251 2018 Nevada Supreme Court Page 1 of 6 226 Annual Report of Guardian (Child) 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 FAMILY DIVISION OF 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 child who has a guardian) A Protected Minor . CASE NO.: DEPT: REPORT OF THE GUARDIAN OF THE CHILD 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 Minor. My annual report is as follows: General Information 1. The child222s birthdate is (date of birth) , and he / she is currently (age) years old. American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 6 226 Annual Report of Guardian (Child) 2. The child currently lives at: Address City, State, Zip Code 3. The child lives: With me. In a residential treatment facility or therapeutic group home. In a hospital or medical facility. With another adult, (name of adult) , who is primarily responsible for the child. If the child does not live with you, explain why: 4. The child also lives with the following people (list the names of every person living in the same home as the child) 5. 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. American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 6 226 Annual Report of Guardian (Child) Physical and Mental Health 6. List below the names and address of the child222s treating physician(s), dentist, and mental health provider(s), giving the date and purpose of the last visit. Type Dr.222s Name and Address Date Last Visited Ailment/Treatment Primary Dentist Other: (list) Other: (list) *File any medical records showing any significant health problems with a Confidential Medical / Educational Information Sheet. 7. The child222s physical health is ( check one) Good Fair Poor Describe the child222s overall physical health: 8. The child222s mental health is ( check one) Good Fair Poor Describe the child222s overall mental health: American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 6 226 Annual Report of Guardian (Child) 9. The child222s immunizations are ( check one) Up to date Not up to date because (explain why immunizations are not up to date) *File any immunization records with a Confidential Medical / Educational Information Sheet. 10. Abuse / Neglect. Has the child 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 Child Protective Services Ombudsman None What was the outcome of the investigation? Activities & Hobbies 11. The child222s recreational and social activities and hobbies include: (Describe) American LegalNet, Inc. www.FormsWorkFlow.com Page 5 of 6 226 Annual Report of Guardian (Child) Education 12. ( check one) The child is not yet school age. The child is enrolled in school. The child attends (name of school) . *File any report cards with a Confidential Medical / Educational Information Sheet. The child is school age, but is not enrolled in school because (explain why) 13. The child had the following accomplishments and/or problems in school last year: (Describe or write 223N/A224) Financial 14. ( check one) I am not the guardian of the child222s estate. I am the guardian of the child222s estate, but the estate is less than $10,000. I am the guardian of the child222s estate, which is more than $10,000. *If you check the last box, you must file an annual accounting detailing the estate assets, income, and expenses.* Miscellaneous 15. I believe the child has the following unmet needs: (describe) American LegalNet, Inc. www.FormsWorkFlow.com Page 6 of 6 226 Annual Report of Guardian (Child) 16. The guardianship ( check one) should should not continue because: (explain) 17. I would like the court to know the following: (briefly state anything else that you would like the court to know, or write 223N/A224) I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. This document does not contain the personal information of any person as defined by NRS 603A.040. DATED (month) (day) , 20. SIGNATURE OF GUARDIAN(S) American LegalNet, Inc. www.FormsWorkFlow.com