Guardians Annual Status Report
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Guardians Annual Status Report Form. This is a Missouri form and can be use in 7th Circuit (Clay County) Local Circuit Courts.
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Tags: Guardians Annual Status Report, 360-A, Missouri Local Circuit Courts, 7th Circuit (Clay County)
CIRCUIT COURT OF CLAY COUNTY, MISSOURI
PROBATE DIVISION
No.
Matter of
, an incapacitated person.
GUARDIAN’S ANNUAL STATUS REPORT
(Sec. 475.085 RSMo.)
I
, Guardian of the above
named Ward, submit the following information as required pursuant to the provisions of Section 475.082
RSMo.
1. The present address of the Ward is
2. I have had contact with the Ward daily ( ) weekly ( ) monthly ( ) other ( ) as follows:
3. The nature of my contacts with the Ward (by phone or in person):
4. Date I last saw the Ward was
5. The Ward is ( ) is not ( ) currently institutionalized in
6. I have ( ) have not ( ) received a copy of the treatment or habilitation plan, dated
and I agree with its provisions ( ) or disagree ( ) as follows:
7. The date the Ward was last seen by a physician was
the purpose was
___________,
, and
8. Since my last report, I have observed the following major changes in the physical or mental condition of
the Ward (if none, so state):
( ) strike if inapplicable
*please complete the reverse side
Form 360-A
Revised 11/9/2004
Page 1 of 2
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9. I feel the continuation of the Guardianship is ( ) is not ( ) needed for the following reasons:
10. I feel that the powers granted to me should be ( ) increased ( ) decreased ( ) remain the same, for the
following reasons:
11. My opinion as to the adequacy of the present care of the Ward is as follows:
12. Other Comments:
Signature of Guardian
ALL GUARDIANS MUST SIGN
Address
Phone
Form 360-A
Revised 11/9/2004
Page 2 of 2
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