Guardianship Annual Report
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13IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT____________________
In the Matter of the Protective Proceedings of: )
)
Name of Ward:
)
)
Date of Birth:
)
)
Residential location of ward:
)
)
)
CASE NO.
Ward’s Telephone #:
)
)
GUARDIANSHIP ANNUAL REPORT
Instructions
Please type or print clearly using black ink. In preparing the report, you must consult with the
ward as much as possible. The court will treat the information in this report as confidential.
If you are unable to complete this form without help, you may find assistance on the website of
the Office of Public Advocacy (OPA): Your local library and
court may also have a binder of helpful information entitled “Family Guardian Education
Materials,” prepared by the Alaska State Association for Guardianship and Advocacy. You may
also call OPA at 269-3500 (in Anchorage), 451-5933 (in Fairbanks) or 1-877-957-3500.
After completing this report, you must sign it under oath (or affirmation) in the presence of a
notary public or court clerk. See last page.
If you are a full guardian with the powers of a conservator, you must fill out the entire form. If
you are a partial guardian and do not have the powers of a conservator (or if a separate
conservator has been appointed), you do not need to fill out the financial information in
paragraphs 10 through 16. The purpose of this report is to give the court as complete a picture as
possible of the ward’s current situation and what has happened in the last 12 months.
Reporting Period
This report covers the following period: From
To
Information About Guardian
Guardian’s Name
Daytime Phone
Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Check here if this mailing address is new. If you change your address, please notify the court.
Residence Address
(street address)
(city)
(state)
Do you live with the ward?
Yes
No
Relationship to ward:
Page 1 of 13
Probate Rule 16(e)(1)(B), 16(e)(3) & 17(e)
PG-210 (9/08)(cs)
AS 13.26.118, .255, .380(b) & 13.06.100
GUARDIANSHIP ANNUAL REPORT
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