment of
temporary guardian to (review the information given on the next page and check all items that apply below):
(1)
6
The child’s father (name):
The child’s mother (name):
A person other than a parent who has a court order for visitation with the child
(name):
Check here if you need more space. Continue your explanation on a separate sheet of paper. Write
“Form GC-110(P)—Attachment 9: Request for a Good Cause Exception to Giving Notice” at the top of
the paper and attach it to this form.
6
Good cause exists for this request for the following reasons (explain, and include in your explanation efforts
Yes No
1
6
a.
b
.
to find a person who could not be found):
(2)
(3)
(4)
Case Number:
Temporary guardianship of (all children’s names):
Rev. January 1, 2009
GC-110(P), Page 4 of 4
Petition for Appointment of Temporary Guardian of the Person
(Probate—Guardianships and Conservatorships)
INFORMATION ABOUT GIVING NOTICE OF THE HEARING ON YOUR
PETITION AND REQUESTING A GOOD CAUSE EXCEPTION TO GIVING NOTICE
You must give at least five days advance written notice of the court hearing on your petition for appointment of a
temporary guardian. The written notice must be personally delivered to (1) the child if he or she is at least 12 years
old, (2) the child’s parents, and (3) any person who has a valid and effective visitation order with the child. Written
notice is given by delivering a filled-in copy of this petition and a filled-in copy of a Notice of
Hearing—Guardianship or Conservatorship (form GC-020), showing the date, time, and place of the hearing and the
title of this petition. See What Is “Proof of Service” in a Guardianship? (form GC-510) for more information on how
to give notice in a guardianship and how to prove that you have given notice. The instructions in that form for
personal service apply here, but the time limits for giving notice mentioned in that form do not apply to a temporary
guardianship. There is much less time to complete this task when a petition for appointment of a temporary guardian
is involved.
The court may waive (excuse) or change the requirement of giving notice if you can show the court good cause
why an exception should be made to the requirement of giving notice. This showing may be made by completing item
9b on page 3 of this form.
If you want the court to waive notice to someone because he or she cannot be found, you must show the court that
you have made reasonable efforts to find that person. See rules 7.52 and 7.1012 of the California Rules of Court for
information on making reasonable efforts to find a person and on the good cause exception to notice of the hearing on
a petition for appointment of a temporary guardian.
All persons named in (petitioners) and their attorney (if they have one) must read and
sign below.
66
10
I declare under penalty of perjury under the laws of the State of California that the information above is true and correct.
Date:
Petitioner types or prints name here Petitioner signs here
Date:
Petitioner types or prints name here
Petitioner signs here
Date:
Petitioner’s Attorney signs here
Petitioner’s Attorney types or prints name here
All attachments are made part of this form as though placed here.
pages attached to this form. (If none, write “0.”)There are
1
MC-025
CASE NUMBER:
SHORT TITLE:
ofPage
ATTACHMENT (Number):
(This Attachment may be used with any Judicial Council form.)
(Add pages as required)
(If the item that this Attachment concerns is made under penalty of perjury, all statements in this
Attachment are made under penalty of perjury.)
Form Approved for Optional Use
Judicial Council of California
MC-025 [Rev. July 1, 2009]
ATTACHMENT
www.courtinfo.ca.gov
to Judicial Council Form
GC-020
GUARDIANSHIP CONSERVATORSHIP OF THE
(PROPOSED) CONSERVATEEMINOR
CASE NUMBER:
NOTICE OF HEARING—GUARDIANSHIP OR CONSERVATORSHIP
This notice is required by law.
This notice does not require you to appear in court, but you may attend the hearing if you wish.
You may refer to documents on file in this proceeding for more information. (Some documents filed with the court are confidential.
Under some circumstances you or your attorney may be able to see or receive copies of confidential documents if you file papers
in the proceeding or apply to the court.)
A HEARING on the matter will be held as follows:
Date:
Room:
Dept.:
Time:
same as noted above is (specify):Address of court
NOTICE OF HEARING—GUARDIANSHIP OR CONSERVATORSHIP
(Probate—Guardianships and Conservatorships)
Probate Code, §§ 1264,
1460–1469, 1511, 1822
www.courtinfo.ca.gov
FOR COURT USE ONLY
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
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:
Form Adopted for Mandatory Use
Judicial Council of California
GC-020 [Rev. July 1, 2005]
PERSON ESTATE
OF (Name):
NOTICE is given that (name):
(representative capacity, if any):
1.
has filed (specify):
2.
3.
4.
a.
b.
Page 1 of 2
The petition includes an application for the independent exercise of powers by a guardian or conservator under
Probate Code section 2108 Probate Code section 2590.
Assistive listening systems, computer-assisted real-time captioning, or sign language interpreter services are
available upon request if at least 5 days notice is provided. Contact the clerk's office for Request for
Accommodations by Persons with Disabilities and Order (form MC-410). (Civil Code section 54.8.)
specified below
specified in Attachment 3.
