Report On The Condition And Well Being Of A Ward
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4No. PR-_____________
In the Guardianship of
§
Probate Court
__________________________________,
§
of
An Incapacitated Person
§
Galveston County, Texas
GUARDIAN’S
INITIAL
ANNUAL
FINAL
REPORT ON THE CONDITION AND WELL-BEING OF A WARD
Check one:
Guardianship of the Person Only
Guardianship of Person and Estate
On this day, the undersigned known to me to be the Guardian in this matter, personally appeared before me and
after being duly sworn, stated the following:
1.
WARD:
Name ______________________________________Age_______/DOB____________________
Address _______________________________________________________________________
City/State/Zip __________________________________________________________________
Phone _________________________________________________________________________
2.
GUARDIAN:
Name ______________________________________Age_______/DOB____________________
Address _______________________________________________________________________
City/State/Zip __________________________________________________________________
Phone _________________________________________________________________________
Relationship to Ward: ____________________________________________________________
During the past reporting year, have you been convicted of a felony or a misdemeanor other than
a minor traffic offense?
YES
NO
If YES, please explain: ___________________________________________________________
______________________________________________________________________________
3. FINAL REPORTS ONLY (Otherwise, go to #4)
I am filing a Final Report because (check one)
I am resigning
the ward has turned 18
the ward has died
other; if “other,” please explain:
______________________________________________________________________________________________
A. If because of your resignation, has a successor guardian been identified?
YES
NO
Name of Successor_____________________________________Age_______/DOB_____________________
Address _________________________________________________________________________________
City/State/Zip ____________________________________________________________________________
Phone ___________________________________________________________________________________
B. If because Ward has turned eighteen, attach birth certificate.
C. If because the Ward has died, answer the following questions:
a. Date of death:____________________________________
b. Place of death (County):____________________________
4. During the last year, I have visited the Ward in person ____________ times.
The date of my last personal visit with the Ward was _______________________.
5. Ward’s residence is:
Ward’s home
Guardian’s home
Relative’s home
Nursing Home
Group home
Hospital/Medical facility
State Supported Living Center (State School)
Other (explain below)
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