PROBATE COURT OF
COUNTY, OHIO
, JUDGE
GUARDIANSHIP OF:_________________________________
CASE NO: __________________
COURT INVESTIGATOR’S REPORT ON PROPOSED
GUARDIANSHIP
[R.C. 2111.041]
GENERAL INFORMATION
[To be compiled by Probate Court Investigator]
Individual’s age_____________________
Relationship to applicant__________________________
Individual’s residence___________________________________________________________________
Grounds for application (R.C.2111.01 (D)):
The individual is alleged to be:
mentally impaired as a result of a mental illness or disability.
mentally impaired as a result of a physical illness or disability.
mentally impaired as a result of mental retardation.
mentally impaired as a result of chronic substance abuse.
any person confined to a correctional institution within this state.
so that
the individual is incapable of taking proper care of the individual’s self.
the individual is incapable of taking proper care of the individual’s property.
the individual fails to provide for the individual’s family or other individual for whom the
person is charged by law to provide.
Documentation submitted and date of evaluation______________________________________________
Referral Source:________________________________________________________________________
17.8 - COURT INVESTIGATOR’S REPORT ON PROPOSED GUARDIANSHIP
Eff. Date October 1, 2007