
Report Of The Guardian Of The Adult Person {1125}
This is a Nevada form that can be used for Family within County, Washoe, District Court.
Last updated: 6/14/2019
Description
251 2018 Nevada Supreme Court Page 1 of 10 226 Annual Report of Guardian (Adult) COURT CODE: 1125 Guardian222s Name: Street Address: City, State, Zip: This is a new address: yes / no Phone: home / cell / work Email: Self-Represented IN THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE In the Matter of the Guardianship of the: Person Person and Estate of: ( name of person who has a guardian) A Protected Person. CASE NO.: DEPT: REPORT OF THE GUARDIAN OF THE ADULT PERSON through BEGINNING DATE ENDING DATEIf this is your first report, this is the date you were appointed the guardian. If this is a later report, this is the ending date of your last report. The date you sign this form. I, (guardian222s name) , am the Guardian of the above-named Protected Person. My annual report is as follows: General Information 1. The protected person222s birthdate is (date of birth) , and he / she is currently (age) years old. 2. How often have you visited the protected person in the last year? American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 10 226 Annual Report of Guardian (Adult) 3. Guardian222s Residency: ( check one) One or both guardians are Nevada residents. Neither guardian is a Nevada resident. ( check one) A registered agent is on file with the Nevada Secretary of State. No resident agent is on file with the Nevada Secretary of State. 4. Guardianship Alternatives: ( check one) I have talked with the protected person about alternatives to guardianship and how he/she could access such supports that may replace guardianship in the future. I have not talked with the protected person about alternatives to guardianship and how he/she could access such supports because: (explain why not) 5. Do you believe the protected person still needs a guardian? ( check one) Yes No (Explain why or why not) 6. The protected person222s current address and phone number is: Name of Facility (if applicable) Address City, State, Zip Code Telephone number 7. The address listed above is best described as: ( check one) Living independently in his/her private home, apartment, or condominium. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 10 226 Annual Report of Guardian (Adult) Living in in his/her private home, apartment, or condominium with another person or persons. List the names of all individuals living in this home (names of people living there): Living in someone else222s private home, apartment, or condominium. He/she lives with (names): An assisted living facility / supported adult residence / supported living arrangement. A skilled nursing home. A licensed group home. A medical facility, hospital, or psychiatric facility. A secured perimeter facility. Other (explain): . Is the facility locked? ( check one) Yes or No 8. Do you believe the protected person is happy with the living arrangement? ( check one) Yes No (Explain why or why not) 9. Appropriateness of Living Arrangement & Residential Supports. ( check all that apply) The current placement is appropriate as is. The current placement is appropriate with additional services (list the additional services needed) . Once the current medical situation is stable, the protected person will return to his/her previous residence. This is expected to happen on (estimated date of return): and he/she will return to live at (address) . American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 10 226 Annual Report of Guardian (Adult) A higher level of care is needed. The protected person should be placed at: ( check all that apply) An assisted living facility. A skilled nursing home. A licensed group home. A medical facility, hospital, or psychiatric facility. A secured perimeter facility. Other (explain): . The above option would be a more appropriate placement because (explain) Physical and Mental Health 10. The protected person has the following insurance coverage for medical / dental / mental health services: ( check all that apply) Medicare Medicare Part B Medicaid VA Health Benefits Prescription Drug Coverage (name of policy): Private Health Insurance (name of policy): Other (explain): 11. The protected person222s physical health is: ( check one) Good Fair Poor Describe the protected person222s overall physical health and physical limitations: American LegalNet, Inc. www.FormsWorkFlow.com Page 5 of 10 