CARE-106 - Notice of Order for CARE Act Report

Summary

Notice of Order for CARE Act Report

Text

Form ID: CARE-106
Title: Notice of Order for CARE Act Report
Effective Date: 2026-01-01
Mandatory Form: yes
Info Page: https://selfhelp.courts.ca.gov/jcc-form/CARE-106
Primary Download URL: https://www.courts.ca.gov/documents/care106.pdf
Form Detail Page:
Notice of Order for CARE Act Report
(CARE-106)
Provides notice that a court has ordered 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-106
Effective: January 1, 2026
PDF Text:
CONFIDENTIAL
For your protection and privacy, please press the Clear 
button after you have printed the form.
Judicial Council of California, courts.ca.gov 
Rev. January 1, 2026, Mandatory Form 
Welf. & Inst. Code, §§ 5973, 5977; 
Cal. Rules of Court, rule 7.2235(a)
Notice of Order for CARE Act Report CARE-106, Page 1 of 1
CARE-106
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
NOTICE OF ORDER FOR CARE ACT REPORT
CASE NUMBER:
1. Petitioner (name):
2. Respondent (name):
3. The court has ordered (name of county agency):
or its designee to engage the respondent and, no later than (date): , file with the court a written report that 
includes all of the following information:
a. The respondent's county of residence;
b. A determination whether the respondent meets, or is likely to meet, the criteria necessary to participate in the CARE Act 
process;
c. The outcome of efforts made to voluntarily engage the respondent;
d. Conclusions and recommendations about the respondent's ability to voluntarily engage in services; and
e. The information, including protected health information, necessary to support the determinations, conclusions, and 
recommendations in the report.
4. Attached to this notice, as required by California Rules of Court, rule 7.2235(a), are
a. a copy of Order for CARE Act Report (form CARE-105) issued by the court in this proceeding on (date): ,
b. a copy of the petition filed on (date): to begin these proceedings, and
c. Information for Respondents—About the CARE Act  (form CARE-060-INFO).
Date:
(TYPE OR PRINT NAME OF COUNTY AGENCY REPRESENTATIVE)
 (SIGNATURE OF COUNTY AGENCY REPRESENTATIVE)

Retrieval chunks

• #1

  Form ID: CARE-106 Title: Notice of Order for CARE Act Report Effective Date: 2026-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/CARE-106 Primary Download URL: https://www.courts.ca.gov/documents/care106.pdf Form Detail Page: Notice of Order for CARE Act Report (CARE-106) Provide…

• #2

  (SIGNATURE OF COUNTY AGENCY REPRESENTATIVE)