Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Guardians Report Form. This is a Ohio form and can be use in Summit County (Court Of Common Pleas).
Tags: Guardians Report, 17.7, Ohio County (Court Of Common Pleas), Summit
COUNTY . .
. . . . . . . . . .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
:
Index No.
PROBATE COURT OF SUMMIT COUNTY, OHIO
:
Calendar No.
GUARDIANSHIP OF:
CASE NO.
Plaintiff(s)
-against-
:
JUDICIAL SUBPOENA
:
:
GUARDIAN’S REPORT
(R.C. 2111.49)
:
Defendant(s)
NOTE: If allotted space is inadequate to respond, write “See Exhibit” in the space and add appropriate exhibit letter
:
. . . . .then. attach. exhibit . . . . . . . . . . information .requested.for .that space.
. . . . . . . . . . . . . . containing . . . . . . . . . . . . . . . . . . . .
sequence,
1.
st
This is the OF THE STATE OFnd, 3rd 4th, 5th th
THE PEOPLE (circle one): 1 , 2 NEW, YORK , 6 , or
2.
Ward’s present address:
TO
3.
City
Zip
, Guardian’s Report.
State
Telephone (
)
GREETINGS: arrangements at the above address are best described as:
Ward’s living
G
G
a.
His or her own apartment or home (includes assisted living facilities).
WE COMMANDhome thatapartment of: excuses being laid aside, you and each of you attend before
b.
Private YOU, or all business and
,
the Honorable
at the
Court
G
(1)
the ward’s guardian
located at of the ward, whose name is
County of
G
(2)
a relative
in room
, on the
day of relationship is , at
, 20
o'clock in the
noon, and at any recessed,
and
or adjourned date, to testify and give evidence as a witness in this action on the part of the
.
G
(3)
a non-relative, whose name is
G
c.
A foster, group, or boarding home.
G
d.
A nursing home.
G
e.
A medical facility or state institution.
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
G
f.
Other (describe):
result of your failure to comply.
G
g.
If c, d, e, or f is checked, complete the following:
, one of the
The name of the home, facility or institution Justices of the
Witness, Honorable
(1)
Court in
County,
(2)
4.
.
The name of an individual at the home, facility or institution who has
knowledge and is authorized to give information to the Court about
the ward.
(Attorney must sign above and type name below)
Name
Telephone Number (
)
.
day of
, 20
Attorney(s) for
The ward will be at the address given in item 2:
a.
Indefinitely.
b.
Temporarily. The new address and telephone number is:
1.
(1)
Unknown. I will provide this information when known.
Office and P.O. Address
(2)
City
State
Zip
Telephone (
)
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
Form 17.7
American LegalNet, Inc.
www.USCourtForms.com
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
Index No.
CASE NO. ____________________________
:
5.
Calendar No.
Guardian’s contact with the ward:
:
a.
Approximate number of timesPlaintiff(s)
the guardian had contact with the ward during the period
JUDICIAL SUBPOENA
covered by this report:
-against:
b.
The nature of those contacts (phone, personal, or other):
c.
Date the ward was last seen by the guardian:
:
:
6.
Defendant(s)
Have you observed any major change in the ward’s physical or mental condition during the period
:
......................................................
covered by this report?
G Yes
If “Yes” is checked, briefly describe the changes.
G
No
G
Not Adequate
THE PEOPLE OF THE STATE OF NEW YORK
7.
TO
The care given to the ward is
G
Adequate
If “Not Adequate” is checked, explain.
GREETINGS:
8.
9.
The guardianship should be all business G excuses being laid aside, you and each ofContinued
G
Not you attend before
WE COMMAND YOU, that
and Continued
IfHonorable
“Not Continued” is checked, explain. at the
,
the
Court
located at
County of
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
During the period covered by this report, the ward
G Has
been seen by a physician. If the ward has been seen, the last date was
and for the purpose of
G
Has Not
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
Attached is ayour failure to comply.
result of statement by a licensed physician, a licensed clinical psychologist, a licensed social worker,
or a mental retardation team, that has evaluated or examined the ward within three months prior to the
date of this report regarding the need for continuing the guardianship. (R.C.2111.49 (A)(1)(i))
Witness, Honorable
, one of the Justices of the
(Form 17.1)
Court in
County,
day of
If an attorney has been consulted on this report:
, 20
Date
(Attorney must sign above and type name below)
Attorney for Guardian
Guardian
Typed or Printed Name
Typed or Printed Name
Address
Address
City
Attorney(s) for
State
Phone Number (Include Area Code)
Zip
City
State
Zip
Office and P.O. Address
Phone Number (Include Area Code)
Supreme Court Registration Number
Telephone No.:
Facsimile No.:
E-Mail Address:
(KNOWINGLY GIVING FALSE INFORMATION ON A PROBATE DOCUMENT IS A CRIMINAL OFFENSE)
Mobile Tel. No.:
(R.C. 2921.13 (A)(11))
American LegalNet, Inc.
www.USCourtForms.com