226 Annual Report of Guardian (Adult) 12. The protected person222s mental health is: ( check one) Good Fair Poor Describe the protected person222s overall mental health: 13. Medical Services. The protected person receives the following services: ( check all that apply) Regular dental visits (complete table below) Dentist Frequency Last Appt. Next Appt. Due Regular doctor visits (complete table below) Physician Reason Frequency Last Appt. Next Appt. Due *File any medical records showing any significant health problems with a Confidential Medical / Educational Information Sheet. Home health care every (how often, i.e. 223daily224 223weekly224 223monthly224) Full-time nursing care Hospice care American LegalNet, Inc. www.FormsWorkFlow.com Page 6 of 10 226 Annual Report of Guardian (Adult) 14. Mental Health Services. The protected person receives the following services: ( check all that apply) Behavioral health visits every (complete table below) Specialist Reason Frequency Last Appt. Next Appt. Due Psychiatric appointments every (complete table below) Psychiatrist Frequency Last Appt. Next Appt. Due 15. List all prescription medication in the table below. Medication Diagnosis/Reason Physician Last Reviewed by Doctor/Psychiatrist American LegalNet, Inc. www.FormsWorkFlow.com Page 7 of 10 226 Annual Report of Guardian (Adult) 16. Care Needs. The protected person222s personal care needs are: ( check all that apply) No assistance is needed in performing activities of daily living. Personal caregivers are needed. Caregivers are needed an average of (number) hours per week. Caregivers provide assistance with the following activities of daily living (explain what assistance is provided, such as housekeeping, bathing, meal preparation, etc.) Assistance with medication is required. 24-hour assistance is needed. 17. Medical / Mental Health Needs. The protected person requires the following medical or mental health examinations to determine necessary and/or ongoing treatment needs (describe any medical tests/appointments that are needed): 18. Abuse / Neglect. Has the protected person been abused or neglected in the last year? No Yes Describe the abuse / neglect and any steps taken to address the abuse / neglect: What agencies were notified of the abuse / neglect? Law Enforcement Elder Protective Services Ombudsman None What was the outcome of the investigation? American LegalNet, Inc. www.FormsWorkFlow.com Page 8 of 10 226 Annual Report of Guardian (Adult) Education 19. ( check one) The protected person is not enrolled in school. The protected person is enrolled in school. The protected person attends (name of school) . *File any report cards with a Confidential Medical/Informational Sheet. 20. The protected person had the following accomplishments and/or problems in school last year: (Describe or write 223N/A224) Activities & Recreation 21. The protected person222s recreation and social condition is: ( check one) Good Fair Poor 22. The protected person222s recreation and social activities include: ( check all that apply) Personal Community Activities (i.e. church, library, etc.): Group outings. (Describe) Family gatherings. (Describe) Senior community center events. (Describe) American LegalNet, Inc. www.FormsWorkFlow.com Page 9 of 10 226 Annual Report of Guardian (Adult) Work and/or training program. (Describe) Events at assisted living facility or nursing home. (Describe) None. (Describe why the protected person is not participating in any activities) Financial Information 23. ( check one) The protected person222s estate is less than $10,000. The protected person222s estate is more than $10,000. The finances are managed by (name of person handling the estate) . *An annual accounting must be filed detailing the estate assets, income, and expenses. Protected Person222s Wishes 24. Con
Related forms
-
Account Of Guardian (For Adult Ward)
Nevada/County/Washoe/District Court/Family/ -
Account Of Guardian (For Minor)
Nevada/County/Washoe/District Court/Family/ -
Affidavit (General Blank Affidavit)
Nevada/County/Washoe/District Court/Family/ -
Declaration And Schedule Of Arrearages
Nevada/County/Washoe/District Court/Family/ -
Affidavit In Support Of Default Divorce With Children
Nevada/County/Washoe/District Court/Family/ -
Affidavit Of Resident Witness
Nevada/County/Washoe/District Court/Family/ -
Affidavit Of Service
Nevada/County/Washoe/District Court/Family/ -
Report Of The Guardian Of The Adult Person
Nevada/County/Washoe/District Court/Family/ -
