{"code":"WIC","codeName":"Welfare and Institutions Code","section":"5262","citation":"Welf. & Inst. Code, § 5262","status":"in-force","lawOn":"2026-09-28","headings":[{"name":"DIVISION 5. COMMUNITY MENTAL HEALTH SERVICES [5000. - 5987.]","url":"https://blackletter.si/welfare-and-institutions-code/division-5"},{"name":"PART 1. THE LANTERMAN-PETRIS-SHORT ACT [5000. - 5550.]","url":"https://blackletter.si/welfare-and-institutions-code/division-5/part-1"},{"name":"CHAPTER 2. Involuntary Treatment [5150. - 5349.1.]","url":"https://blackletter.si/welfare-and-institutions-code/division-5/part-1/chapter-2"},{"name":"ARTICLE 4.5. Additional Intensive Treatment of Suicidal Persons [5260. - 5268.]","url":"https://blackletter.si/welfare-and-institutions-code/division-5/part-1/chapter-2/article-4.5"}],"history":"Added by Stats. 1968, Ch. 1374.","effective":null,"html":"<p>A second notice of certification for imminently suicidal persons is required for all involuntary 14-day intensive treatment, pursuant to this article, and shall be in substantially the following form: </p><table><tbody><tr><td><p>To the Superior Court of the State of California<br /> for the County of ______</p></td></tr><tr><td /></tr><tr><td><p>The authorized agency providing 14-day intensive treatment, County of _________, has custody of: _________</p></td></tr><tr><td><p>Name ____________</p></td></tr><tr><td><p>Address ____________</p></td></tr><tr><td><p>Age ____________</p></td></tr><tr><td><p>Sex ____________</p></td></tr><tr><td><p>Marital status ____________</p></td></tr><tr><td><p>Religious affiliation ____________</p></td></tr><tr><td><p>The undersigned allege that the above-named person presents an imminent threat of taking his own life.<br />This allegation is based upon the following facts:</p></td></tr><tr><td><p></p></td></tr><tr><td><p></p></td></tr><tr><td><p></p></td></tr><tr><td><p></p></td></tr><tr><td><p>This allegation is supported by the accompanying affidavits signed by ____________.</p></td></tr><tr><td><p>The above-named person has been informed of this allegation and has been advised of, but has not been able or willing to accept referral to, the following services:</p></td></tr><tr><td><p></p><p></p><p></p><p></p></td></tr><tr><td><p>We, therefore, certify the above-named person to receive additional intensive treatment for no more than 14 days beginning this day of (Month), 19__, in the intensive treatment facility herein named ________.</p></td></tr><tr><td><p>We hereby state that a copy of this notice has been delivered this day to the above-named person and that he has been clearly advised of his continuing legal right to a judicial review by habeas corpus, and this term has been explained to him.</p></td></tr><tr><td><p>(Date)</p></td></tr><tr><td><p>Signed </p><p>Countersigned Representing intensive treatment facility</p></td></tr></tbody></table><br />","text":"A second notice of certification for imminently suicidal persons is required for all involuntary 14-day intensive treatment, pursuant to this article, and shall be in substantially the following form: To the Superior Court of the State of California for the County of ______ The authorized agency providing 14-day intensive treatment, County of _________, has custody of: _________ Name ____________ Address ____________ Age ____________ Sex ____________ Marital status ____________ Religious affiliation ____________ The undersigned allege that the above-named person presents an imminent threat of taking his own life. This allegation is based upon the following facts: This allegation is supported by the accompanying affidavits signed by ____________. The above-named person has been informed of this allegation and has been advised of, but has not been able or willing to accept referral to, the following services: We, therefore, certify the above-named person to receive additional intensive treatment for no more than 14 days beginning this day of (Month), 19__, in the intensive treatment facility herein named ________. We hereby state that a copy of this notice has been delivered this day to the above-named person and that he has been clearly advised of his continuing legal right to a judicial review by habeas corpus, and this term has been explained to him. (Date) Signed Countersigned Representing intensive treatment facility","otherVersions":[],"url":"https://blackletter.si/welfare-and-institutions-code/additional-intensive-treatment-of-suicidal-persons-5262","source":"California Legislative Information bulk export (pubinfo)"}