Oregon > Local County > Marion > Circuit Court > Juvenile
Annual Guardians Report - Oregon
| Annual Guardians Report Form. This is a Oregon form and can be used in Juvenile Circuit Court Marion Local County . |
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IN THE CIRCUIT COURT OF THE STATE OF O REGON FOR THE THIRD JUDICIAL DISTRICT Juvenile Department IN THE MATTER OF: ___________________________________________, A Child. ) ) Case No. __________________________ ) ) ANNUAL GUARDIAN'S REPORT ) I am the guardian for the above-named child, and I make the following annual report to the court as required by law. I. . GUARDIAN INFORMATION Name (please print): Address: (Street Address, City, State, Zip) Telephone or Contact Number (including area code): II. LOCATION OF THE CHILD ___No The child currently resides with me in my home: ___Yes (If "yes," skip to section III) (If "no," provide the following information) The child is living with (Please print): Address (Street Address, City, State, Zip) Telephone or Contact Number (including area code): Date the child started living at this address: (Month/Date/Year) ANNUAL GUARDIAN'S REPORT - Page 1 of 6 OJIN: REGD FC (7/11/05) American LegalNet, Inc. www.USCourtForms.com I have had the following contact with the child at that location: Explanation of why the child is not now living with me: III. CHILD'S WELL-BEING Physical Health Current condition: _____________________________________________________________________ Provider name(s): Services provided during the last year: Emotional/Mental Health Current condition: _____________________________________________________________________ Provider name(s): Services provided during the last year: Dental Health Current condition: _____________________________________________________________________ Provider name(s): Services provided during the last year: ANNUAL GUARDIAN'S REPORT - Page 2 of 6 OJIN: REGD FC (7/11/05) American LegalNet, Inc. www.USCourtForms.com IV. CHILD'S ACTIVITIES The child is currently engaged in the following programs and activities and receiving the following services: The child has enjoyed the following hobbies or recreational interests during the past year: The child's school attendance and performance during the last year are as follows: (Attach a copy of the child's most recent report card to this report.) The child experienced the following achievements and/or special challenges during the last year: V. CONTACT WITH PARENT(S)/SIBLINGS/OTHER FAMILY MEMBERS The parent(s) visited or attempted to contact the child during the past year as follows: The child's reaction to those visits or attempted contacts was: ANNUAL GUARDIAN'S REPORT - Page 3 of 6 OJIN: REGD FC (7/11/05) American LegalNet, Inc. www.USCourtForms.com I have the following issues of concern related to contact with the parent(s): The child had the following contact with siblings/other family members: VI. DECISIONS MADE BY THE GUARDIAN I made the following major decisions on the child's behalf during the past year: VII. LEGAL STATUS OF THE GUARDIAN Since my last report: I, or other members of the household, have / have not been convicted of the following crimes (not including traffic violations): (Please indicate the name of the applicable person(s).) I have / have not filed for or received protection from creditors. I have / have not had a professional or occupational license revoked or suspended. If yes, explain: ANNUAL GUARDIAN'S REPORT - Page 4 of 6 OJIN: REGD FC (7/11/05) American LegalNet, Inc. www.USCourtForms.com I have / have not had my driver's license revoked or suspended. If yes, explain: _______________ Since my last report, I have delegated the following powers over the child for the following periods of time: Name(s): Powers delegated: VIII. COMMENTS BY THE GUARDIAN The guardianship ( should / should not) continue because: Additional Comments: Dated this day of , 20 . Guardian's Signature STATE OF OREGON County of ____________ ) ) I, _____________________________, being first duly sworn, say that the above statements are true: ___________________________________ Guardian's Signature SIGNED AND SWORN to before me this ___________ day of _______________, 20 _____. ____________________________________ Notary Public for ____________/Court Clerk My Commission Expires: _______________ ANNUAL GUARDIAN'S REPORT - Page 5 of 6 OJIN: REGD FC (7/11/05) American LegalNet, Inc. www.USCourtForms.com FOR COURT USE: COURT RESPONSE TO GUARDIAN'S REPORT This guardian's report of _______________, was reviewed this _____ day of _____________, 20 _____. (date of report) _______________________________ JUDICIAL OFFICER No hearing needs to be set in this case at this time. The Court by separate order directs the Citizen Review Board to review this case. The Court is setting a hearing for review of the guardianship on _________________, 20___, at __________ AM / PM. Other: cc: Mother Mother's Attorney Father Father's Attorney CRB Guardian(s) Guardian's Attorney Child's Attorney Docket Clerk OTHER: ANNUAL GUARDIAN'S REPORT - Page 6 of 6 OJIN: REGD FC (7/11/05) American LegalNet, Inc. www.USCourtForms.com
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