The Alaska Guardianship Annual Report is a critical document used within the Superior Court for the State of Alaska, aimed at updating the court about the ward's living situation, health, education, and overall wellbeing over the last year. It is a comprehensive form that guardians must fill out with diligence, emphasizing consultation with the ward to ensure their needs and desires are accurately represented. The form acts as a bridge between the guardian and the court, allowing for a detailed inspection of the ward's current status and any changes that might be needed to enhance their quality of life.
Guardianship is a critical legal framework designed to protect and support individuals who are unable to make certain decisions for themselves. In Alaska, the process of becoming a guardian involves filling out specific forms, one of which is the Annual Report for guardians. This document is a comprehensive tool that serves to inform the court about the ward's current living situation, medical care, educational and employment status, and overall well-being. The form requires detailed information about the guardian's relationship with the ward, including the level of authority the guardian holds, such as decision-making power in housing, medical care, and financial management. It also asks for a recount of the ward’s medical visits, social and recreational activities, and any changes in the guardianship arrangement that may be necessary. Additionally, it is crucial for the guardian to communicate with the ward to ensure their needs and wishes are considered and respected. Filling out this form accurately is essential for guardians to fulfill their legal responsibilities and for the court to monitor the ward's situation effectively. With spaces to include information about changes in the ward's living arrangements, medical care plans, and the need for any adjustments in the guardianship, the form acts as a critical link between the guardian, the ward, and the Alaska Superior Court. The form emphasizes the importance of consulting the ward as much as possible, adhering to confidentiality rules, and providing evidence of professional liability insurance if applicable, ensuring that the guardianship serves the best interests of the ward.
IN THE SUPERIOR COURT FOR THE STATE OF ALASKA
AT____________________
In the Matter of the Protective Proceedings of: )
)
Name of Ward:
Date of Birth:
Residential location of ward:
CASE NO.
Ward’s Telephone #:
GUARDIANSHIP ANNUAL REPORT
Instructions
Please type or print clearly using black ink. In preparing the report, you must consult with the ward as much as possible. The court will treat the information in this report as confidential.
If you are unable to complete this form without help, you may find assistance on the website of the Office of Public Advocacy (OPA): www.state.ak.us/guardianship. Your local library and court may also have a binder of helpful information entitled “Family Guardian Education Materials,” prepared by the Alaska State Association for Guardianship and Advocacy. You may also call OPA at 269-3500 (in Anchorage), 451-5933 (in Fairbanks) or 1-877-957-3500.
After completing this report, you must sign it under oath (or affirmation) in the presence of a notary public or court clerk. See last page.
If you are a full guardian with the powers of a conservator, you must fill out the entire form. If you are a partial guardian and do not have the powers of a conservator (or if a separate conservator has been appointed), you do not need to fill out the financial information in paragraphs 10 through 16. The purpose of this report is to give the court as complete a picture as possible of the ward’s current situation and what has happened in the last 12 months.
Reporting Period
This report covers the following period: From
To
Information About Guardian
Guardian’s Name
Daytime Phone
Mailing Address
(box or street number)
(city)
(state)
(ZIP)
Check here if this mailing address is new. If you change your address, please notify the court.
Residence Address
(street address)
Do you live with the ward?
Yes
Relationship to ward:
(city) (state)
No
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Probate Rule 16(e)(1)(B), 16(e)(3) & 17(e)
PG-210 (9/08)(cs)
AS 13.26.118, .255, .380(b) & 13.06.100
In what areas do you have the authority to make decisions for the ward?
housing
medical care
school & job training
employment
social & recreational activities
financial management (you control ward’s finances because you have conservator powers)
Has a separate conservator been appointed for the ward?
Yes Name:
If you are a private guardian charging fees, is there a court order authorizing payment of fees and establishing an hourly rate and maximum monthly amount as required by Probate Rule 16 and
AS 08.26.110?
I do not charge fees.
If you are a private professional guardian, do you have professional liability insurance?
Yes. (Attach copy of current Declarations page showing liability limits.) No.
Changes in Guardianship Needed
Is there a current need for change in the guardianship?
If yes, explain:
If you want the court to change its order, please file form PG-190.
If this is a Public Guardian appointment, is a suitable private guardian available?
No Yes
Information About Ward
1.Housing.
a.Where does the ward live now? Name of facility or place: Address:
Type of Residence:
nursing home
assisted living home
b.
Has the ward moved in the past year?
c.
If the ward lives in your home, do you charge the ward rent?
If you live in the ward’s home, are you paying rent?
d.Have you discussed the ward’s housing arrangement with the ward?
