en-USThis report should be completed annually by the guardian, or more often if directed by the court.en-USIn the matter of First, middle, and last name , minor � 1. � I, Name (type or print) en-US , am the guardian of the above named minor and my annual � report for the period Date en-US to Date en-US is as follows: 2. � Present age of the minor: en-US 3. � en-USLiving Arrangement � a. � The current address and telephone number of the minor are: � Check here if this is a new address en-US . � b. � The minor's residence is: � � guardian's home � relative's home: Relationship � � other: � c. � The minor has been in the present residence since Date en-US . If moved within the past year, state � the changes and the reasons for change: � � d. � I rate the minor's living arrangement as� � excellent. � � average. � � below average. � e. � I believe the minor is � � content with the living situation. � � � unhappy with the living situation. � � f. � I recommend a more suitable living arrangement for the minor as follows: � � 4. � en-USPhysical Health � a. � The minor's current physical condition is � � excellent. � good. � � fair. � � poor. � b. � During the past year the minor's physical condition has � � remained about the same. � � improved. Explain � � worsened. Explain � c. � During the past year the minor received the following medical treatment (include check-ups and optical and dental work): en-US Dateen-USAilmenten-USType of Treatmenten-USDoctor222s Name American LegalNet, Inc. www.FormsWorkFlow.com en-USFile No.en-US 5. � Education � � � a. � The minor regularly attends school at � and is in grade en-US . � � b. � The minor attends alternative education at � and is in grade en-US . � � c. � The minor does not attend school because en-US . 6. � en-USActivities of Minor � a. � The minor's social activities (including sports) are: � en-US . � b. � During the past year the minor has been in counseling with � at en-US . � c. � During the past year the minor received in-patient services at en-US . 7. � en-USParenting timeen-US between the minor and parents was as follows: � a. � Parent222s name and current address: � Parenting time: � b. � Parent222s name and current address: � Parenting time: � c. � Comments about parenting time: � 8. � Parents complied with the � � court-structured plan � � limited guardianship placement plan � as follows: � � � Changes should be made to the plan as follows: � � 9. � The guardianship � � should � � should not � be continued because: � 10. I � � am � � am not � willing to continue to serve as guardian. � 11. As guardian, I have been ordered by the court to file an annual account, which is attached. Date � Date � Signature of guardian � Signature of co-guardian (if applicable) Address � Address � � City, state, zip Telephone no. � City, state, zip Telephone no. Check here if this is a new address � Check here if this is a new address � American LegalNet, Inc. www.FormsWorkFlow.com