Report Of The Guardian Of The Child
Nevada/County/Washoe/District Court/Family/ -
Motion For An Order To Show Cause Regarding Contempt
Nevada/County/Washoe/District Court/Family/ -
Case Management Conference Statement Unmarried Parties
Nevada/County/Washoe/District Court/Family/ -
Child Support Information Sheet
Nevada/County/Washoe/District Court/Family/ -
Citation To Appear And Show Cause (Guardianship Of Minor)
Nevada/County/Washoe/District Court/Family/ -
Complaint For Annulment
Nevada/County/Washoe/District Court/Family/ -
Complaint For Divorce (No Children)
Nevada/County/Washoe/District Court/Family/ -
Consent For Disclosure Of Confidential Substance Abuse
Nevada/County/Washoe/District Court/Family/ -
Court Calendar Vacate Sheet
Nevada/County/Washoe/District Court/Family/ -
Declaration In Support Of Fee Waiver
Nevada/County/Washoe/District Court/Family/ -
Decree Of Annulment
Nevada/County/Washoe/District Court/Family/ -
Decree Of Divorce (No Children)
Nevada/County/Washoe/District Court/Family/ -
Decree Of Divorce
Nevada/County/Washoe/District Court/Family/ -
Decree Of Emancipation
Nevada/County/Washoe/District Court/Family/ -
Default
Nevada/County/Washoe/District Court/Family/ -
Drug Court Agreement And Waiver
Nevada/County/Washoe/District Court/Family/ -
Emancipation Checklist
Nevada/County/Washoe/District Court/Family/ -
Emancipation Information Worksheet
Nevada/County/Washoe/District Court/Family/ -
Ex Parte Emergency Motion
Nevada/County/Washoe/District Court/Family/ -
Ex Parte Emergency Motion Regarding Children
Nevada/County/Washoe/District Court/Family/ -
Family Court Information Sheet
Nevada/County/Washoe/District Court/Family/ -
Family Drug Court Agreement And Waiver
Nevada/County/Washoe/District Court/Family/ -
Findings Of Fact Conclusions Of Law And Decree Of Divorce (No Children)
Nevada/County/Washoe/District Court/Family/ -
Findings Of Fact Conclusions Of Law And Decree Of Divorce (With Children)
Nevada/County/Washoe/District Court/Family/ -
Guardians Acknowledgment (Adult Ward)
Nevada/County/Washoe/District Court/Family/ -
Guardians Acknowledgment (Minor Ward)
Nevada/County/Washoe/District Court/Family/ -
Interim Order After Case Management Conference
Nevada/County/Washoe/District Court/Family/ -
Joint Declaration In Support Of Fee Waiver
Nevada/County/Washoe/District Court/Family/ -
Joint Petition For Annulment
Nevada/County/Washoe/District Court/Family/ -
Joint Petition For Summary Decree Of Divorce (No Children)
Nevada/County/Washoe/District Court/Family/ -
Joint Petition To Establish Custody Visitation And Child Support
Nevada/County/Washoe/District Court/Family/ -
Joint Request For Submission
Nevada/County/Washoe/District Court/Family/ -
Judgment And Order Upon Stipulation For Unreimbursed Health Care Expenses
Nevada/County/Washoe/District Court/Family/ -
Letters Of Full Guardianship (Of Minor)
Nevada/County/Washoe/District Court/Family/ -
Letters Of Temporary Guardianship (Of Minor)
Nevada/County/Washoe/District Court/Family/ -
Motion
Nevada/County/Washoe/District Court/Family/ -
Motion For Change Of Venue
Nevada/County/Washoe/District Court/Family/ -
Motion For Review And Modification Of Child Support
Nevada/County/Washoe/District Court/Family/ -
Motion For Temporary Custody And Child Support
Nevada/County/Washoe/District Court/Family/ -
Motion For Temporary Spousal Support And Preliminary Attorneys Fees
Nevada/County/Washoe/District Court/Family/ -
Motion-Opposition Notice
Nevada/County/Washoe/District Court/Family/ -
Petition For Minor Name Change
Nevada/County/Washoe/District Court/Family/ -
Petition For Adult Name Change
Nevada/County/Washoe/District Court/Family/ -
Notice Of Case Management Conference
Nevada/County/Washoe/District Court/Family/ -
Notice Of Change Of Address
Nevada/County/Washoe/District Court/Family/ -
Notice Of Entry Of Decree Of Emancipation
Nevada/County/Washoe/District Court/Family/ -
Notice of Registration of Decree For Enforcement And Or Modification
Nevada/County/Washoe/District Court/Family/ -
Notice To Set
Nevada/County/Washoe/District Court/Family/ -
Objection To Masters Recommendation And Notice To Set
Nevada/County/Washoe/District Court/Family/ -
Order Affirming Stipulation
Nevada/County/Washoe/District Court/Family/ -
Order Appointing Volunteer Foster Grandparents
Nevada/County/Washoe/District Court/Family/ -
Order Change Name (Of Minor - One Parent Petitioning)
Nevada/County/Washoe/District Court/Family/ -
Order Changing Name (Of Minor - Both Parents Petitioning)
