CARE-105 - Order for CARE Act Report

Summary

Order for CARE Act Report

Text

Form ID: CARE-105
Title: Order for CARE Act Report
Effective Date: 2026-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CARE-105
Primary Download URL: https://www.courts.ca.gov/documents/care105.pdf
Form Detail Page:
Order for CARE Act Report
(CARE-105)
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.
Get form CARE-105
Effective: January 1, 2026
PDF Text:
CONFIDENTIAL
For your protection and privacy, please press the Clear 
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Judicial Council of California, courts.ca.gov 
Rev. January 1, 2026, Mandatory Form 
Welf. & Inst. Code, § 5977(a)(3)
Order for CARE Act Report CARE-105, Page 1 of 1
CARE-105
ATTORNEY OR PARTY WITHOUT ATTORNEY STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
BRANCH NAME:
CITY AND ZIP CODE:
CARE ACT PROCEEDINGS FOR (name):
RESPONDENT
FOR COURT USE ONLY
ORDER FOR CARE ACT REPORT
CASE NUMBER:
1. The court has read and reviewed the petition filed by petitioner
(name):
(address):
on (date): asking the court to begin CARE Act proceedings for respondent
(name):
(address, if known):
2. The court has found that the petition has made a prima facie showing that the respondent is or may be eligible to participate in the 
CARE Act process. A copy of the petition and all attachments are included with this order.
The court orders as follows:
3. The following county agency (name):
or its designee must contact and engage the respondent and, no later than (date): ,
file with the court a written report that includes the following information:
a. Respondent's county of residence;
b. A determination whether respondent meets or is likely to meet the CARE Act eligibility requirements;
c. The outcome of the county's efforts to engage respondent during the period before the report deadline above;
d. Conclusions and recommendations about respondent's ability to voluntarily engage in services;
e. The information, including protected health information, necessary to support the determinations, conclusions, and 
recommendations in the report; and
f. Other:
4. Before engaging the respondent and preparing the report, the county agency named in item 3 or its designee must use Notice of 
Order for CARE Act Report (form CARE-106) to serve notice of this order on petitioner, respondent, and respondent’s counsel as 
provided in California Rules of Court, rule 7.2235(a). 
5. The court has, by separate order, appointed the following attorney to represent the respondent at all stages of these CARE Act 
proceedings.
a. Name:
b. Firm name:
c. Street address:
d. Mailing address (if different):
e. Email address:
f. Telephone number: g. Fax number:
Date:
JUDICIAL OFFICER

Retrieval chunks

• #1

  Form ID: CARE-105 Title: Order for CARE Act Report Effective Date: 2026-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/CARE-105 Primary Download URL: https://www.courts.ca.gov/documents/care105.pdf Form Detail Page: Order for CARE Act Report (CARE-105) States the court’s decision…

• #2

  4. Before engaging the respondent and preparing the report, the county agency named in item 3 or its designee must use Notice of Order for CARE Act Report (form CARE-106) to serve notice of this order on petitioner, respondent, and respondent’s counsel as provided in California Rules of Court, rule 7.2235(a). 5. Th…