☐ CIRCUIT ☐ ORPHANS’ COURT FOR , MARYLAND
In the Matter of
ANNUAL REPORT OF GUARDIAN OF A MINOR
(Md. Rule 10-206(e))
NOTE: Guardians of the person of minors must complete and file this form each year within 60 days of the
anniversary of their appointment, or as the court otherwise directs. Attach additional sheets if needed.
If a section of this form does not apply, write “Not applicable” or “N/A.”
Minor’s Date of Birth:
Gender: ☐ Female ☐ Male
I/We, and (if applicable) ,
make this annual report for the period of to .
Part I. Information about the minor
A. RESIDENCE AND HOUSING
Minor’s address (where he or she lives or is physically present):
Select all that apply:
☐ This is the minor’s permanent residence.
☐ This is not the minor’s permanent residence. His/Her permanent residence
is located at , .
☐ This is a new address (check if the minor’s address changed since the last
annual report or since your appointment as guardian if this is your first report).
Explain why the address changed:
Type of housing (select one):
☐ Own home ☐ Guardian 1’s home ☐ Guardian 2’s home
☐ Foster or boarding home ☐ Group home
☐ Relative’s home:
☐ Boarding School:
☐ Hospital or medical facility:
☐ Residential facility:
☐ Other (describe):
CC-GN-014 (Rev. 01/2020) Page 1 of 6
Name of hospital or facility