PROBATE COURT OF _______________ COUNTY, OHIO
IN THE MATTER OF THE GUARDIANSHIP OF _____________________________________________
CASE NO. _______________________
GUARDIAN'S REPORT
[R.C. 2111.49]
NOTE: If allotted space is inadequate to respond, write "See Exhibit" in the space and add appropriate exhibit letter sequence,
then attach exhibit containing information requested for that space.
1.
This is the (circle one) 1st, 2nd, 3rd, 4th, 5th, 6th, or _________, Guardian's Report.
2.
Ward's present address: ______________________________________________________________________________
City ______________________________________ State ____________________________
Zip ______________________________
Telephone (______)______________________
3.
Ward's living arrangements at the above address are best described as:
a. His or her own apartment or home (includes assisted living facilities.)
b. Private home or apartment of:
(1) the ward's guardian
(2) a relative of the ward, whose name is __________________________________________________
and relationship is ____________________________________________________________________
(3) a non-relative whose name is ________________________________________________________
c. A foster, group or boarding home.
d. A nursing home.
e. A medical facility or state institution.
f. Other (describe) _________________________________________________________________________
__________________________________________________________________________________________
g. If c, d, e or f is checked, complete the following:
(1)
The name of the home, facility or institution ________________________________________________
(2)
The name of an individual at the home, facility or institution who has knowledge and is authorized
to give information to the court about the ward.
Name ______________________________________________________________________________
Telephone Number (_____)___________________________________
4.
The ward will be at the address given in Item 2:
a. Indefinitely.
b. Temporarily. The new address and telephone number is:
(1)
Unknown. I will provide this information when known.
(2) ______________________________________________________________________________________
City ____________________________________________________ State ____________________________
Zip ___________________ Telephone (____)____________________________
17.7 GUARDIAN'S REPORT