Nevada/County/Washoe/District Court/Family/ -
Order Extending Temporary Guardianship (Of Minor) And Affirming Full Guardianship Hearing Date
Nevada/County/Washoe/District Court/Family/ -
Order For Change Of Venue
Nevada/County/Washoe/District Court/Family/ -
Order For Contempt
Nevada/County/Washoe/District Court/Family/ -
Order Granting Full Guardianship (Of Minor)
Nevada/County/Washoe/District Court/Family/ -
Order Of Acceptance Into The Family Drug Court And Consent
Nevada/County/Washoe/District Court/Family/ -
Order Regarding Parenting Classes Mediation And Additional Orders
Nevada/County/Washoe/District Court/Family/ -
Order To Show Cause Regarding Contempt
Nevada/County/Washoe/District Court/Family/ -
Declaration Under UCCJEA Act
Nevada/County/Washoe/District Court/Family/ -
Petition For Change Of Minors Name (One Parent Petitioning)
Nevada/County/Washoe/District Court/Family/ -
Petition For Court Authorization For Marriage Of Minor
Nevada/County/Washoe/District Court/Family/ -
Petition For Emancipation
Nevada/County/Washoe/District Court/Family/ -
Petition For Appointment Of Guardian Over Child Including Temporary
Nevada/County/Washoe/District Court/Family/ -
Petition For Legal Change Of Name
Nevada/County/Washoe/District Court/Family/ -
Petition For Name Change Of Minor - Both Parents Petitioning
Nevada/County/Washoe/District Court/Family/ -
Petition To Domesticate Foreign Decree For Enforcement And Or Modification
Nevada/County/Washoe/District Court/Family/ -
Petition To Establish Visitation
Nevada/County/Washoe/District Court/Family/ -
Private Mediation Referral Order
Nevada/County/Washoe/District Court/Family/ -
Proof Of Publication
Nevada/County/Washoe/District Court/Family/ -
Reply To Response To Motion For Review And Modification Of Child Support
Nevada/County/Washoe/District Court/Family/ -
Reply To Response To Request For Mediation
Nevada/County/Washoe/District Court/Family/ -
Request For Mediation
Nevada/County/Washoe/District Court/Family/ -
Request For Submission (Pro Per)
Nevada/County/Washoe/District Court/Family/ -
Request For Submission Of Application For Order To Show Cause
Nevada/County/Washoe/District Court/Family/ -
Request For Submission Of Ex Parte Motion
Nevada/County/Washoe/District Court/Family/ -
Required Identification (Guardianship Of Minor)
Nevada/County/Washoe/District Court/Family/ -
Response To Motion
Nevada/County/Washoe/District Court/Family/ -
Schedule Of Arrearages
Nevada/County/Washoe/District Court/Family/ -
Stipulated Joint Request For Submission
Nevada/County/Washoe/District Court/Family/ -
Stipulation Modifying Child Related Orders
Nevada/County/Washoe/District Court/Family/ -
Stipulation Modifying Divorce Orders
Nevada/County/Washoe/District Court/Family/ -
Third Party Waiver And Participation Agreement
Nevada/County/Washoe/District Court/Family/ -
Affidavit Of Personal Services
Nevada/County/Washoe/District Court/Family/ -
Application For Child Support
Nevada/County/Washoe/District Court/Family/ -
Joint Petition For Summary Decree Of Divorce With Minor Child Or Children
Nevada/County/Washoe/District Court/Family/ -
Order Changing Name
Nevada/County/Washoe/District Court/Family/ -
Order Granting Temporary Guardianship (Of Minor) And Notice Of Extension Of Hearing
Nevada/County/Washoe/District Court/Family/ -
Petition For Appointment Of Guardian Over A Child
Nevada/County/Washoe/District Court/Family/ -
Notice Of Hearing Guardianship{2550}
Nevada/County/Washoe/District Court/Family/ -
Order Regarding Petition To Terminate Guardianship
Nevada/County/Washoe/District Court/Family/ -
Consent Or Waiver Of Child Age 14 Or Older
Nevada/County/Washoe/District Court/Family/ -
Parent Consent For Guardianship Of A Minor
Nevada/County/Washoe/District Court/Family/ -
Ex Parte Motion For Publication Of Summons
Nevada/County/Washoe/District Court/Family/ -
Order For Publication Of Citation
Nevada/County/Washoe/District Court/Family/ -
Proof Of Publication Of Citation To Appear And Show Cause
Nevada/County/Washoe/District Court/Family/ -
Order Extending Temporary Guardianship (Of Adult) And Affirming Permanent Guardianship Hearing Date
Nevada/County/Washoe/District Court/Family/ -
Affidavit Of Service Of Citation To Appear And Show Cause And Order Extending Temporary Guardianship And Affirming Permanent Guardianship Hearing Date
Nevada/County/Washoe/District Court/Family/ -
Petition For Guardianship Of An Adult
Nevada/County/Washoe/District Court/Family/ -
