Guardianship Questionniare {FCS-045}

CONFIDENTIAL SDSC FCS - 045 (Rev. 6 / 17 ) GUARDIANSHIP QUESTIO NNAIRE Page 1 of 8 Mandatory Form (CONFIDENTIAL) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA 92101 (619) 844 - 2888 GUAR DIANSHIP QUESTIONNAIRE (CONFIDENTIAL) NOTICE TO PETITIONERS When seeking guardianship of a child (ren) to whom you are related, you must file several documents in the probate business office and p ay an $800 investigation fee after Family Court Services completes the guardianship investigation. The fee may be waived or reduced by the c ourt, or payments arranged in cases of extreme hardship. In order to begin the investigation process, copies of the following filed documents (from your initial guardianship packet) must be submitted to Family Court Services a t the address listed above, prior to scheduling an investigation date: 1. Petition for Appointment of Guardian of Minor(s) (JC Form #GC - 210P) 2. Order Directing or Waiving Investigation signed by Judge of th e Superior Court (SDSC Form #PR - 63) 3. Declaration Under Uniform Child Custody Jurisdiction and Enforceme nt Act (UCCJEA) (JC Form #FL - 105/GC - 120) 4. Confidential Guardian Screening Form (JC Form #GC - 212) 5. Guardianship Questionnaire (SDSC Form #FCS - 045) (Provided only to Family Court Services) Once an order has been issued for Family Court Services to complete the investigation, you can avoid delays in processing your guardianship matter by expeditiously returning these documents to Family Court Services. You ma y mail the information and receipt to Family Court Services at 1100 Union St., Room 430, San Diego, California 92101. You may also drop off your paperwork from 8 a.m. 12 p.m. and 1 p.m. 4 p.m. Monday through Friday. Family Court Services will be se eking information regarding the social history of the proposed guardians, parents and child ( ren ) state l aw. Please complete the entire Guardianship Questionnaire (SDSC Form # FCS - 0 45). Information provided on this questionnaire, in the fam ily interview(s), in other submitted comments and from investigative sources will be used to prepare a family social history, evaluation , and recommendation to the c ourt. This report will then be placed in a sealed court file. Copies will be issued to th e proposed guardians, parents , and their respective attorneys. If you have questions regarding the Family Court Services i nvestigation process, or concerns regarding appointments, you may call the guardianship c lerk at the number listed above. The p ropos ed g uardians are responsible for notifying the parents, if possible, regarding the Family Court Services investigation appointment. The parents do not have to be present unless they are contesting the guardianship or wish to provide information in support of it. Any adult living in the home and acting in a parental role should be present for the interview. Please do not bring the child ( ren ) to the FCS appointment . A subsequent appointment will be scheduled should the investigator need to interview the c hild ( ren ) . American LegalNet, Inc. www.FormsWorkFlow.com SDSC FCS - 045 (Rev. 6/17 ) GUARDIANSHIP QUESTIONNAIRE Page 2 of 8 Mandatory Form (CONFIDENTIAL) SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO FAMILY COURT SERVICES GUARDIANSHIP QUESTIONNAIRE (CONFIDENTIAL) T HIS FORM IS TO BE COMPLETED AND SUBMITTED TO FAMILY COURT SERVICES BY: Your appointment will not be set until this fo rm has been returned to Family Court Services. COUNSELOR: PROBATE CASE NUMBER: COURT DATE: FCS DATE: I. MINOR CHILD(REN) LISTED ON GUARDIANSHIP PETITION: Full Legal Name Birth Date Social Security Number School and Grade Level Person with whom Residing Is this child(ren) a member of, or eligible for membership in , an Indian tribe recognized by the federal government? No Not sure Yes ( specify tribe ): Attorney for Mino r(s) : Name: Tel. No. : Address: Street S t e . City State Zip Code II. (PROPOSED) GUARDIAN(S): 1. Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Tele p hone Numbers: Home ( ) Work ( ) Social Security Number: Birth D ate: // Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child(ren) on Petition: Maternal Paternal 2 . Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Tele p hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: // Place of Birth: Driver License Number: State: Cu rrently Valid: Yes No Relationship to Child(ren) on Petition: Maternal Paternal Attorney for Proposed Guardian(s) : Name: Tel. No. : ( ) Address: Street S t e . City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com SDSC FCS - 045 (Rev. 6/17 ) GUARDIANSHIP QUESTIONNAIRE Page 3 of 8 Mandatory Form (CONFIDENTIAL) III. PAR ENTS OF MINOR(S) 1. Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Tele p hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: / / Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child(ren) on Petition: Attorney : Name: Tel. No . : ( ) Address: Street S t e . City State Zip Code 2. Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Tele p hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: / / Place of Birth: Driver License Number: State: Cu rrently Valid: Yes No Relationship to Child(ren) on Petition: Attorney : Name: Tel. No. : ( ) Address: Street S t e . City State Zip Code 3. Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Tele p hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: / / Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child(ren) on Petition: Attorney : Nam e: Tel. No. : ( ) Address: Street S t e . City State Zip Code 4. Full Legal Name: AKA or Maiden Name: Address: Street Apt. City State Zip Code Tele p hone Numbers: Home ( ) Work ( ) Social Security Number: Birth Date: / / Place of Birth: Driver License Number: State: Currently Valid: Yes No Relationship to Child(ren) on Petition: Attorney : Name: Tel. No. : ( ) Address: Street S t e . City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com SDSC FCS - 045 (Rev. 6/17 ) GUARDIANSHIP QUESTIONNAIRE Page 4 of 8 Mandatory Form (CONFIDENTIAL) IV. H OUSEHOLD COMPOSITION: A. List other adults 18 or older residing in y our home. Indicate if they are acting in a parental role with the child(ren). *** (Any individuals acting in a parental role will be required to attend the investigation interview). 1. Full Legal Name: AKA or Maiden Name: Tele p hone Numbers: Home ( ) Work ( ) Birth Date: / / Birth Place: Sex: Social Security Number: Driver License Number: State: Currently Valid: Yes No Relation ship to A pplicant: Relationship to C hild(ren): 2. Full Legal Name: AKA or Maiden Name: Tele p hone Numbers: Home ( ) Work ( ) Birth Date: / / Birth Place: Sex: Social Security Number: Driver License Number: State: Currently Valid: Yes No Relationship to Applicant: Relationship to C hild(ren): 3. Full Legal Name: AKA or Maiden Name: Tele p hone Numbers: Home ( ) Work ( ) Birth Date: / / Birth Place: Sex: Social Security Number: Driver License Number: State: Currently Valid: Yes No Relationship to Applicant: Relationship to Child (ren): 4. Full Legal Name: AKA or Maiden Name: Tele p hone Numbers: Home ( ) Work ( ) Birth Date: / / Birth Place: Sex: Social Securit y Number: Driver License Number: State: Currently Valid: Yes No Relationship to Applicant: Relationship to C hild(ren): B. List other child(ren) under age 18 living in your household : Name Birth Date Social Security Number School American LegalNet, Inc. www.FormsWorkFlow.com SDSC FCS - 045 (Rev. 6/17 ) GUARDIANSHIP QUESTIONNAIRE Page 5 of 8 Mandatory Form (CONFIDENTIAL) Your Name: Relationship: (Please Print ) V. LAW ENFORCEMENT INFORMATION: Have charges ever been filed against you for crimes other than minor traffic cita tions? Yes No If yes, please explain: Charge City/State Date 1) 2) 3) Are you on parole or probation? Yes No Tel. No. : ( ) Have you or anyone living in you