Arizona > Local County > Maricopa > Superior Court > Juvenile
Annual Report Of Guardian JG92f - Arizona
| Annual Report Of Guardian Form. This is a Arizona form and can be used in Juvenile Superior Court Maricopa Local County . |
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SELF-SERVICE CENTER INSTRUCTIONS: HOW TO FILL OUT THE ANNUAL REPORT OF GUARDIAN YOU MAY USE THIS PACKET if you have been appointed as the Guardian for a minor, and it has been a year since your appointment. You must complete this form every year you are the Guardian for the Minor on or before the anniversary date of your appointment as Guardian. TOP OF PAGE: Fill in the information requested about you, the Guardian, at the top, left corner of the form, and then the case caption information (name of the Minor and the case number). Nex t, write in the date this report is due, which should be the anniversary date of when you were first appointed, and finally, write in the beginning and ending dates of the time period for which you are filing this report, which would generally be from the day after the previous years anniversary date to the due date (this years anniversary date). Next, match the num bered instruction to the numbered line on the form. 1. Write in the information requested about the Minor. 2. Describe where the Minor lives (not the address). Things to include w ould be: Whether a private home, a boarding home or school; How many people live in the Minors room; Who looks after the Minor; AND The name of the person in charge; or The name of the place where the Minor lives; The address, and the telephone number. 3. Write in the information requested about the Minors current doctor. 4. Provide the information requested about the Minors physical and ment al health. Make sure you attach a current copy of the doctors report about the Minors current phys ical and mental health, 5. Provide the Information requested about the Minors Education: name of school, et c. 6. Answer the questions regarding how many times you saw the Minor over the past year and when you last saw him or her. If the Minor lives with you, you may simply state Lives with me and Every day or Nearly every day or whatever is true for your situation. Then tell the Judge/Commissioner whether or not you think the guardiansh ip should continue and the reasons it should or should not continue. 7. Write in the name, address, and telephone number of the person responsib le for the Minors assets. If the Minor does not have any assets, then write in N/A for not applicable . 8. IF the Minor receives any state, county, or federal agency services, write in the name of the agency contact and describe the services received by the Minor. If the Minor does not receive any s ervices, write in N/A for not applicable. 9. Signature: Make sure you date the document, print and sign your name. 10. MAILING AFFIDAVIT. Write the names and addresses of the people to whom you mailed a copy of the ANNUAL REPORT and the date you mailed them. 11. Then sign your name (again) to show that you mailed the document. NEXT: Follow the instructions in the document titled: Procedures: How to File the Annual Report of Guardian. Superior Court of Arizona in Maricopa County JG92i November 4, 2004 1 of 1 Use current form ALL RIGHTS RESERVED <<<<<<<<<********>>>>>>>>>>>>> 2Your Name: Your Address: Your City, State and Zip Code: Your Telephone Number(s): / SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY In the Matter of Guardianship of Case Number JG . ANNUAL REPORT OF GUARDIAN A Minor PERIOD FROM - - TO - - DUE - - MO DAY YR MO DAY YR MO DAY YR Instructions to Guardian: Arizona law (A.R.S. 14-5315) requires every guardian of a minor to adv ise the Court each year regarding the Minor. Please complete this report ea ch year on the anniversary date of your appointment as guardian. When complete, mail the report to: Clerk of Superior Court, Juvenile Court Administration, 3131 W. Durango St., Phoenix, Arizona 85009, or 1810 S. Lewis St., Mesa, Arizona 85210. You must also mail a copy of the report to anyone else who has appeared in the case. You must mail a copy to the Minor, if he or she is at least 14 years old. You must also fill out the Affidavit of Mailing at the end of the report to show the names and addresses of all the people to w hom you mailed the report and the date on which you mailed it. (If necessary, additional pages may be at tached.) I am the Guardian and make these statements: 1. Information about the Minor. Minors Name: Street Address: City, State, Zip Code Telephone: Date of Birth: (month, day, year) 2. Information about where the Minor lives. A. Describe the residential situation where the Minor lives (private home, boarding school, etc.) B. Provide the information requested below about the home or facility. Name of Person in Charge or Facility: Name of Facility: Street Address City, State, Zip Code): Telephone Number(s): Superior Court of Arizona in Maricopa County JG92f October 13, 2004 Page 1 of 3 Use current form ALL RIGHTS RESERVED <<<<<<<<<********>>>>>>>>>>>>> 33. Information about the Minors Doctor. Minors Current Doctor (Name): Doctors Address: Doctors Telephone Number: 4. Information about the Minors physical and mental health. A. Date the Minor was last seen by a doctor: B. Changes in Minors health. Have there been any major changes in the Minors physical and/or mental condition in the last year? If so, please describe the change. C. Attach a copy of the doctors report about the Minors current physical and mental condition. 5. Information about the Minors Education. a. Name of School District: b. Name/Address of School: c. Last Grade Completed: d. Describe Minors School Experience (grades, relationships, behavior): 6. Information about the Guardianship. Number of times the Guardian has seen the Minor in the last 12 months: Date of the last visit: The Guardians opinion about whether the guardianship should continue: (Explain.) 7. Information about the person responsible for managing the Minors ass ets: Name: Street Address: City, State, Zip: Telephone Number(s): Superior Court of Arizona in Maricopa County JG92f October 13, 2004 Page 2 of 3 Use current form ALL RIGHTS RESERVED <<<<<<<<<********>>>>>>>>>>>>> 4 8. Information about State, Count y or Federal Agency Services: Does the Minor receive any state, county or federal agency services? If so, write in the name of the agency contact and describe the services received by the Minor. 9. DATED: Print Guardians Name Signature of Guardian 10. AFFIDAVIT OF MAILING: Under penalty of perjury, I state to the Court that I have mailed or will mail this Annual Report of Guardian to the following people at the following address(es) on this date: (Month/Day/Year)
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