Stipulation To Extend Guardianship Beyond Age 18 Years
Nevada/County/Washoe/District Court/Family/ -
Order Affirming Stipulation And Extending Guardianship
Nevada/County/Washoe/District Court/Family/ -
Response To Petition For Guardianship Of Minor
Nevada/County/Washoe/District Court/Family/ -
Order Granting Permanent Guardianship
Nevada/County/Washoe/District Court/Family/ -
Letters Of Permanent Guardianship
Nevada/County/Washoe/District Court/Family/ -
Notice Of Entry Of Order
Nevada/County/Washoe/District Court/Family/ -
Petition For Appointment Of Guardian Over Adult Including Temporary
Nevada/County/Washoe/District Court/Family/ -
Order Granting Temporary Guardianship (Of Adult) And Notice Of Extension Hearing
Nevada/County/Washoe/District Court/Family/ -
Complaint For Divorce (With Children)
Nevada/County/Washoe/District Court/Family/ -
Affidavit In Support Of Default Divorce - No Children
Nevada/County/Washoe/District Court/Family/ -
Financial Disclosure Form
Nevada/County/Washoe/District Court/Family/ -
Reply To Response To Motion
Nevada/County/Washoe/District Court/Family/ -
Ex Parte Motion For Mutual Restraining Order
Nevada/County/Washoe/District Court/Family/ -
Motion To Modify The Guardianship Of A Minor Child
Nevada/County/Washoe/District Court/Family/ -
Response To Petition To Terminate Guardianship
Nevada/County/Washoe/District Court/Family/ -
Petition To Establish Custody And Visitation
Nevada/County/Washoe/District Court/Family/ -
Answer
Nevada/County/Washoe/District Court/Family/ -
Order Establishing Custody Visitation And Child Support
Nevada/County/Washoe/District Court/Family/ -
Answer To Counterclaim
Nevada/County/Washoe/District Court/Family/ -
Request To Convert Complaint To Joint Petition
Nevada/County/Washoe/District Court/Family/ -
Response To Motion For Review And Modification Of Child Support
Nevada/County/Washoe/District Court/Family/ -
Case Management Conference Statement Divorce With Children
Nevada/County/Washoe/District Court/Family/ -
Case Management Conference Statement Divorce No Children
Nevada/County/Washoe/District Court/Family/ -
Substitution Of Counsel
Nevada/County/Washoe/District Court/Family/ -
Application For Setting Code
Nevada/County/Washoe/District Court/Family/ -
Proof Of Service
Nevada/County/Washoe/District Court/Family/ -
General Financial Disclosure Form
Nevada/County/Washoe/District Court/Family/ -
Appearance And Waiver
Nevada/County/Washoe/District Court/Family/ -
Petition For Termination Of Guardianship Of A Minor
Nevada/County/Washoe/District Court/Family/ -
Civil (Family Juvenile Related) Cover Sheet
Nevada/County/Washoe/District Court/Family/ -
Proof Of Service (Minor)
Nevada/County/Washoe/District Court/Family/ -
Complaint For Divorce With Children
Nevada/County/Washoe/District Court/Family/ -
Reply To Opposition To Motion For Change Of Custody Or Visitation
Nevada/County/Washoe/District Court/Family/ -
Answer To Complaint For Divorce With Children And Counterclaim (Children)
Nevada/County/Washoe/District Court/Family/ -
Declaration Of Resident Witness
Nevada/County/Washoe/District Court/Family/ -
Request For Submission (Attorney Application)
Nevada/County/Washoe/District Court/Family/ -
Addendum To
Nevada/County/Washoe/District Court/Family/ -
Answer And Counterclaim
Nevada/County/Washoe/District Court/Family/ -
Application For Appointment Of Attorney
Nevada/County/Washoe/District Court/Family/ -
Cover Page (Minor)
Nevada/County/Washoe/District Court/Family/ -
Declaration In Support Of
Nevada/County/Washoe/District Court/Family/ -
Ex Parte Petition for Order of Cremation
Nevada/County/Washoe/District Court/Family/ -
Ex Parte Petition for Order to Release Medical Records
Nevada/County/Washoe/District Court/Family/ -
Motion For Change Of Custody Or Visitation
Nevada/County/Washoe/District Court/Family/ -
Motion For Permission To Relocate
Nevada/County/Washoe/District Court/Family/ -
Order For Appointment Of Attorney
Nevada/County/Washoe/District Court/Family/ -
Order Regarding Waiver Of Fees And Costs
Nevada/County/Washoe/District Court/Family/ -
Petition For Genral Guardianship Or Special Guardianship With Limited Authority Of The Person Or Estate
Nevada/County/Washoe/District Court/Family/ -
Withdrawal of Motion
Nevada/County/Washoe/District Court/Family/ -
Withdrawal of Petition (Minor)
Nevada/County/Washoe/District Court/Family/ -
Declaration Of Personal Service
Nevada/County/Washoe/District Court/Family/
Form Preview
Contact Us
Success: Your message was sent.
Thank you!