Missouri > Local Circuit Courts > 7th Circuit (Clay County) > Probate > Adults
Guardians Annual Status Report 360-A - Missouri
| Guardians Annual Status Report Form. This is a Missouri form and can be used in Adults Probate 7th Circuit (Clay County) Local Circuit Courts . |
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CIRCUIT COURT OF CLAY COUNTY, MISSOURI PROBATE DIVISION No. Matter of , an incapacitated person. GUARDIANS ANNUAL STATUS REPORT (Sec. 475.085 RSMo.) I , Guardian of the above named Ward, submit the following information as required pursuant to the provisions of Section 475.082 RSMo. 1. The present address of the Ward is 2. I have had contact with the Ward daily ( ) weekly ( ) monthly ( ) other ( ) as follows: 3. The nature of my contacts with the Ward (by phone or in person): 4. Date I last saw the Ward was 5. The Ward is ( ) is not ( ) currently institutionalized in 6. I have ( ) have not ( ) received a copy of the treatment or habilitation plan, dated ___________, and I agree with its provisions ( ) or disagree ( ) as follows: 7. The date the Ward was last seen by a physician was , and the purpose was 8. Since my last report, I have observed the following major changes in the physical or mental condition of the Ward (if none, so state): ( ) strike if inapplicable *please complete the reverse side Form 360-A Page 1 of 2 Revised 8/14/2003 <<<<<<<<<********>>>>>>>>>>>>> 2 9. I feel the continuation of the Guardianship is ( ) is not ( ) needed for the following reasons: 10. I feel that the powers granted to me should be ( ) increased ( ) decreased ( ) remain the same, for the following reasons: 11. My opinion as to the adequacy of the present care of the Ward is as follows: 12. Other Comments: Signature of Guardian Address Phone Form 360-A Page 2 of 2 Revised 8/14/2003
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