GUARDIAN222S REPORT Page 1 of 3 This form is available for free at www.legalhelpwy.org. Last revised 12/2013. STATE OF WYOMING ) IN THE DISTRICT COURT )SS COUNTY OF ) JUDICIAL DISTRICT IN THE MATTER OF THE ) Probate No. GUARDIANSHIP OF ) ) , ) An Adult, ) GUARDIAN222S REPORT Comes now, , the duly appointed Guardian(s) in the above-entitled matter, and hereby states that the following is a true and complete report of this Guardianship during the period shown. 1. The Guardian was appointed by Order of this Court entered on , 20. 2. This Guardian222s Report covers the period from , 20 to , 20. 3. This is the Guardian222s initial report to the Court; OR The last report in this matter was filed on , 20. 4. The Ward222s principal address is . American LegalNet, Inc. www.FormsWorkFlow.com 5. The Ward222s present mental and physical condition, including level of disability or functional incapacity is: . 6. The Ward222s treatment and care consists of: . 7. The Ward222s activities are (include school enrollment if appropriate): . 8. Since the last report the Guardian has taken the following actions on behalf of the Ward: . American LegalNet, Inc. www.FormsWorkFlow.com 9. The Guardianship should continue because: . DATED this day of , 20. Guardian222s Signature Guardian222s Printed Name Address Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com