Yes. Explain what the ward wants:
No, because:
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e.Do you plan to change the place where the ward lives?
Yes, to
If yes, explain why:
f.If the ward lives in a nursing home, assisted living home, group home or other
facility,
(1)Is this the least restrictive setting in which services can be provided to the
ward?
(2)Have you participated in developing the facility’s care plan for the ward?
Yes No.
(3)Do you believe the facility’s care plan is a good one for the ward (in the
ward’s best interests)?
No Explain:
g.Are there any problems with providing meals, clothing, house cleaning or transportation for the ward?
2.Medical Care.
a.Which of the following medical professionals has the ward seen in the past 12
months?
Doctor’s Name
Phone No. Dates Seen
Medical Doctor
Dentist
Eye Doctor
Ear Doctor
Psychologist or
Psychiatrist
Other:
b.Describe any medical problems (physical or mental) the ward has, and describe what is being done or will be done about them:
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c.Describe any plans you have to change the care currently being provided for the ward’s medical problems:
d.Have you discussed these medical issues with the ward?
No. Explain why not:
e.Are there any problems providing medical care or treatment for the ward?
f.Is a no-code (Do Not Resuscitate) provision in place for the ward?
g.Did the ward, while the ward still had the capacity to do so, execute a durable power of attorney for health care or some other advance health care directive
under AS 13.52.010 - .395 or another law?
No. If yes, who is the
agent authorized to make health care decisions for the ward?
3.School and Job Training.
a.Does the ward attend school or any type of job training?
Yes. Describe studies (include name and location of school):
b.Is there any type of education or training that would benefit the ward?
c. Have you discussed this with the ward? Yes. Explain what the ward wants:
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4.Work.
a. Is the ward employed?
Yes. Describe (include type of work, name of employer, address, phone, and how long employed):
b.If not employed, would it be in the ward’s best interests to obtain employment?
5.Social and Recreational Activities.
a.Describe activities the ward enjoys:
b.Have you been able to help make these activities available to the ward?
c.Do you have any plans concerning additional social and recreational activities for the ward?
6.Contacts With Ward.
a.If the ward does not live with you, how often have you visited the ward in the past 12 months?
Have there been any other contacts?
Yes, as follows:
Type of Contact
Frequency of Contact
by telephone
by mail or e-mail through 3rd person: other:
Page 5 of 13
7.Decision Making.
a.Have there been any changes in the ward’s ability to make decisions about matters affecting the ward’s health and safety?
b.When a decision has to be made about something for the ward (housing, medical care, education, employment, recreation, purchases, etc.), how are the decisions made?
(1)Describe decisions made by ward alone:
(2)Describe decisions made by guardian alone:
(3)Describe decisions made by guardian and ward together:
8.Community Resources (service providers, churches, government programs, charitable
organizations, etc.). List the community organizations that are currently involved with the ward.
Name of Organization
Services Received
Agency Phone
9.Significant Actions.
Describe any significant actions you have taken as guardian for the ward during the past
12 months:
You only have to fill out paragraphs 10 - 16 if you are a full guardian with authority to manage the ward’s finances. If you do not have financial management authority, skip to paragraph 17.
Page 6 of 13
10.Ward’s Annual Income. (List only the income of the ward during the 12–month reporting period. Do not list your income.)
Income Source
Annual Amount
Social Security Benefits:
Wages:
a. SSA:
Dividends/Interest:
b. SSI:
Rental Income:
Adult Public Assistance:
Pension:
Veterans Financial Benefits:
Annuities:
Alaska Longevity Bonus:
Other (describe):
Permanent Fund Dividend:
Native Corporation Dividend:
Total Annual Income:
Total Annual Income During Previous Reporting Period:
Change in Annual Income Since Previous Reporting Period
Explain any difference more than $1000:
11.Ward’s Annual Expenses. (Money paid to anyone on behalf of ward or ward’s legal dependents. Do not include your personal expenses. Attach extra pages if necessary.)
Expense
Description
Nursing/ Assisted Living Home:
Rent Payment:
Mortgage Payment:
Utilities:
Transportation:
Medical Treatment Costs
Medications:
Credit Card Payments:
Food:
Clothing:
Recreation or Entertainment:
Personal Expenses (include allowance):
Income Tax & Property Tax:
Home/Property Maintenance Costs:
Insurance
Home Insurance:
Auto Insurance:
Medical Insurance:
Life Insurance:
Gifts:
Child/Spousal Support:
Fees/Costs Paid to Guardian:
Other (list all other payments made):
Total Annual Expenses:
Total Annual Expenses During Previous Reporting Period:
Page 7 of 13
Change in Annual Expenses Since Previous Reporting Period Explain any difference more than $1000:
12.Money Controlled By Ward.
