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Annual Report Of Guardian On Condition Of Ward 16-10 - Nebraska
| Annual Report Of Guardian On Condition Of Ward Form. This is a Nebraska form and can be used in Guardianships-Conservatorships County Court-Separate Juvenile Court Statewide . |
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STATE OF NEBRASKA CASE NUMBER FORM NO. 16:10 Annual Report of Guardian 9/88 New on Condition of Ward IN THE MATTER OF THE GUARDIANSHIP/CONSERVATORSHIP OF (Ward) I, the undersigned, represent that I am the guardian/conservator of the above named ward, and that my annual report to the court is as follows: 1. Present age of ward: Date of birth: 2. Current address of ward: 3. Wards residence is: own home guardians home other: nursing home hospital or medical facility foster or boarding home relatives home (Relationship) 4. Ward has been in present residence since . If moved within past year, state reasons for change: 5. During the past year, how many times and on what dates did you see the ward? 6. During the past year, the wards mental health has: remained about the same. improved. Describe: deteriorated. Describe: 7. During the past year, the wards physical health has: remained about the same. improved. Describe: deteriorated. Describe: FORM NO. 16:10 Page 1 of 2 <<<<<<<<<********>>>>>>>>>>>>> 28. During the past year, the ward has been treated or evaluated by the following: Physician. Name: Psychiatrist. Name: Social or other case worker. Name: Dentist. Name: 9. Ward _____ is _____ is not under regular physicians care. Physicians Name: 10. S ocial conditions: During the past year, the ward has participated in the following activities: Describe. Recreational: Educational: Social: Occupational: None available. Refuses or unable to participate. 11. As guardian, I rate my wards living arrangements as: excellent. average. below average. If below average, explain: 12. As guardian, I believe my ward is: content with living situation. unhappy with living situation. 13. As guardian, I believe my ward has the following needs that have not been met: 14. The guardianship should be continued for the following reasons: Ward is still a minor. Wards condition requires continuation of guardianship. 15. I do do not have possession or control of the wards estate. If yes, my accounting is attached. DATE: GUARDIAN/CONSERVATOR: (Telephone No.) FORM NO. 16:10 Page 2 of 2
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