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Schedule A, Receipts, Social Security, Veterans’ Benefits, Other Public Benefits—Standard Account
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gc400a5.pdf

Form Instructions

INSTRUCTIONS: CALIFORNIA SCHEDULE A, RECEIPTS, SOCIAL SECURITY, VETERANS' BENEFITS, OTHER PUBLIC BENEFITS — STANDARD ACCOUNT (Form GC-400(A)(5))

The document discussed in this article is used by California conservatorships and guardianships to document Social Security, veterans' benefits and other public benefit payments. This form can be obtained from the website maintained by the California Judicial Branch.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 1: Check the first box if filing for a conservatorship.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 2: Check the second box if filing for a guardianship.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 3: Enter the name of the conservatee or minor.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 4: Check the third box if you entered the name of a conservatee.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 5: Check the fourth box if you entered the name of a minor.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 6: Enter the case number where indicated.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 7: In the first column of the table provided, enter the date of each receipt.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 8: In the second column, enter a description of the benefit. Document receipts from each source separately.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 9: Enter the amount of each benefit in the third column.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 10: Document additional public benefits received on additional pages if necessary.

California Schedule A, Receipts, Social Security, Veterans' Benefits, Other Public Benefits — Standard Account GC-400(A)(5) Step 11: Enter the total of benefits from all pages at the bottom of the table.

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