Form 17.7 - Guardian'S Report Form

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PROBATE COURT OF _______________ COUNTY, OHIO
_______________________, JUDGE
GUARDIANSHIP OF _________________________________________________________
CASE NO. _________________________
GUARDIAN'S REPORT
[R.C. 2111.49 and Sup.R. 66.05(B)(2)]
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 Code_____________________Telephone Number (____)______________
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 Code ________________ Telephone Number (____)___________________________
FORM 17.7 - GUARDIAN'S REPORT
Amended: March 1, 2017
Discard all previous versions of this form

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