Powers requested are
ORANGE
700 Civic Center Drive West
Santa Ana, CA 92701
CENTRAL JUSTICE CENTER
CASE NUMBER:
GUARDIANSHIP
MINOR (PROPOSED) CONSERVATEE
PROOF OF SERVICE BY MAIL
I am over the age of 18 and not a party to this cause. I am a resident of or employed in the county where the mailing occurred.
My residence or business address is (specify):
I served the foregoing Notice of Hearing—Guardianship or Conservatorship on each person named below by enclosing a copy in
an envelope addressed as shown below AND
placing the envelope for collection and mailing on the date and at the place shown in item 4 following our ordinary
business practices. I am readily familiar with this business's practice for collecting and processing correspondence
for mailing. On the same day that correspondence is placed for collection and mailing, it is deposited in the
ordinary course of business with the United States Postal Service in a sealed envelope with postage fully prepaid.
3.
Date mailed: Place mailed (city, state):
5.
I served with the Notice of Hearing—Guardianship or Conservatorship a copy of the petition or other document referred to in
the Notice.
I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:
(TYPE OR PRINT NAME OF PERSON COMPLETING THIS FORM)
NAME AND ADDRESS OF EACH PERSON TO WHOM NOTICE WAS MAILED
Continued on an attachment. (You may use form DE-120(MA)/GC-020(MA) to show additional persons served.)
GC-020 [Rev. July 1, 2005]
Page 2 of 2
(SIGNATURE OF PERSON COMPLETING THIS FORM)
CONSERVATORSHIP OF THE PERSON ESTATE
OF (Name):
a. depositing the sealed envelope with the United States Postal Service on the date and at the place shown in item 4
with the postage fully prepaid.
a. b.
NOTICE OF HEARING—GUARDIANSHIP OR CONSERVATORSHIP
(Probate—Guardianships and Conservatorships)
1.
2.
4.
Name of person served
Address (number, street, city, state, and zip code)
1.
2.
3.
4.
b.
A copy of this Notice of Hearing—Guardianship or Conservatorship ("Notice") must be "served" on—delivered to—each person who
has the right under the law to be notified of the date, time, place, and purpose of a court hearing in a guardianship or conservatorship.
Copies of this Notice may be served by mail in most situations. In a guardianship, however, copies of this Notice must sometimes be
personally served on certain persons; and copies of this Notice may be personally served instead of served by mail in both
guardianships and conservatorships. The petitioner (the person who requested the court hearing) may not personally perform
either service by mail or personal service, but must show the court that copies of this Notice have been served in a way the law
allows. The petitioner does this by arranging for someone else to perform the service and complete and sign a proof of service,
which the petitioner then files with the original Notice.
NOTE: *
*
(This Note replaces the clerk's certificate of posting on prior versions of this form. If notice by posting is desired, attach a copy of
form GC-020(C), Clerk's Certificate of Posting Notice of Hearing—Guardianship or Conservatorship. (See Prob. Code, § 2543(c).)
This page contains a proof of service that may be used only to show service by mail. To show personal service, each person who
performs the service must complete and sign a proof of personal service, and each signed copy of that proof of service must be
attached to this Notice when it is filed with the court.. You may use form GC-020(P) to show personal service of this Notice.
GC-140
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
ESTATE OF PERSON
MINOR
CASE NUMBER:
WARNING: THIS APPOINTMENT IS NOT EFFECTIVE UNTIL LETTERS HAVE ISSUED.
Judicial officer (name):
Time: Room:Dept.:Hearing date:
Petitioner (name):c.
Attorney for petitioner (name):
d.
THE COURT FINDS
Notice of the time and place of hearing has been given as required by law.2.
has beenNotice of the time and place of hearingb.
3. provide for temporary care, maintenance, and support
4.
THE COURT ORDERS
(Name):
(Telephone):(Address):
Probate Code, §§ 2250–2254
a.
and Letters shall issue upon qualification.
Form Adopted for Mandatory Use
Judicial Council of California
GC-140 [Rev. January 1, 2009]
1.
ORDER APPOINTING TEMPORARY GUARDIAN
(Probate—Guardianships and Conservatorships)
FAX NO. (Optional):
TELEPHONE NO.:
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
(Name):
TEMPORARY GUARDIANSHIP OF THE
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
ORDER APPOINTING TEMPORARY GUARDIAN
It is necessary that a temporary guardian be appointed to
pending an appeal under Probate Code section 1301.
Minor (name):
Attorney for minor (name):
a.
b.
e.
f.
g.
Minor’s parents (names):
Attorney for minor’s parents (names):
h.
i.
Person with valid visitation order (name):
Attorney for person with valid visitation order (name):
j.
k.
Public Guardian (name):
l.
