Attachment Requesting Special Orders Regarding Dementia

Judicial Council of California · Probate

Verified current as of July 10, 2026

This form allows someone to request special court orders to protect a person with dementia, such as restrictions on their ability to make financial decisions or travel. Family members, caregivers, or conservators use this form to ask the court to put safeguards in place that help protect a person with dementia from exploitation or harm.