Self-Help Form Packets

CARE Court Form Packets

Use this packet to start a CARE Act petition for someone living with untreated Schizophrenia Spectrum or Other Psychotic Disorders, including Bipolar I Disorder with Psychotic Features, to connect them with community care resources.

Download full packet here: SHC-CC-01 Care Act - Become a Link to Care

Forms included in this packet are listed below.

Form Number Form Title Description
CARE-050-INFO Information for Petitioners—About the CARE Act Explains the CARE Act process, provides information about petitioner and respondent eligibility, notes required documentation and gives instruction on how to properly fill out the petition, form CARE-100.
CARE-100 Petition to Commence CARE Act Proceedings Use this form to ask a court to start CARE Act proceedings on behalf of someone.
CARE-101 Mental Health Declaration A licensed behavioral health professional uses this form to tell the court that they have examined the respondent within 60 days of filing of the petition, or have made multiple attempts to examine, but have not been successful in conducting an examination within 60 days of the petition. A licensed behavioral health professional also uses this form to tell the court that they have determined that the respondent meets, or have reason to believe that the respondent meets, the legal requirements for CARE Act proceedings.
CARE-105 Order for CARE Act Report States the court’s decision on requiring a county agency to investigate and file a report that includes whether the respondent meets or is likely to meet the legal requirements for the CARE process.

Use this Chinese-language packet to start a CARE Act petition for someone living with untreated Schizophrenia Spectrum or Other Psychotic Disorders, including Bipolar I Disorder with Psychotic Features, and to connect them with community care resources.

Download full packet here: SHC-CC-02 Care Act - Become a Link to Care (Chinese)

Forms included in this packet are listed below.

Form Number Form Title Description
CARE-050-INFO C Information for Petitioners—About the CARE Act Explains the CARE Act process, provides information about petitioner and respondent eligibility, notes required documentation and gives instruction on how to properly fill out the petition, form CARE-100.
CARE-100 Petition to Commence CARE Act Proceedings Use this form to ask a court to start CARE Act proceedings on behalf of someone.
MC-025 Attachment to Judicial Council Form Gives you more space to complete any Judicial Council form. This is always attached to another form or court paper before it can be filed in court.
CARE-101 C Mental Health Declaration This is the CARE-101 form translated in Chinese to be used as a reference.
CARE-101 Mental Health Declaration A licensed behavioral health professional uses this form to tell the court that they have examined the respondent within 60 days of filing of the petition, or have made multiple attempts to examine, but have not been successful in conducting an examination within 60 days of the petition. A licensed behavioral health professional also uses this form to tell the court that they have determined that the respondent meets, or have reason to believe that the respondent meets, the legal requirements for CARE Act proceedings.
CARE-105 Order for CARE Act Report States the court’s decision on requiring a county agency to investigate and file a report that includes whether the respondent meets or is likely to meet the legal requirements for the CARE process.
CARE-050-INFO K Information for Petitioners—About the CARE Act Explains the CARE Act process, provides information about petitioner and respondent eligibility, notes required documentation and gives instruction on how to properly fill out the petition, form CARE-100.

Use this Korean-language packet to start a CARE Act petition for someone living with untreated Schizophrenia Spectrum or Other Psychotic Disorders, including Bipolar I Disorder with Psychotic Features, and to connect them with community care resources.

Download full packet here: SHC-CC-03 Care Act - Become a Link to Care (Korean)

Forms included in this packet are listed below.

