Form 17 7 PDF Details

In order to ensure your tax dollars are put to good use, the government requires all entities receiving said funds file Form 17 7. This document outlines how your money will be used and helps to prevent any misuse of public funds. By filing this form, you are also letting the government know that your organization is in good standing and compliant with all applicable laws. Failing to submit this form may result in penalties or a revoked license. If you have any questions about Form 17 7 or need assistance filing it, please contact our office. Thank you for your cooperation!

QuestionAnswer
Form NameForm 17 7
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names17_7 guardians report county ohio fillable form

Form Preview Example

PROBATE COURT OF _______________ COUNTY, OHIO

_____________, JUDGE

GUARDIANSHIP OF _________________________________________________________

CASE NO. __________

GUARDIAN'S REPORT

[R.C. 2111.49 and Sup.R. 66.05(B)(2)]

NOTE: If allotted space is inadequate to respond, write "See Exhibit" in the space and add appropriate exhibit letter sequence, then attach exhibit containing information requested for that space.

1.This is the (circle one) 1st, 2nd, 3rd, 4th, 5th, 6th, or _________, Guardian's Report.

2.Ward's present address:_______________________________________________________________

City __________________________________ State ___________________

Zip Code_____________________Telephone Number (____)______________

3.Ward's living arrangements at the above address are best described as:

a. His or her own apartment or home (includes assisted living facilities.) b. Private home or apartment of:

(1) the ward's guardian

(2) a relative of the ward, whose name is _____________________________________

and relationship is ______________________________________________________

(3) a non-relative whose name is ___________________________________________

c. A foster, group, or boarding home. d. A nursing home.

e. A medical facility or state institution.

f. Other (describe) ___________________________________________________________

____________________________________________________________________________

g.If c, d, e, or f is checked, complete the following:

(1) The name of the home, facility, or institution __________________________________

(2) 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.

Name ________________________________________________________________

Telephone Number (_____)_______________________________

4.The ward will be at the address given in Item 2:

a. Indefinitely.

b. Temporarily. The new address and telephone number is:

(1) Unknown. I will provide this information when known.

(2) ______________________________________________________________________

City ______________________________________________ State __________________

Zip Code ________________ Telephone Number (____)___________________________

FORM 17.7 - GUARDIAN'S REPORT

Amended: March 1, 2017

Discard all previous versions of this form

[Reverse of Form 17.7]

CASE NO.__________

5.Guardian's contact with the ward.

a.Approximate number of times the guardian had contact with the ward during the period covered by this report: _________________

b.The nature of those contacts (phone, personal, or other): ______________________________

____________________________________________________________________________

c.Date the ward was last seen by the guardian: _______________________________________

6.Have you observed any major change in the ward's physical or mental condition during the period

 

covered by this report?

Yes

No

 

 

If "yes" is checked, briefly describe the changes.____________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

7.

The care given to the ward is

Adequate

Not Adequate

 

If "Not Adequate" is checked, explain. ____________________________________________________

 

__________________________________________________________________________________

 

__________________________________________________________________________________

8.

The guardianship should be

Continued

Not Continued

If "Not Continued" is checked, explain. ___________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

9.During the period covered by this report, the ward has has not been seen by a physician. If the ward has been seen, the last date was _______________________________________________ and for the purpose of ____________________________________________________________________

10. I currently serve as the guardian to ten or more wards and certify to the Court that I am unaware of any circumstances that may disqualify me from serving as guardian for this ward.

11.With regard to the continuing education requirement pursuant to Sup.R. 66.07:

I have completed the continuing education requirement. (Attach Certificate of Completion if applicable) The continuing education requirement was waived.

Attached is a statement by a licensed physician, a licensed clinical psychologist, a licensed social worker, or a developmental disability 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)](Form 17.1)

If an attorney has been consulted on this report:

Date _______________________________________

_____________________________________

____________________________________________

Attorney for Guardian

 

Guardian's Printed Name

 

_____________________________________

____________________________________________

Street

 

 

Guardian's Signature

 

_____________________________________

___________________________________________

City

State

Zip Code

Street

 

 

_____________________________________

____________________________________________

Telephone Number (include area code)

City

State

Zip Code

_____________________________________

____________________________________________

Attorney Registration No.

 

Telephone Number (include area code)

 

(Knowingly giving false information on a Probate document is a criminal offense)

[R.C. 2921.13(A)(11)]

FORM 17.7 - GUARDIAN'S REPORT

PAGE 2

Amended: March 1, 2017

Discard all previous versions of this form

How to Edit Form 17 7 Online for Free

In case you desire to fill out Form 17 7, you won't need to download and install any programs - just try using our PDF editor. To maintain our editor on the forefront of convenience, we aim to integrate user-driven features and improvements on a regular basis. We are routinely glad to receive suggestions - help us with revampimg PDF editing. To begin your journey, take these basic steps:

Step 1: First of all, access the pdf tool by clicking the "Get Form Button" at the top of this site.

Step 2: The tool grants the opportunity to work with PDF documents in various ways. Enhance it by adding any text, adjust what is already in the file, and include a signature - all manageable within minutes!

Filling out this PDF needs thoroughness. Make sure all mandatory blank fields are completed correctly.

1. It's essential to complete the Form 17 7 properly, therefore be careful when filling out the sections containing all these fields:

Step number 1 of filling out Form 17 7

2. Right after finishing the previous step, head on to the subsequent step and fill in the necessary details in these fields - Zip CodeTelephone Number, Wards living arrangements at the, a His or her own apartment or home, b Private home or apartment of, the wards guardian, a relative of the ward whose name, and relationship is, a nonrelative whose name is, c A foster group or boarding home, d A nursing home, e A medical facility or state, f Other describe, g If c d e or f is checked, The name of the home facility or, and The name of an individual at the.

Form 17 7 completion process detailed (portion 2)

3. Completing authorized to give information to, Name, Telephone Number, The ward will be at the address, a Indefinitely, b Temporarily The new address and, Unknown I will provide this, City State, Zip Code Telephone Number, FORM GUARDIANS REPORT, and Amended March Discard all is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Form 17 7 writing process outlined (step 3)

4. It is time to complete this fourth part! Here you'll get these Approximate number of times the, by this report, The nature of those contacts phone, Date the ward was last seen by the, Have you observed any major change, covered by this report, Yes, If yes is checked briefly describe, The care given to the ward is, Adequate, Not Adequate, If Not Adequate is checked explain, The guardianship should be, Continued, and Not Continued fields to do.

Part no. 4 of completing Form 17 7

5. Finally, this last subsection is what you have to finish before closing the PDF. The fields under consideration are the following: ward has been seen the last date, for the purpose of, I currently serve as the guardian, any circumstances that may, With regard to the continuing, I have completed the continuing, The continuing education, Attached is a statement by a, developmental disability team that, this report regarding the need for, If an attorney has been consulted, Date, Attorney for Guardian, Street, and City.

Step # 5 in filling in Form 17 7

A lot of people generally make some errors while filling in The continuing education in this section. Ensure that you go over everything you enter here.

Step 3: After you have reviewed the information provided, click "Done" to conclude your FormsPal process. Join us now and immediately get Form 17 7, set for download. Every last change made is conveniently preserved , helping you to change the form at a later point when required. FormsPal is devoted to the confidentiality of all our users; we make certain that all personal information processed by our tool continues to be confidential.