Does the ward have sole control over any money? If yes, please explain:
Is this money included in the income and expenses listed in #10 and #11? Explain:
13.
Ward’s Assets at the end of this Reporting Period (Date:
(List all assets the ward owns individually or jointly. Attach extra pages if necessary.)
a.
Cash on hand (not in an account) $
(amount)
(where located)
Explain any changes in the last 12 months:
Burial Account
Name of Bank or Institution
Type of
Account
Balance
Number
c.Alaska Native Corporation Dividend Account
Type of Account
Account Number
d.List all other bank accounts, certificates of deposit, etc. Attach the most recent bank statement. Attach additional pages if necessary.
Name(s) on
Page 8 of 13
e.List all Brokerage Accounts, Stocks, Bonds, and Other Securities. Attach the most recent account statement. Attach additional pages if necessary.
Name of Company
Name(s) on Account
Account Value on (date)
f.Retirement Accounts.
Beneficiary
Current Value
g.Ward’s Life Insurance Policies (policies the ward owns).
Beneficiary of Life
Face Value of Life Insurance
Cash Value of Life Ins.
h.Real Estate that Ward Owns (land and buildings). Attach tax assessment, if available.
(1)
Does ward own a home?
Yes. Estimated Value: $
Address:
Description:
Is there a joint owner?
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(2)
Other Real Estate.
Estimated Value: $
i.Vehicles. (List any cars, boats, snow machines, off-road vehicles, airplanes, etc.)
Type of Vehicle
Year, Make & Model
Value
Co-Owner
j.Furniture, Appliances and Electronic Equipment exceeding $400 in value. Attach additional pages if necessary.
Description of Item
Approximate Age
k.Jewelry, Gems, Precious Metals, Coin or Stamp Collections, Other Collections, Artwork, Raw or Decorated Ivory. Attach additional pages if
necessary.
Location
Page 10 of 13
Preparing and submitting the Alaska Guardianship Annual Report is an essential responsibility for guardians. This process ensures the court is kept informed about the ward's condition, the care provided, and any changes in their living situation over the past year. It's crucial to provide accurate and comprehensive information, as this aids the court in evaluating the ward's needs and the guardian's effectiveness. Below are steps to help you accurately complete and submit the report.
Once the form is submitted, the court will review the information to help ensure the ward's needs are being met effectively. Guardians may be contacted for additional information or clarification as needed. Maintaining thorough records throughout the year will significantly aid in this process, fostering a supportive environment for the ward and assisting the court in making informed decisions.
What is the purpose of the Guardianship Annual Report in Alaska?
The Guardianship Annual Report serves to provide the court with a comprehensive view of the ward's current situation and any developments over the past 12 months. It requires guardians to detail aspects of the ward's life such as housing, medical care, education, employment, and social activities. The report also seeks updates on the guardian's personal information, and any changes in the guardianship arrangement that might be required, ensuring the ward's needs continue to be met in their best interests.
How can a guardian complete the annual report if they need assistance?
If a guardian needs help completing the annual report, several resources are available. The Office of Public Advocacy's website offers guidance, and local libraries and courts provide a binder titled “Family Guardian Education Materials.” Additionally, guardians can contact the Office of Public Advocacy directly through their provided phone numbers for Anchorage, Fairbanks, or the toll-free number. Assistance ensures that guardians can accurately and thoroughly fill out the report to best reflect the ward's needs and circumstances.
Are all sections of the Guardianship Annual Report required for every guardian?
No, not all sections of the report are required for every guardian. Guardians who have been appointed as full guardians with conservator powers must complete the entire form, including financial information. However, partial guardians who do not have conservator powers, or in cases where a separate conservator has been appointed, are not required to fill out the financial sections of the report. This distinction ensures that the report is tailored to the specific powers and responsibilities granted to the guardian by the court.
What happens if there is a need to change the guardianship arrangement?
If there is a need to change the guardianship arrangement, the guardian is instructed to notify the court. The process involves filing a specific form (PG-190) to request a change in the court's order. This could include changes to the guardian’s authority, the need for additional or fewer restrictions, or even a change in guardians. The court reviews these requests to ensure that any modifications to the guardianship reflect the ward's best interests and current needs.
Filling out the Alaska Guardianship Annual Report accurately and comprehensively is crucial for the wellbeing of the ward and for legal compliance. However, people often make mistakes during this process. Recognizing and avoiding these mistakes can help ensure that the report provides a complete and accurate picture of the ward's situation.
