Guardians Report Minor {JDF 834} | Pdf Fpdf Doc Docx | Colorado

Guardians Report Minor {JDF 834}

Colorado/Statewide/Probate/
Guardians Report Minor {JDF 834} | Pdf Fpdf Doc Docx | Colorado

Guardians Report Minor Form

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This is a Colorado form that can be used for Probate within Statewide.

Last updated: 3/30/2016
District Court Denver Probate Court County, Colorado Court Address: In the Interest of: COURT USE ONLY Case Number: Minor Attorney or Party Without Attorney (Name and Address): Phone Number: FAX Number: E-mail: Atty. Reg. #: Division Courtroom GUARDIAN'S REPORT ­ MINOR Current Reporting Period From ________________To __________________ (MM/DD/YYYY) (MM/DD/YYYY) (REPORTING DATES MUST BE FOR THE PAST YEAR AND MAY NOT REPORT INTO THE FUTURE.) Instructions to Guardian: You have been ordered to complete a Guardian's Report every year on behalf of the minor. When answering the questions in this report, you are required to provide details. Answers such as "same as last report/year" and "no change since last report" are not acceptable answers. Your report may be rejected with those answers. COLORADO LAW REQUIRES THAT ANY GUARDIAN WANTING TO REMOVE THE MINOR CHILD FROM THE STATE OF COLORADO MUST OBTAIN COURT PERMISSION. You must file the necessary forms to make this request and obtain Court permission. CONTACT INFORMATION Minor's Information: Name: Address: (Include Name of Living Center or Nursing Home) Check if Updated Information from last Report Date of Birth: City: Telephone Number: Guardian's Information: State: Zip Code: Last 4 digits of Social Security # __________________ Check if Updated Information from last Report Name: Date of Birth: Last 4 digits of Social Security #___________ NOTE: Agency designees and professional fiduciaries need not provide their DOB or last 4 digits of their SSN. Occupation: Address: City: Telephone Numbers: Home State: ______ Zip Code: _________ E-Mail Address: Work Cell Your Relationship to Minor: Apt. # Have you had any criminal charges filed against you or convictions entered since the last report? Yes No If Yes, explain: JDF 834 R6/15 GUARDIAN'S REPORT - MINOR © 2014, 2015 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 7 American LegalNet, Inc. www.FormsWorkFlow.com Co-Guardian's Information: (if applicable) Check if Updated Information from last Report Name: Date of Birth: Last 4 digits of Social Security #___________ NOTE: Agency designees and professional fiduciaries need not provide their DOB or last 4 digits of their SSN. Occupation: Address: City: Telephone Numbers: Home State: ______ Zip Code: _________ E-Mail Address: Work Cell Your Relationship to Minor: Apt. # Have you had any criminal charges filed against you or convictions entered since the last report? Yes No If Yes, explain: I. STATUS INFORMATION A. Do you recommend that the guardianship continue? If No, explain: Yes No B. Do you recommend any changes to the guardianship? If Yes, explain: C. Do you wish to remain guardian? If No, explain: Note: If you wish to terminate this guardianship, or modify by replacing the current guardian or adding a co-guardian, you must file a separate Petition with the Court. D. The Minor's care and living situation is: Very Good Good Adequate Poor E. Do you believe the current plan for care is in the Minor's best interest? If No, describe your recommended changes: Yes No F. Who currently provides the majority of the minor's supervision or care and treatment on a daily basis? Name Telephone Number: G. Has the Minor's residence changed since the last report? JDF 834 R6/15 GUARDIAN'S REPORT - MINOR © 2014, 2015 Colorado Judicial Department for use in the Courts of Colorado Yes No Page 2 of 7 American LegalNet, Inc. www.FormsWorkFlow.com If Yes, identify the date of the move, address of residence, type of residence and reason for the change. Date of Move Address of Residence Type of Residence Reason for Change II. PERSONAL CARE AND OTHER ISSUES A. Date of the Minor's last medical exam: B. Are the Minor's immunizations current? If No, explain: Dental exam: Yes No C. Is the Minor covered under health/dental insurance? Yes No If Yes, describe coverage. If No, explain efforts to obtain coverage . D. Describe any counseling services provided to the Minor. E. Describe any other services provided to the Minor. F. Describe any medical services provided to the Minor. . G. Identify any special needs of the minor during this reporting period. JDF 834 R6/15 GUARDIAN'S REPORT - MINOR © 2014, 2015 Colorado Judicial Department for use in the Courts of Colorado Page 3 of 7 American LegalNet, Inc. www.FormsWorkFlow.com H. Has the Minor's physical and medical condition changed since the last report? If Yes, explain: I. Identify any significant events involving the Minor since the last report e.g. special awards or recognition. ____________________________________________________________________________________ J. Has the minor been involved in a juvenile delinquency case and/or any other type of court action? Yes No If Yes, in which County? ____________________________________________ K. Does the Minor have any behavioral issues? Yes No Describe the nature of the behavioral issues and any treatment the Minor is receiving to help with the issues. L. If the minor child is not of school age, identify the stages of development for the minor child. This would include but is not limited to, if the child developed his/her motor skills (crawling, walking, etc.), learned to talk, and learned colors, shapes and numbers at age appropriate times. Include if the child is on track developmentally for his/her age and if not on track, explain why not and the steps taken to help the child. Does the child's doctor have any concerns? M. Does the Minor have any contact with the parents and/or other family members? Yes No Briefly describe the visits: Name of person visiting, frequency and length of visits and date of the last visit. If no visits, briefly describe why not. JDF 834 R6/15 GUARDIAN'S REPORT - MINOR © 2014, 2015 Colorado Judicial Department for use in the Courts of Colorado Page 4 of 7 American LegalNet, Inc. www.FormsWorkFlow.com III. EDUCATION AND EXTRACURRICULAR ACTIVITIES A. Is the Minor attending school?: Yes No Current Grade Level: _______ Minor's grades are: Excellent Average Below Average If Yes, complete the information below: If No, please be sure to answer question L on page 4, Part II. Name of School: Address: Phone Number: If below average explain why. B. If the Minor is old enough, does he/she have a job? Yes No Describe. C. Describe the Educational services provided to the minor. D. Identify a few of the minor's goals, accomplishments, and any extracurricular activities during this reporting period. IV. FINANCIAL MATTERS Complete this se