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