Fillable ANNUAL REPORT OF GUARDIAN VS. COMMONWEALTH OF KENTUCKY (Administrative Office of the Courts)

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ANNUAL REPORT OF GUARDIAN VS. COMMONWEALTH OF KENTUCKY (Administrative Office of the Courts)

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BROWSE ADMINISTRATIVE OFFICE OF THE COURTS (KY) FORMS

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I, the undersigned, state that I am the q Guardian q Limited Guardian of the above-named Respondent, and report
to the Court as follows:
1. Present age of Ward: __________________________.
2. Date of birth: _________________________________.
3. Current address of Ward: _________________________________________________________________.
4. Ward's present living arrangement is:
q Own home q Nursing home q Guardian's home
q Skilled care q Hospital q Intermediate care
q Relative's home ______________________________ q Personal care
q Other: _____________________________________________________________________________
5. Ward has been at present residence since ___________________________.
If Ward has lived elsewhere during the reporting period, list description and address of each residence and the length
of stay at each.
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
6. During this reporting period, the Ward's mental condition has:
q Remained about the same.
q Improved. Describe: _______________________________________________________________________
_______________________________________________________________________________________
q Deteriorated. Describe: ____________________________________________________________________
_______________________________________________________________________________________
AOC-790 Doc. Code: RGD
Rev. 7-18
Page 1 of 3
Commonwealth of Kentucky
Court of Justice www.courts.ky.gov
KRS 387.670
ANNUAL REPORT OF GUARDIAN
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COMMONWEALTH OF KENTUCKY
VS.
_______________________________________________
RESPONDENT
)
)
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* * * * * * * * * * * *
Relationship
DISTRICT
Case No. ____________________
Court ____________________
County ____________________
Division ____________________
AOC-790
Rev. 7-18
Page 2 of 3
7. During this reporting period, the Ward's physical health has:
q Remained about the same.
q _______________________________________________________________________
Improved. Describe:
_______________________________________________________________________________________
q ____________________________________________________________________
Deteriorated. Describe:
_______________________________________________________________________________________
8. During this reporting period, the Ward's social condition has:
q Remained about the same.
q _______________________________________________________________________
Improved. Describe:
_______________________________________________________________________________________
q ____________________________________________________________________
Deteriorated. Describe:
_______________________________________________________________________________________
9. During this reporting period, the Ward has received the following services:
________________________________________________________________________
Medical: ____
____________________________________________________________________________
Educational:
________________________________________________________________________
Social: ____
____________________________________________________________________________
Vocational:
________________________________________________________________________
Other: ____
10. My visits and activities on behalf of the Ward were:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
11. The guardianship q should q should not be continued or modied for the following reasons:
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
12. A standby guardian q has q has not been appointed.
AOC-790
Rev. 7-18
Page 3 of 3
________________________________, 2_____ ____________________________________________
Date Guardian
_________________________________________ ____________________________________________
Guardian's Phone Number
_________________________________________ ____________________________________________
Guardian's Social Security Number Address
SUBSCRIBED and SWORN to before me this ___________ day of _______________________________, 2_______.
My Commission expires:____________________________.
____________________________________________
Notary Public
To be signed by Standby Guardian if one is appointed.
I, the undersigned, state that I am the Standby Guardian of the above-named Respondent and continue to be willing
to serve in the event of the death, resignation, removal or incapacity of the Guardian.
________________________________, 2_____ ____________________________________________
Date Signature of Standby Guardian
_________________________________________ ____________________________________________
Standby Guardian's Phone Number
_________________________________________ ____________________________________________
Standby Guardian's Social Security Number Address
* * * * * * * * * * * *
* * * * * * * * * * * *
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ANNUAL REPORT OF GUARDIAN VS. COMMONWEALTH OF KENTUCKY (Administrative Office of the Courts)

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Completed 19 November 2020

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