Form PBGCG92f at a glance
What it is: PBGCG92f is the Annual Report of Guardian of the Superior Court of Arizona in Maricopa County.
Where and when to file: When complete, mail the report to Probate Court Administration: East Court Building, 3rd Floor, 101 West Jefferson, Phoenix, Arizona 85003.
Arizona law requires every guardian of a protected or incapacitated adult or minor to advise the court each year regarding their Ward.
What to bring and attach to Form PBGCG92f
Attach a copy of the doctor's report about the Ward's current physical and mental condition.
A filled-in Form PBGCG92f example: a self-represented guardian reports for one year
How to fill out Form PBGCG92f, box by box
Person filing and who is represented
Enter the Person Filing, Address (if not protected), City, State, Zip Code, Telephone, Email Address, ATLAS Number and Lawyer's Bar Number.
Mark one: Representing Self, without a Lawyer OR Attorney for Petitioner OR Respondent.
Case Number, the Ward and DUE
Enter the Case Number PB and the Name of the Protected Person, the Ward.
Enter the DUE date as Month Date Year.
Reporting period
Enter the period this annual report covers: FROM and TO, as Month Date Year.
Information about the ward
Enter the Ward's Name, Date of Birth, Telephone, Address and email.
Living situation
Describe the residential situation where the Ward lives (private home, boarding home, nursing home, etc.)
Give the name of the facility, address, name and telephone number of the person in charge of the home or facility.
Enter the Name of Person in Charge, Name of Facility, Address, Telephone Number and Email Address.
Primary weekday location: Monday-Friday, 8:00 A.M. TO 5:00 P.M., where the Ward may usually be found. Enter the full address in the “usually be found List full address below” box.
Physicians
List the name of the ward's primary physician, and any other medical specialists the ward has seen during the past year.
Enter the Doctor's Name, Address, Telephone Number and Email Address.
For another Doctor, enter the Doctor's Name, Address, Telephone Number and Email Address.
For any other medical specialists the ward has seen during the past year, enter the Specialist's Name, Address, Telephone and Email Address.
Ward's physical and mental health
Enter the Date the Ward was last seen by a doctor.
Have there been any major changes in the Ward's physical and/or mental condition in the last year? If so, please describe the change.
About the ward's guardian and guardianship status
Enter the Guardian's Name, Address, Telephone Number and Email Address.
Enter the Number of visits the Guardian has seen the Ward in the last 12 months and the Date of the last visit.
Explain the Guardian's opinion about whether the guardianship should continue.
Asset management and benefits received
Enter the Name, Address, Telephone Number and Email Address of the person responsible for managing the Ward's assets.
Does the ward receive any local, county, state, or federal agency benefits? (SSI, AHCCCS, Medicaid, Food stamps) Please describe the Agency, Caseworker/ Contact and Type of Benefit.
Services received
Does the ward receive any local, county, state, or federal agency services? If so, write in the name(s) of the agency, the contact name, and describe the services received by the ward, in Agency, Caseworker/ Contact and Type of Service.
Declaration of mailing and signing under penalty of perjury
Enter the following people at the following address(es) to whom you mailed this Annual Report of the Guardian, and the Month/ Day/ Year of mailing.
Under Penalty of Perjury: By signing, you state to the Court that the contents of this “Annual Report of Guardian” are true and correct to the best of your knowledge and belief. Sign on the Signature of Guardian line, and write Dated and Printed Name.
More rules for Form PBGCG92f
As the Guardian, you must also mail a copy of the report to anyone else who has “appeared” in the case and fill out the Declaration of Mailing at the end of the report to show the names and addresses of all the people to whom you mailed the report and the date of mailing.
Refer to the document “Instructions: How to Fill out the Probate Court Annual Report of Guardian” to make sure you have completed this report correctly and completely.
Common questions about Form PBGCG92f
Is there a deadline?
Complete this report each year and file it on or before the date listed in the Order or if no date is specified, on or before the anniversary date of the “Letters of Appointment”.
Where do I file it?
When complete, mail the report to Probate Court Administration: East Court Building, 3rd Floor, 101 West Jefferson, Phoenix, Arizona 85003.
Sources
[1] Form PBGCG92f, Annual Report of Guardian, Superior Court of Arizona in Maricopa County (the Official source link on this page).