Probate Court Guardianship Questionnaire {PPR-24}

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: · 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 3rd 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 after you pay a fee. The Probate Clerk's office has made this packet of forms for your use. They may not all be needed for your case. Please consult a legal professional if you need assistance. IT IS YOUR RESPONSIBILITY to provide the right documents. YOUR CASE WILL NOT BE HEARD UNLESS THE FILE HAS ALL NECESSARY PAPERS IN IT, INCLUDING COMPLETED ORDER AND LETTERS. 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. PPR-25 R02-11 PROBATE COURT GUARDIANSHIP QUESTIONNAIRE SEPARATE QUESTIONNAIRE NEEDED FOR EACH PROPOSED GUARDIAN (If further explanation is needed on any item, please use back of page). Case number:__________________ Name of child: _______________ Child's address: _______________ _________________ ___ Name of proposed guardian: ________________ Relationship to child: Hearing: Date of Birth: School: Other names used including maiden (birth) name: Age: Address: Home Phone: Sex: Height: Date of birth: City: Business Phone: Weight: Eyes: SSN number: Hair: Place of birth: State: Zip: Driver's License/I.D. number: NATURAL MOTHER OF CHILD Name: Address: (if unknown, list last know address) City: Height: Driver's License/I.D. number: Date of birth: State: Weight: Zip: Eyes: Phone: Hair: SSN number: Birth place: NATURAL FATHER OF CHILD Name: Address: (if unknown, list last known address) City: State: Zip: Phone: PPR-24 R02-11 1 Height: Weight: Eyes: Hair: SSN number: Driver's License/I.D. number: Date of birth: Place of birth: Other children of mother or father of proposed ward: Name: Age: Date of birth: Address (with whom)? Employment Date of Proposed Guardian Occupation: Monthly income (salary, commission, etc.): If unemployed, what are your employment plans? Present or last employer: Work days and hours: Type of work: Gross monthly income (all sources, excluding support): Monthly expenses: Previous employer: Employment began: Reason ended: Bank: Checking acct. #: Marital History of Proposed Guardian List all marriages Name Date and Place #: Address: Ended: Address: Employment began: Ended: Branch: Savings acct. How Terminated Date Separated Final Proposed Guardian's children (including adult children, first and last names): PPR-24 R02-11 2 Proposed Guardian's children (including adult children, first and last names): Names Age DOB Children's address School (if going) Professional Practitioners: Name & Title (medical doctors, psychiatrists, psychologists, marriage counselors, social workers, etc.) Last contact Address Phone Education High school graduate: Place and Name of High School: Reason: List Colleges or University Attended: Degree or Units/Majors: If not, grade last attended: Age left school: Health Insurance: Present health status: If fair or poor, explain: Are you taking any medications? If yes, what kind and for what reasons: Special health problems: Have you ever had a problem with any of the following: Alcohol: Yes No Drugs: Yes No Yes No Yes No Good Fair Poor Mental/Emotional Problems: Criminal Record PPR-24 R02-11 3 Criminal Record Have charges ever been filed against you for any crime other than traffic citations? Yes List Arrest No If yes, please specify: Where When Charges Are you on probation now ? Are you on parole now? Housing Rent Own Buying Officer's Name: Agent's Name: Amount per month: $________________ Apartment How many bedrooms/baths? House or Do you plan to remain in this residence, or are you looking for another location? Yes No List your residence for the past three years: Plans for Child Care if Needed: (if more space is needed, use the back) 1. If child care provider is licensed: Name : Address: Phone: 2. If child care provider is unlicensed: Name : Date of Birth: Phone: Address: Social Security Number: Relationship to child: PPR-24 R02-11 4 Household Composition Please list all other adults and children in the home, including your adult children. (if more space is needed, use back page.) Name: Other names used (incl. maiden/birth name): Age: Employer: Monthly income: Sex: Height: Weight: Driver's License/I.D. number: Relationship to Guardian: Name: Other names used (incl. maiden/birth name): Age: Employer: Monthly income: Sex: Height: Weight: Driver's License/I.D. number: Relationship to Guardian: Name: Other names used (incl. maiden/birth name): Age: Employer: Monthly income: Sex Height Weight Driver's License/I.D. number: Relationship to Guardian: Date of birth: Place of birth: Address: Business phone: Eyes SSN number: Relationship to child: Hair Date of birth: Place of birth: Address: Business Phone: Eyes: SSN number: Relationship to Child: Hair: Date of birth: Place of birth: Address: Business phone: Eyes: SSN number: Relationship to Child: Hair: PPR-26 R02-11 5 SUMMARY OF VIEWS Please summarize your views and concerns as clearly as possible on the following pages. If additional space is needed, use back of the page 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