CACI VF-4000 Conservatorship—Verdict Form

California Civil Jury Instructions CACI

VF-4000 Conservatorship—Verdict Form


Select one of the following two options:

12 jurors find that [name of respondent] is presently gravely disabled due to [a mental disorder/impairment by chronic alcoholism].

9 or more jurors find that [name of respondent] is not presently gravely disabled due to [a mental disorder/impairment by chronic alcoholism].

[If you have concluded that [name of respondent] is gravely disabled due to [a mental disorder/impairment by chronic alcoholism] then answer the following:

Do all 12 jurors find that [name of respondent] is disqualified from voting because [he/she/nonbinary pronoun] cannot communicate, with or without reasonable accommodations, a desire to participate in the voting process?

Yes  No]

Signed:Presiding Juror
Dated: 

After [this verdict form has/all verdict forms have] been signed, notify the [clerk/bailiff/court attendant] that you are ready to present your verdict in the courtroom.


Directions for Use

The question regarding voter disqualification is bracketed. The judge must decide whether this question is appropriate in a given case. (See CACI No. 4013, Disqualification From Voting.)