Conservator'S Implementation Report And Inventory Page 2
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9If you are a private conservator charging fees, is there a court order authorizing payment of fees
and establishing an hourly rate and maximum monthly amount as required by Probate Rule 17
and AS 08.26.110?
Yes
No
I do not charge fees.
Information About Protected Person
1.
Housing.
Describe where the protected person lives:
Name of facility or place:
Address:
(street address)
(city)
(state)
(ZIP)
Type of Residence:
nursing home
assisted living home
If the protected person lives in your home, do you charge him/her rent?
Yes
No
If you live in the protected person’s home, are you paying him/her rent?
Yes
No
2.
School and Job Training.
Does the protected person attend school or any type of job training?
Cost:
3.
Work.
Is the protected person employed?
No.
Yes. Describe (include type of work, name of employer, address, phone, and how
long employed):
4.
Contacts.
Describe your contacts with the protected person since you were appointed conservator:
Type of Contact
How Often
in person
by telephone
by mail or e-mail
through 3rd person:
other:
5.
Decision Making.
When a decision has to be made about the protected person’s financial affairs, how are
the decisions made?
a.
Describe decisions made by protected person alone:
Page 2 of 9
Probate Rule 17(e)
PG-220 (2/05)(cs)
AS 13.26.250 & 13.06.100
CONSERVATOR’S IMPLEMENTATION REPORT & INVENTORY
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