Form Gac 11 U PDF Details

In the realm of legal guardianship within the State of Minnesota, the GAC 11 U form emerges as a pivotal document designed to safeguard the well-being of individuals under guardianship. Anchoring its importance in the legal framework, the form requires guardians to annually report on the mental, physical, and social condition of their wards, capturing a holistic overview of their well-being. This comprehensive report encompasses all living arrangements, any restrictions on communication rights, as well as the medical, educational, and vocational services provided to the ward over the past year. It critically assesses the adequacy of care and provides recommendations on the continuation or adjustment of the guardianship. Furthermore, the form delineates the guardian's professional status, especially highlighting those who qualify as professional guardians by virtue of overseeing the welfare of three or more individuals not related to them by blood, adoption, or marriage. Compensation details for services rendered, which were not covered under a county contract, are also required. Critical to its procedural integrity, the form mandates service of this report on the ward and interested parties within a specified timeline, ensuring transparency and accountability in the guardianship process. Additionally, it informs the ward about their rights to petition the court for changes in guardianship status or express disagreements with the report’s content, underscoring the legal system’s emphasis on the ward's autonomy and voice. By requiring guardians to file this form with the court, along with an affidavit of service, it not only ensures a consistent check on the guardian's management but also preserves the legal rights of the individuals under their care.

QuestionAnswer
Form NameForm Gac 11 U
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesgac 11 u state, guardianship in minnesota, minnesota guardianship form, mn guardianship forms

Form Preview Example

State of Minnesota

District Court

 

Probate Division

County of ___________________

Judicial District: ____________________

 

Court File No. _______________________

 

Case Type: 14, Guardianship

In Re: Guardianship of

PERSONAL WELL-BEING REPORT

__________________________, Ward

(Annual Report of Guardian)

As required by Minn. Stat. § 524.5-316 the Guardian makes this Annual Report for the reporting period from ______________ to __________________.

Instructions: Complete all paragraphs. Attach additional sheets if necessary.

1.The current mental, physical and social condition of the Ward is:

(a)Mental:

(b)Physical:

(c)Social:

2.The addresses and types of all living arrangements for the Ward during this reporting period:

3.There were no restrictions placed on the Ward’s right to communicate and visitation with persons of the Ward’s choice.

OR

There were restrictions placed on the Ward’s right to communicate and visitation with persons of the Ward’s choice and the factual bases for those restrictions are:

4.Medical, educational, vocational and other services provided to the Ward in the past year:

5.My opinion of the adequacy of the care given to the Ward in the past year:

6.Recommendation regarding continuation of the guardianship or scope of the guardianship:

7.I have personally seen the Ward _________ times in the past year.

8.Pursuant to Minn. Stat. § 524.5-102, subd. 13a, a “professional guardian” or “professional conservator” means a person acting as guardian or conservator for three or

GAC 11-U State

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more individuals not related by blood, adoption, or marriage. (check boxes below if applicable)

I am a professional guardian according to the above definition.

My answer to the above question reflects a change in my professional status since my last report to the court for this case.

9.I have received the following amount of reimbursement for services rendered to the ward in the past year and this amount was not reimbursed by county contract: $

This report must be served annually on the ward and to interested persons of record with the court within thirty days after the anniversary of the appointment of the guardian. If the personal well-being report is not filed within 60 days of the required date, the court shall issue an order to show cause.

An interested person may notify the court in writing that the interested person does not wish to receive copies of annual reports as required by law.

Dated:

Signature of Guardian

Address (list street/service address only; PO Box not acceptable)

City, State, Zip

Telephone Number

E-mail address

GAC 11-U State

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State of Minnesota

County of ___________________

In Re: Guardianship of

________________________________,

Ward

District Court Probate Division Judicial District: ______________________

Court File No. _________________________

Case Type: 14, Guardianship

Annual Notice of Right to Petition for Restoration to Capacity or Other Relief

Minn. Stat. §§ 524.5-310(g) and 524.5-316

To:_____________________________________________ Ward

You have a right to ask the Court to end or modify the guardianship or for any order that is in your best interests or for any other appropriate relief, by filing a petition with the Court explaining why you believe the guardianship should end or be modified.

You have a right to object to the Guardian’s change in your place of residence, and you have a right to ask the Court for a change of residence, by filing a petition with the Court explaining why the change should or should not be made.

You or any interested person on record with the court have a right to dispute any statement or conclusion contained in the Personal Well-Being Report regarding your condition by filing a written statement with the Court explaining why you disagree with any statement or conclusion in the Report.

If you wish to have a different guardian then you must file a petition for removal of the guardian, explaining why you believe the present guardian should be removed.

To petition the court you may call the Court Monday through Friday between 8:00 a.m. and 4:30 p.m. and ask that a form be sent to you, pick up the proper form at the Court, or access forms from the court’s public website at www.mncourts.gov/forms. The address of the Court is:

and phone number is _________________________________________.

After a petition is filed the Court will schedule a hearing. You have the right to be present at that hearing and to have a lawyer represent you. If you cannot afford a lawyer, the Court will appoint one for you. You can call the Court to request a court appointed attorney.

You retain the right to vote unless your guardian informs you that the court terminated your right to vote.

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This notice must be served annually on the ward and to interested persons of record with the court within thirty days after the anniversary of the appointment of the guardian. An interested person may notify the court in writing that the interested person does not wish to receive copies of annual reports as required by law.

Dated:

Signature of Guardian

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(attach additional sheets

 

 

AFFIDAVIT OF SERVICE

State of Minnesota

)

 

 

)

County of

 

 

)

______________________________________, state that 1) this is an accurate statement of the

Ward’s well being and care for the period indicated above; 2) I have given a copy of this Well- Being Report to the Ward and to interested persons of record with the court; and 3) the Annual Notice of Right to Petition has been given to the Ward and to interested persons of record with the court.

The Ward was served

by mail or

personally with the Well-Being Report and the Annual

Notice of Rights to Petition on

 

 

(date). The present address

and telephone number of the Ward is

 

 

 

 

 

 

 

The following interested persons of record with the court were served at the location listed with a copy of the Well-Being Report and the Annual Notice of Rights to Petition:

if necessary)

Name:

Address

Served

Name:

Address

Served

Name:

Address

Served

by mail or

personally on

 

(date)

by mail or

personally on

 

(date)

by mail or

personally on

 

(date)

I declare under penalty of perjury that everything I have stated in this document is true and correct. Minn. Stat. § 358.116.

Dated:_______________

Signature of Guardian

Name:

Address:

City/State/Zip:________________________

Telephone: ()

E-mail address:

FILE THE ORIGINAL PERSONAL WELL-BEING REPORT AND THIS AFFIDAVIT

OF SERVICE WITH THE COURT

GAC 11-U State

ENG

Rev 07/15

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2. Just after the prior section is completed, go on to enter the suitable information in all these - Street Address, City State and Zip Code, Phone, Email, Type, The Person Subject to Guardianship, Current Address The current, guardianship, Street Address, City State and Zip Code, Living Arrangement, Previous Addresses Has the person, during this reporting period, Yes, and If Yes.

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