Eldercaring Coordinator Report of an Emergency

Orange County Superior Court · Locally Approved Forms

Verified current as of July 16, 2026

This form is used to document and report emergencies involving elderly or dependent adults who are under the care of a court-appointed Eldercaring Coordinator. A court-appointed Eldercaring Coordinator would need to file this form when an emergency situation arises that requires immediate notification to the court about the welfare or safety of the person they are monitoring.