Form Number Form Title Description
CARE-100 K Petition to Commence CARE Act Proceedings This is the CARE-100 form translated in Korean to be used as a reference.
CARE-100 Petition to Commence CARE Act Proceedings Use this form to ask a court to start CARE Act proceedings on behalf of someone.
MC-025 Attachment to Judicial Council Form Gives you more space to complete any Judicial Council form. This is always attached to another form or court paper before it can be filed in court.
CARE-101 K Mental Health Declaration This is the CARE-101 form translated in Korean to be used as a reference.
CARE-101 Mental Health Declaration A licensed behavioral health professional uses this form to tell the court that they have examined the respondent within 60 days of filing of the petition, or have made multiple attempts to examine, but have not been successful in conducting an examination within 60 days of the petition. A licensed behavioral health professional also uses this form to tell the court that they have determined that the respondent meets, or have reason to believe that the respondent meets, the legal requirements for CARE Act proceedings.
CARE-105 Order for CARE Act Report States the court’s decision on requiring a county agency to investigate and file a report that includes whether the respondent meets or is likely to meet the legal requirements for the CARE process.

Use this Spanish-language packet to start a CARE Act petition for someone living with untreated Schizophrenia Spectrum or Other Psychotic Disorders, including Bipolar I Disorder with Psychotic Features, and to connect them with community care resources.

Download full packet here: SHC-CC-04 Care Act - Become a Link to Care (Spanish)

Forms included in this packet are listed below.

Form Number Form Title Description
CARE-050-INFO S Information for Petitioners—About the CARE Act Explains the CARE Act process, provides information about petitioner and respondent eligibility, notes required documentation and gives instruction on how to properly fill out the petition, form CARE-100.
CARE-100 S Petition to Commence CARE Act Proceedings This is the CARE-100 form translated in Spanish to be used as a reference.
CARE-100 Petition to Commence CARE Act Proceedings Use this form to ask a court to start CARE Act proceedings on behalf of someone.
MC-025 Attachment to Judicial Council Form Gives you more space to complete any Judicial Council form. This is always attached to another form or court paper before it can be filed in court.
CARE-101 S Mental Health Declaration This is the CARE-101 form translated in Spanish to be used as a reference.
CARE-101 Mental Health Declaration A licensed behavioral health professional uses this form to tell the court that they have examined the respondent within 60 days of filing of the petition, or have made multiple attempts to examine, but have not been successful in conducting an examination within 60 days of the petition. A licensed behavioral health professional also uses this form to tell the court that they have determined that the respondent meets, or have reason to believe that the respondent meets, the legal requirements for CARE Act proceedings.
CARE-105 Order for CARE Act Report States the court’s decision on requiring a county agency to investigate and file a report that includes whether the respondent meets or is likely to meet the legal requirements for the CARE process.

Use this Vietnamese-language packet to start a CARE Act petition for someone living with untreated Schizophrenia Spectrum or Other Psychotic Disorders, including Bipolar I Disorder with Psychotic Features, and to connect them with community care resources.

Download full packet here: SHC-CC-05 Care Act - Become a Link to Care (Vietnamese)

Forms included in this packet are listed below.

Form Number Form Title Description
CARE-050-INFO V Information for Petitioners—About the CARE Act Explains the CARE Act process, provides information about petitioner and respondent eligibility, notes required documentation and gives instruction on how to properly fill out the petition, form CARE-100.
CARE-100 V Petition to Commence CARE Act Proceedings This is the CARE-100 form translated in Vietnamese to be used as a reference.
CARE-100 Petition to Commence CARE Act Proceedings Use this form to ask a court to start CARE Act proceedings on behalf of someone.
MC-025 Attachment to Judicial Council Form Gives you more space to complete any Judicial Council form. This is always attached to another form or court paper before it can be filed in court.
CARE-101 V Mental Health Declaration This is the CARE-101 form translated in Vietnamese to be used as a reference.
CARE-101 Mental Health Declaration A licensed behavioral health professional uses this form to tell the court that they have examined the respondent within 60 days of filing of the petition, or have made multiple attempts to examine, but have not been successful in conducting an examination within 60 days of the petition. A licensed behavioral health professional also uses this form to tell the court that they have determined that the respondent meets, or have reason to believe that the respondent meets, the legal requirements for CARE Act proceedings.
CARE-105 Order for CARE Act Report States the court’s decision on requiring a county agency to investigate and file a report that includes whether the respondent meets or is likely to meet the legal requirements for the CARE process.