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Annual Report Of Guardian On Condition Of Ward Form. This is a Nebraska form and can be use in County Court-Separate Juvenile Court Statewide.
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Tags: Annual Report Of Guardian On Condition Of Ward, 16-10, Nebraska Statewide, County Court-Separate Juvenile Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
CASE NUMBER
Annual Report of Guardian
:
JUDICIAL SUBPOENA
Plaintiff(s)
on Condition of Ward
STATE OF NEBRASKA
FORM NO. 16:10
9/88 New
-against-
:
IN THE MATTER OF THE
GUARDIANSHIP/CONSERVATORSHIP OF
:
:
Defendant(s)
:
......................................................
(Ward)
I, the undersigned, represent that I am the guardian/conservator of the above named ward, and that my
annual PEOPLE OF THE STATEfollows: YORK
THE report to the court is as OF NEW
1. TO Present age of ward:
2.
Date of birth:
Current address of ward:
3. GREETINGS:residence is:
Ward’s
own home
other:
WE COMMAND YOU, that all business and guardian’s home aside, you and each of you attend before
excuses being laid
nursing home
hospital or medical facility
,
the Honorable
at the
Court
foster or boardinglocated at
home
relative’s home
County of
(Relationship)
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
or adjourned date, to testify and give evidence as a witness in this action on the part of the
4.
Ward has been in present residence since
. If moved within past year, state
reasons for change:
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
of your failure to comply.
5. result During the past year, how many times and on what dates did you see the ward?
Witness, Honorable
Court in
County,
6.
, one of the Justices of the
day of
, 20
During the past year, the ward’s mental health has:
remained about the same.
(Attorney must sign above and type name below)
improved. Describe:
deteriorated. Describe:
7.
Attorney(s) for
During the past year, the ward’s physical health has:
remained about the same.
improved. Describe:
Office and P.O. Address
deteriorated. Describe:
FORM NO. 16:10
Page 1 of 2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
8.
9.
Index No.
:
During the past year, the ward has been treated or evaluatedCalendar No.
by the following:
Physician. Name:
:
JUDICIAL SUBPOENA
Plaintiff(s)
Psychiatrist. Name:
Social or other case worker. Name:
-against:
Dentist. Name:
:
Ward _____ is _____ is not under regular physician’s care.
Physician’s Name:
:
Defendant(s)
:
.
. . . . . . . . . . . . . . . . . . . . the . . . . . . . . . . . . . . . . . . .
10. . . . . Social. conditions:. During . . . .past. year,. the ward. has. participated in the following activities:
Describe.
Recreational:
Educational:
THE PEOPLESocial: STATE OF NEW YORK
OF THE
Occupational:
TO
None available.
Refuses or unable to participate.
11.
As guardian, I rate my ward’s living arrangements as:
GREETINGS:excellent.
average.
WE COMMAND YOU,below average, and excuses being laid aside, you and each of you attend before
below average. If that all business explain:
,
the Honorable
at the
Court
located at
County of
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
12. adjourned date, toI testify and give evidence as a witness in this action on the part of the
or As guardian, believe my ward is:
content with living situation.
unhappy with living situation.
Your failure to comply with this subpoena is punishable that have not been and
13.
As guardian, I believe my ward has the following needsas a contempt of courtmet: will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
result The guardianship should be continued for the following reasons:
of your failure to comply.
14.
Ward is still a minor.
Ward’s condition
Witness, Honorable requires continuation of guardianship. , one of the Justices of the
Court in
County,
day of
, 20
15.
I
do
do not have possession or control of the ward’s estate. If yes, my accounting
is attached.
(Attorney must sign above and type name below)
DATE:
GUARDIAN/CONSERVATOR:
Attorney(s) for
(Telephone No.)
Office and P.O. Address
FORM NO. 16:10
Page 2 of 2
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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