Pc 371 Form PDF Details

In the landscape of legal guardianship and conservatorship, the process of monitoring and reporting on the wellbeing and status of individuals under conservatorship is crucial for ensuring their needs are met in a manner that respects their dignity and independence. The Conservator's Report PC-371 form serves as a foundational tool in Connecticut's Probate Courts, enabling conservators to fulfill their reporting obligations effectively. Primarily designed for conservators of the person, but also applicable to conservators of the estate under certain conditions, this form facilitates an annual or triennial review of the conservatorship, as well as reports following the termination of temporary conservatorships. By requiring detailed responses on the condition of the person under conservatorship, any significant changes in their situation, and efforts to encourage independence, the form ensures the court remains informed about each case's status. Additionally, it provides a structured opportunity for conservators to reflect on the continuing necessity and appropriateness of the conservatorship, offering insights into whether it remains the least restrictive means of intervention or if modifications are warranted. The meticulous design of the form, which mandates clarity and comprehensiveness in responses, underscores the procedural and ethical responsibilities entrusted to conservators, highlighting their pivotal role in safeguarding the interests and rights of those they serve.

QuestionAnswer
Form NamePc 371 Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namespc 371 form, pc 371 ct probate, conservator report 371, conservator zip pc

Form Preview Example

Conservator’s Report

 

 

PC-371 REV. 1/19

C O N N E C T I C U T

P R O B A T E C O U R T S

 

 

 

 

 

 

 

RECEIVED:

 

 

Instructions: 1) A conservator of the person may use this form to report to the Probate Court at least annually on the condition of the person under conservatorship. If there is no conservator of the person appointed, the conservator of the estate may use this form to file a report with the court one year after a conservator was appointed and every three years after the initial appointment as part of the statutory review of the conservatorship.

2)Upon termination of a temporary conservatorship, the temporary conservator may also use this form to file a report with the court. For more information see C.G.S. sections 45a-654 (f), 45a-656 (c) and 45a-660 (c).

3)The conservator should respond to every question. If a question does not apply, the conservator may indicate "Not Applicable" or "N/A."

4)Type or print the form in ink.

Probate Court Name

District Number

In the Matter of

Hereinafter referred to as the person under conservatorship

Conservator (Name, address and telephone number)

Present Address of the Person under Conservatorship

Present Treating Physician (Name and address)

This conservator’s report is being filed for the following reason:

Annual Report

Court-ordered Report

Statutory Conservatorship Review

Significant change in person under conservatorship’s capacity to meet essential requirements for health or safety Temporary Conservatorship terminated

Please respond to the following questions for the period since the last conservator’s report was filed in court, or if this is the first report, since your appointment as conservator.

1.Indicate the number of your visits with the person under conservatorship:

2.Describe the changes, if any, to the mental, emotional or physical condition of the person under conservatorship.

3.Describe any significant actions you have taken regarding the person under conservatorship, if applicable.

Conservator’s Report

PC-371 Page 1 of 2

Conservator’s Report

 

 

PC-371 REV. 1/19

C O N N E C T I C U T

P R O B A T E C O U R T S

 

4. List any significant problems that have arisen relating to the conservatorship, if applicable.

5.State whether the appointment of a conservator continues to be the least restrictive means of intervention for managing the needs of the person under conservatorship. If not, state what other means may be available.

6. Describe the efforts you have made to encourage the independence of the person under conservatorship.

Please complete this section if the report is completed in connection with a statutory review of the conservatorship.

In my opinion, the conservatorship should be State reason for your answer:

continued

modified

terminated.

Signature of Conservator

Type or Print Name

Date

Conservator’s Report

PC-371 Page 2 of 2

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pc 371 conservator's report completion process outlined (portion 1)

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pc 371 conservator's report writing process detailed (portion 2)

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pc 371 conservator's report writing process detailed (step 3)

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pc 371 conservator's report conclusion process shown (step 4)

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