Form Gc 333 PDF Details

Form Gc 333 is an important form that must be completed in order to file your company's income tax return. This form is used to calculate the total amount of income that your company has earned during the tax year. It is important to accurately complete this form so that your company's income tax return can be filed correctly. If you have any questions about how to complete this form, please consult a qualified accountant.

QuestionAnswer
Form NameForm Gc 333
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namescalifornia application order authorizing, application completion hipaa online, order authorizing, california declaration form sample

Form Preview Example

GC-333

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

 

 

 

 

NAME:

 

 

 

FIRM NAME:

 

 

 

STREET ADDRESS:

 

 

 

CITY:

STATE:

ZIP CODE:

 

TELEPHONE NO.:

FAX NO.:

 

 

E-MAIL ADDRESS:

 

 

 

ATTORNEY FOR (name):

 

 

 

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

 

 

 

STREET ADDRESS:

 

 

 

 

 

MAILING ADDRESS:

 

 

 

 

 

CITY AND ZIP CODE:

 

 

 

 

 

BRANCH NAME:

 

 

 

 

 

 

 

 

 

 

 

CONSERVATORSHIP OF THE

 

PERSON

 

ESTATE OF

CASE NUMBER:

 

 

 

 

 

(Name):

 

 

 

 

 

 

 

 

 

CONSERVATORSHIP PETITION HEARING DATE:

 

 

 

 

 

PROPOSED CONSERVATEE

EX PARTE APPLICATION FOR ORDER AUTHORIZING

DEPT.:

TIME:

COMPLETION OF CAPACITY DECLARATION—HIPAA*

1.Applicant (name):

has filed a petition for the appointment of a conservator for the above-named proposed conservatee. The petition is set for

hearing on (date):

at (time):

in

 

Dept.:

 

Rm.:

 

 

2.The petition requests (check all that apply):

a.

 

A finding that the proposed conservatee should be excused from attending the hearing on the petition.

b.

 

Exclusive authority to consent to medical treatment for the proposed conservatee.

 

c.

 

Authority to make placement or medication decisions related to a major neurocognitive disorder (such as dementia).

 

d.

 

Appointment of a conservator of the estate.

 

e.

 

Other (specify):

 

3. Applicant has requested (name each declarant):

to complete, sign, and deliver to applicant, for use to support the petition, a Capacity Declaration—Conservatorship (form GC-335)

and a Major Neurocognitive Disorder Attachment to Capacity Declaration—Conservatorship (form GC-335A) (the Declaration), concerning the medical condition or mental capacity of (name of proposed conservatee):

4.The proposed conservatee has not consented to the disclosure of any private medical information that would be disclosed by the completed Declaration.

5.Applicant requests this court to authorize each declarant named in item 3 to complete, sign, and deliver the Declaration to applicant within 15 days of the declarant's receipt of the court's order.

6.Applicant requests this court to dispense with notice of hearing on this application.

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 APPLICANT'S NAME)

(APPLICANT'S SIGNATURE )

*The federal Health Insurance Portability and Accountability Act of 1996. Use this form with Ex Parte Order Re Completion of Capacity Declaration—HIPAA (form GC-334).

 

 

Page 1 of 1

 

 

 

Form Adopted for Mandatory Use

EX PARTE APPLICATION FOR ORDER AUTHORIZING

Probate Code, §§ 1220, 1825, 1890,

Judicial Council of California

1893, 2356.5;

 

GC-333 [Rev. January 1, 2019]

COMPLETION OF CAPACITY DECLARATION—HIPAA

42 U.S.C. §§ 1177, 1178;

 

(Probate—Guardianships and Conservatorships)

45 C.F.R. §§ 160, 164

 

www.courts.ca.gov

For your protection and privacy, please press the Clear This Form button after you have printed the form.

Print this form Save this form

Clear this form

How to Edit Form Gc 333 Online for Free

If you want to fill out california application order authorizing, you don't need to install any applications - simply try using our PDF tool. FormsPal professional team is relentlessly endeavoring to enhance the editor and make it even faster for clients with its extensive functions. Enjoy an ever-evolving experience now! Here is what you will have to do to get started:

Step 1: Click the "Get Form" button at the top of this page to get into our PDF editor.

Step 2: The tool enables you to work with PDF forms in many different ways. Modify it by writing personalized text, correct original content, and put in a signature - all when it's needed!

It is an easy task to complete the form with our helpful guide! This is what you need to do:

1. Before anything else, while filling out the california application order authorizing, begin with the part containing subsequent blanks:

Completing part 1 of ca authorizing declaration hipaa

2. After filling out the previous part, go on to the subsequent part and enter the necessary particulars in all these blanks - a b c d e, A finding that the proposed, specify, Applicant has requested name each, to complete sign and deliver to, Capacity, the Declaration concerning the, The proposed conservatee has not, Applicant requests this court to, Applicant requests this court to, I declare under penalty of perjury, Date, TYPE OR PRINT APPLICANTS NAME, and APPLICANTS SIGNATURE.

Completing segment 2 of ca authorizing declaration hipaa

Always be extremely attentive when filling in A finding that the proposed and to complete sign and deliver to, as this is where most users make mistakes.

Step 3: As soon as you've reread the details provided, click "Done" to finalize your FormsPal process. Find your california application order authorizing once you register at FormsPal for a 7-day free trial. Easily access the pdf within your FormsPal account page, with any modifications and adjustments conveniently saved! FormsPal offers risk-free form editing without data record-keeping or distributing. Rest assured that your information is safe with us!

Form Gc 333 isn’t the one you’re looking for?

Related Documents