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Conservators Report PD 1902C - District Of Columbia
| Conservators Report Form. This is a District Of Columbia form and can be used in General Probate Superior Court Statewide . |
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SUPERIOR COURT OF THE DISTRICT OF COLUMBIA PROBATE DIVISION _________ INT _________ _________ IDD _________ In re: ________________________________ An Adult CONSERVATOR'S REPORT Name of conservator: _________________________________________________________________________ Address of conservator: _________________________________________________________________________ _________________________________________________________________________ Describe significant changes, if any, in the capacity of the subject of this proceeding to meet the essential requirements for the subject's physical health or safety: _________________ _________________________________________________________________________ _________________________________________________________________________ The services being provided to the subject of this proceeding are: ____________________ _________________________________________________________________________ _________________________________________________________________________ The significant actions taken by the conservator during this reporting period are: ________ _________________________________________________________________________ _________________________________________________________________________ The significant problems relating to the conservatorship which have arisen during the reporting period are: ________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ The reasonable and necessary expenses incurred by the conservator are: ______________ _________________________________________________________________________ _________________________________________________________________________ April 2010 American LegalNet, Inc. www.FormsWorkFlow.com The reason, if any, why the appointment should not be terminated or why no less restrictive alternative will permit the subject of this proceeding to meet the essential requirements for the subject's physical health or safety are: ______________________________________ _________________________________________________________________________ _________________________________________________________________________ Attached is an accounting of the financial resources under the control of the conservator for the period indicated. VERIFICATION I, ____________________________, being first duly sworn, on oath, depose and say that that I have read the foregoing pleading by me subscribed and that the facts therein stated are true to the best of my knowledge, information, and belief. _______________________________________ Signature of conservator _______________________________________ Typed Name _______________________________________ Address (Actual address/not Post Office Box) _______________________________________ _______________________________________ Telephone number Subscribed and sworn to before me this ____ day of _________________, 20______. _______________________________________ Notary Public/Clerk April 2010 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I hereby certify that on the ______day of____________________20________, a copy of the foregoing __________________________________________________________________ was served by first class mail, postage prepaid, upon the parties to the above captioned case, persons granted permission to participate, and persons who requested notice. (List each person by name and complete address. Use the "tab" key to move from box to box. Attach an additional sheet of paper if necessary. An example is given.) Jane Doe Department of Human Services 2342 City Street, NW Washington, DC 20000 Signature April 2010 American LegalNet, Inc. www.FormsWorkFlow.com
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