Attorney for Public Guardian (name):
The petition for appointment of a temporary guardian came on for hearing as follows (check boxes c–l to indicate personal
presence):
protect property from loss or injury pending the hearing on the petition for appointment of a general guardian.
during the suspension of powers of the guardian.
a.
is appointed temporary guardian of the PERSON of (name):
(Name):
(Telephone):(Address):
and Letters shall issue upon qualification.
b.
is appointed temporary guardian of the ESTATE of (name):
Page 1 of 2
should be dispensed with for (names):
ORANGE
700 Civic Center Drive West
Santa Ana, CA 92701
CENTRAL JUSTICE CENTER
CASE NUMBER:
(Name):
MINOR
Notice of hearing to the persons named in item 2b is dispensed with.
7.
Bond is not required.
8.
Bond is fixed at: $ to be furnished by an authorized surety company or as otherwiseb.
provided by law.
c.
are ordered to be placed in a blocked account at (specify institution andDeposits of: $
location):
and receipts shall be filed. No withdrawals shall be made without a court order. Additional orders in attachment 6c.
d.
Other orders as specified in attachment 8 are granted.
Unless modified by further order of the court, this order expires on (date):
Number of boxes checked in items 4–9:
Number of pages attached:
Date:
JUDICIAL OFFICER
SIGNATURE FOLLOWS LAST ATTACHMENT
GC-140 [Rev. January 1, 2009]
ORDER APPOINTING TEMPORARY GUARDIAN
(Probate—Guardianships and Conservatorships)
Page 2 of 2
a.
9.
10.
GC-140
TEMPORARY GUARDIANSHIP OF
5.
6.
The temporary guardian is not authorized to take possession of money or any other property without a specific court
order.
11.
In addition to the powers granted by law, the temporary guardian is granted other powers. These powers are specified
in attachment 7. below (specify):
The temporary is not authorized to take possession of money or any other property
without a specific court order.
1.
of the
is appointed temporary
2.
These Letters shall expire
a.
b.
4.
WITNESS, clerk of the court, with seal of the court affixed.
(SEAL)
Clerk, by
, Deputy
Probate Code, §§ 2250 et seq., 2890–2893;
Code of Civil Procedure, § 2015.6
www.courts.ca.gov
Form Adopted for Mandatory Use
Judicial Council of California
GC-150 [Rev. January 1, 2015]
LETTERS OF TEMPORARY GUARDIANSHIP OR
CONSERVATORSHIP
(Probate—Guardianships and Conservatorships)
Page 1 of 2
or upon earlier issuance of Letters to a general guardian or conservator.
3.
This form may be recorded as notice of the establishment of a temporary conservatorship of the estate as provided in Probate Code section 1875.
5.
(Name):
guardian conservator person
estate
of (name):
Other powers that have been granted or restrictions imposed on the temporary
guardian conservator are specified in Attachment 2.
specified below:
on
(date):
on other date
(specify):
guardian conservator
Number of pages attached:
Date:
LETTERS
ATTORNEY OR PARTY WITHOUT ATTORNEY (name, address, and State Bar number):
TEL NO.:
After recording, return to:
E-MAIL ADDRESS (optional):
FAX NO. (optional):
ATTORNEY FOR (name):
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
FOR RECORDER'S USE ONLY
OF (name):
TEMPORARY GUARDIANSHIP CONSERVATORSHIP
MINOR
CONSERVATEE
CASE NUMBER:
LETTERS OF TEMPORARY
GUARDIANSHIP CONSERVATORSHIP
Person
Estate
GC-150
FOR COURT USE ONLY
700 CIVIC CENTER DRIVE WEST
SANTA ANA, CA 92701
CENTRAL JUSTICE CENTER
ORANGE
When these Letters of Temporary Guardianship or Letters of Temporary Conservatorship (Letters) are delivered to you as an employee
or other representative of an institution or financial institution (described below) in order for the temporary guardian or temporary
conservator of the estate (1) to take possession or control of an asset of the minor or 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 guardianship or 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 temporary guardian or temporary 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, insurance broker, insurance agent, investment
company, investment bank, securities broker-dealer, investment advisor, financial planner, 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 minor or 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, trust (including a Totten trust account but excluding
other trust arrangements described in Probate Code section 82(b)), savings and loan association, savings bank, industrial bank, or
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.
AFFIRMATION
I solemnly affirm that I will perform according to law the duties of temporary
LETTERS OF TEMPORARY
GC-150
NOTICE TO INSTITUTIONS AND FINANCIAL INSTITUTIONS
(Probate Code sections 2890–2893)
CERTIFICATION
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.
Clerk, by
, Deputy
(SEAL)
(SIGNATURE OF APPOINTEE)
GC-150 [Rev. January 1, 2015]
Page 2 of 2
LETTERS OF TEMPORARY GUARDIANSHIP OR CONSERVATORSHIP
(
Probate—Guardianships and Conservatorships)
GUARDIANSHIP CONSERVATORSHIP
guardian. conservator.
Executed on (date): , at (place):
(TYPE OR PRINT NAME)
Date:
OF (name):
TEMPORARY GUARDIANSHIP CONSERVATORSHIP
MINOR
CONSERVATEE
CASE NUMBER: