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Use this form with Ex Parte Order Re Completion of Capacity. Declaration—HIPAA (form GC-334).Petitioner proposes to use the Declaration to provide evidence to support (check all that apply): a. Applicant requests this court to authorize each declarant named in item 3 to complete, sign, and deliver the Declaration to. The federal Health Insurance Portability and Accountability Act of 1996. California Probate Court form for an ex parte application for an order allowing completion of a statement of a proposed conservatee's capacity. What you get: Instant access to fillable Microsoft Word or PDF forms. Download Ex Parte Application for Order Authorizing Completion of Capacity Declaration-HIPAA (GC-333) – California Courts (Judiciary) (California) form. Or workplace violence restraining order must submit a Declaration in Support of Ex Parte Application for Civil Restraining Orders. How Do I Ask to Change or End a Domestic Violence Restraining Order After Hearing?