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GC-355: GC 355 Form | CA Small Claims
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GC-355
General
Fillable PDF
GC 355 Form
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1
p1_caption
Atty Bar No
Name
Atty Firm
Street
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
City
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Zip
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Phone
Fax
Email
Atty For
Crt County Ft
Street Ft
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Mailing Add Ft
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
City Zip Ft
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Branch Ft
Estate Cb
Party1 Ft
Case Number Ft
Init Update Cb
Init Update Cb
Limited Cb
2
instructions
Handbook For Conservators Link
3
list
Cnsrvtr Ft
Date Ff
Date Ff
Yes No Cb
Yes No Cb
Below Att2b Cb
Below Att2b Cb
Care Tf
Addy Ft
Phone Ft
Email Ft
Date Ff
Stay Home Cb
Below Att4a Cb
Below Att4a Cb
Item5 Cb
Item6 Cb
Gc356 Cb
Field4a
Return Home Yn Cb
Below Att4b1 Cb
Below Att4b1 Cb
Item5 Cb
Item6 Cb
Gc356 Cb
Field4b
Return Home Yn Cb
Below Att4b2 Cb
Below Att4b2 Cb
Field4b
Checkbox5a
Checkbox5b
Checkbox5c
Pc24or Less
Hrsper Day
Pc24or Less
Checkbox5d
Checkbox5e
Checkbox5f
Checkbox5g
Admin Set Up
Admin Set Up
Checkbox5h
Hand Stand
Hand Stand
Checkbox5i
Below Att5j Cb
Below Att5j Cb
Other Assist Cb
Field5j
Need Care Yn Cb
Need Care Yn Cb
Below Att6b Cb
Below Att6b Cb
In Gc
Field6b
Field 57
Live Visit
Live Visit
Below Att8a
Below Att8a
Field8a
Below Att8b
Below Att8b
Field8b
Activities Yn
Below Att9a
Below Att9a
Field9a
Activities Yn
Below Att9b
Below Att9b
Field9b
Problems Yn
Below Att10a Cb
Below Att10a Cb
Field10a
Problems Yn
Below Att11a Cb
Below Att11a Cb
Field11a
Check Box11b
Field
Field
Cb3ab
Cb3ab
Date4a
Place4b
4
p1_footer
Button
5
p2_caption
Party1 Ft
Case Number Ft
6
list3_cont
Res Type
Res Type
Res Type
Hosp Psych Yn
Hosp Psych Yn
Res Type
Res Type
License No Cb
License No Cb
Facility Type
Facility Type
Facility Type
Facility Type
Below Att3c6 Cb
Below Att3c6 Cb
Other Cb
Other Tf
Secure Cb
Secure Delay3d Cb
Secure Delay3d Cb
Lryn Cb
Lryn Cb
Below Att3e Cb
Below Att3e Cb
Field3e
Move Res Yn Cb
Move Res Yn Cb
Below Att3f Cb
Below Att3f Cb
Field3f
Pryn Cb
Pryn Cb
Field3g
Pryn Cb
7
p3_caption
Party1 Ft
Case Number Ft
8
p4_caption
Party1 Ft
Case Number Ft
9
date_sign
On Date
Sig Name Ft
10
p5_caption
Party1 Ft
Case Number Ft
11
po_p_decl
Sig Date
Print Name
12
namesand_addreses
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Field
Continued
13
p6_caption
Party1 Ft
Case Number Ft
14
last_page
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