Avoiding these mistakes requires careful attention to detail, an understanding of the obligations and responsibilities of guardianship, and a commitment to the ward's wellbeing. Keeping these considerations in mind can help guardians fulfill their roles effectively and in compliance with the law.
When you're navigating the process of establishing or managing a guardianship in Alaska, it's essential to be aware of the various forms and documents that may be needed in tandem with the Alaska Guardianship form. Each of these documents serves a particular purpose and helps to ensure the guardianship is managed correctly, keeping the best interests of the ward at the forefront. Let's take a closer look at some of these key forms and documents.
Understanding and utilizing these forms and documents in conjunction with the Alaska Guardianship form can help streamline the guardianship process. Whether you're a new guardian learning the ropes or an experienced one seeking to ensure compliance with state laws and the best care for your ward, being informed and prepared with the right paperwork is key. Remember, while this list covers many of the documents associated with guardianship, requirements can vary, so it’s important to consult with a legal professional or relevant authorities for guidance specific to your situation.
The Alaska Guardianship form shares similarities with several other legal documents concerning the welfare and management of another person's affairs. One such document is a Power of Attorney (POA), which, like the Alaska Guardianship form, allows an individual to make decisions on behalf of another person. However, while a guardianship is often established by a court for those who cannot make decisions for themselves due to incapacity, a POA is typically executed by a competent individual who voluntarily wants to delegate decision-making authority in personal, health, or financial matters.
Another document similar to the Alaska Guardianship form is the Living Will. Both documents involve directives concerning an individual's preferences for care and treatment. A Living Will specifically outlines what medical actions should be taken in the event the individual becomes unable to make decisions due to illness or incapacity. While the guardianship form might describe the ward's medical care as overseen by the guardian, a Living Will directly reflects the individual's own wishes regarding life-sustaining treatment.
The Conservatorship document also bears resemblance to the Alaska Guardianship form, primarily in financial matters. Both legal arrangements involve the management of an individual's financial affairs. However, a conservatorship specifically relates to financial decision-making, whereas guardianship can encompass broader responsibilities, including healthcare, living arrangements, and daily care. In some cases, an individual might have both a guardian and a conservator appointed to them, which the Alaska Guardianship form acknowledges in asking whether a separate conservator has been appointed.
The Health Care Proxy is another document sharing similarities with the Alaska Guardianship form, particularly in medical decision-making aspects. Both allow a designated agent or guardian to make medical decisions for someone who is incapacitated. The key difference lies in the scope and establishment: a Health Care Proxy is usually created before the individual becomes incapacitated and specifically addresses health care decisions, while guardianship might not be established until after incapacity and covers a wider range of decision-making powers.
The Advance Health Care Directive, like the Alaska Guardianship form, provides instructions for a person's care if they become unable to express their wishes. It combines features of a Living Will and a Health Care Proxy by outlining specific medical treatments the individual wishes or does not wish to receive and nominating a health care agent. This document is prepared by an individual in anticipation of future incapacity, while the guardianship form is a report for an already established guardian about the ward's status and care.
The Representative Payee form, used by the Social Security Administration, authorizes an individual to receive and manage Social Security benefits on behalf of another. Similar to the responsibilities outlined in the Alaska Guardianship form, a representative payee must use the funds for the benefit of the beneficiary and report on the use of the funds. The focus of this arrangement is narrower, primarily concerning the management of Social Security benefits, unlike a guardianship that may cover all aspects of a person’s life and finances.
Lastly, the Emergency Medical Authorization form, used in childcare and educational settings, allows a designated individual to make urgent medical decisions for a child when parents are unavailable. This is somewhat parallel to the Alaska Guardianship form which may include permissions for emergency medical treatment within its scope of guardian duties. Both documents are preventive in nature, ensuring that there is a responsible adult who can make immediate decisions in emergency situations, although the guardianship form has a more extensive legal authority and ongoing responsibility.
When filling out the Alaska Guardianship form, it’s important to pay attention to the details to ensure that the process is completed correctly and efficiently. Here are some dos and don’ts to follow:
When it comes to understanding the Alaska Guardianship form, several misconceptions can lead to confusion. Here's a closer look at five common ones:
Understanding these misconceptions can help guardians more effectively fulfill their roles and responsibilities while ensuring the best interests of the ward are always the top priority.
Filling out and submitting the Alaska Guardianship Annual Report is an essential duty for guardians, ensuring the well-being and proper care of their wards. To navigate this process with accuracy and attention to detail, consider these six key takeaways:
Understanding these key aspects can help guardians fulfill their reporting duties with diligence, respect, and a deep sense of responsibility towards the welfare of their wards.
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