Form Pro 017 PDF Details

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QuestionAnswer
Form NameForm Pro 017
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesex parte petition for court order to release the remains of a decedent, MAILING, specify, attachment

Form Preview Example

NAME, ADDRESS, AND TELEPHONE NUMBER OF ATTORNEY OR PARTY WITHOUT ATTORNEY:

STATE BAR NUMBER

 

FOR COURT USE ONLY

 

 

 

 

 

 

TELEPHONE NO.:

 

 

 

E-MAIL ADDRESS (Optional):

 

 

 

ATTORNEY FOR (Name):

 

 

 

SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES

 

 

 

 

 

 

 

COURTHOUSE ADDRESS:

 

 

 

 

 

 

 

MATTER OF:

 

 

 

______________________________________________________________________________, Decedent

 

 

 

 

 

 

 

 

 

 

 

CASE NUMBER:

 

 

 

 

 

EX PARTE PETITION FOR COURT ORDER TO RELEASE REMAINS OF A

HEARING DATE:

 

 

 

DECEDENT

 

 

 

 

 

 

 

 

 

 

 

 

DEPT.:

 

TIME:

 

 

 

 

 

 

THIS EX PARTE PETITION IS ONLY TO REQUEST RELEASE OF THE REMAINS OF THE DECEDENT AND

DOES NOT CONTAIN ANY REQUEST TO ADMINISTER THE ESTATE OF DECEDENT.

1.Petitioner, _____________________________________, requests an order from the Court

(Your Name)

authorizing him/her to claim the remains of the decedent _______________________________.

(Decedent’s Name)

2Decedent died on: _______________________ at: ___________________________________

(Date)

(City and State)

Check one:

Decedent was a resident of the County of Los Angeles and his/her remains are in the custody of the Los Angeles County Coroner or a hospital or mortuary located in Los Angeles County.

Decedent was NOT a resident of the County of Los Angeles and his/her remains are in the custody of the Los Angeles County Coroner or a hospital or mortuary located in Los Angeles County.

3.Street address, city, and county of decedent’s residence at time of death (specify):

4.My relationship to the decedent is: __________________________________. [If you are not related to the decedent by either blood or marriage, describe below how long you have known the decedent and how you met (work, church, neighbor, etc.)]:

 

EX PARTE PETITION FOR ORDER TO RELEASE REMAINS

PRO 017

Health & Safety Code § 7105

02/12

 

 

Page 1 of 2

5.To the best of my knowledge, Decedent is survived by (check all that apply):

a.

Spouse

f.

Brothers or Sisters

b.

Registered Domestic Partner

g.

Grandparents

c.

Child(ren), Natural or Adopted

h.

Aunts or Uncles

d.

Grandchild(ren)

i.

Cousins

e.

Parent or Parents

j.

No Next of Kin (if this box is

 

 

 

checked, skip to question 8 below).

6.Listed below are all of the decedent’s known relatives, their relationship(s) to the decedent, approximate age(s), address(es) and phone number(s):

7.I have made the following attempts to contact decedent’s relatives to inform them of my request to claim the decedent’s remains (describe below):

8.Decedent has no living relatives. I know this because (describe below, for example, “The decedent told me many times that he had no relatives,” or “I have known the decedent for 10 years and she never spoke of having any family.”):

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.

Date:

 

 

Petitioner’s Signature

 

 

 

 

 

 

 

Type or Print Petitioner’s Name

 

 

 

 

 

 

EX PARTE PETITION FOR ORDER TO RELEASE REMAINS

 

PRO 017

 

Health & Safety Code § 7105

 

02/12

 

 

 

 

Page 2 of 2

 

How to Edit Form Pro 017 Online for Free

Using PDF files online is definitely very simple with our PDF editor. Anyone can fill in specify here painlessly. To maintain our editor on the forefront of practicality, we work to put into operation user-driven capabilities and improvements regularly. We are routinely looking for feedback - join us in remolding how you work with PDF files. It merely requires several simple steps:

Step 1: Hit the orange "Get Form" button above. It'll open our tool so you could start filling in your form.

Step 2: This tool offers you the opportunity to modify nearly all PDF files in a range of ways. Modify it by writing personalized text, adjust what is already in the document, and add a signature - all within the reach of a couple of clicks!

It will be straightforward to complete the document with this practical guide! This is what you should do:

1. While filling in the specify, be sure to complete all of the needed fields in the associated section. This will help speed up the work, enabling your details to be handled efficiently and correctly.

LOS conclusion process clarified (step 1)

2. Immediately after this section is filled out, go to type in the applicable details in all these - DOES NOT CONTAIN ANY REQUEST TO, Petitioner requests an order from, Your Name, authorizing himher to claim the, Decedents Name, Decedent died on at, Date, City and State, Check one, Decedent was a resident of the, Street address city and county of, and My relationship to the decedent is.

LOS conclusion process clarified (step 2)

3. This subsequent section is pretty uncomplicated, PRO, Ex Parte Petition for Order to, Health Safety Code, and Page of - these fields is required to be filled out here.

Completing section 3 in LOS

4. The subsequent section requires your input in the subsequent places: To the best of my knowledge, Spouse Registered Domestic, Brothers or Sisters Grandparents, f g h i j, and Listed below are all of the. It is important to fill in all of the requested details to go onward.

Spouse  Registered Domestic, Brothers or Sisters  Grandparents, and f g h i j inside LOS

You can certainly make errors while completing your Spouse Registered Domestic, so make sure you reread it before you'll submit it.

5. To conclude your document, the final section involves a couple of additional blanks. Completing I have made the following attempts, Decedent has no living relatives I, I declare under penalty of perjury, and Petitioners Signature is going to conclude the process and you'll definitely be done in a blink!

LOS completion process detailed (stage 5)

Step 3: Ensure your information is correct and click "Done" to progress further. Right after creating afree trial account at FormsPal, you'll be able to download specify or send it through email directly. The document will also be readily accessible from your personal account with your every modification. We do not share the information that you type in whenever filling out forms at FormsPal.