2011 ORS § 125.325¹
Guardians report

Within 30 days after each anniversary of appointment, a guardian for an adult protected person shall file with the court a written report. The report must include a declaration under penalty of perjury in the form required by ORCP 1 E. Copies of the guardians report must be given to those persons specified in ORS 125.060 (Who must be given notice) (3). The report shall be in substantially the following form:

______________________________________________________________________________

IN THE _________ COURT ____________ COUNTY,

STATE OF OREGON

DEPARTMENT OF PROBATE

In the Matter of the ) No. ______

Guardianship of )

____________, )

person) )

A Protected )

Person. )

I am the guardian for the person named above, and I make the following report to the court as required by law:

1. My name is____________.

2. My address and telephone number are:

______________________

______________________

Phone ____________

3. The name, if applicable, and address of the place where the person now resides are:

______________________

______________________

4. The person is currently residing at the following type of facility or residence:

______________________

5. The person is currently engaged in the following programs and activities and receiving the following services (brief description):

______________________

6. I was paid for providing the following items of lodging, food or other services to the person:

______________________

______________________

7. The name of the person primarily responsible for the care of the person at the persons place of residence is:

______________________

8. The name and address of any hospital or other institution where the person is now admitted on a temporary or permanent basis are:

______________________

______________________

9. The persons physical condition is as follows (brief description):

______________________

______________________

10. The persons mental condition is as follows (brief description):

______________________

______________________

11. I made the following contacts with the person during the past year (brief description):

______________________

12. I made the following major decisions on behalf of the person during the past year (brief description):

______________________

13. I believe the guardianship should or should not continue because:

______________________

14. At the time of my last report, I held the following amount of money on behalf of the person: $______. Since my last report, I received the following amount of money on behalf of the person: $______. I spent the following amount of money on behalf of the person: $______. I now hold the following amount of money on behalf of the person: $______.

15. A true copy of this report will be given to the person, any conservator for the person and any other person who has requested notice.

16. Since my last report:

(a) I have been convicted of the following crimes (not including traffic violations):

______________________

(b) I have filed for or received protection from creditors under the Federal Bankruptcy Code (yes or no):_____.

(c) I have had a professional or occupational license revoked or suspended (yes or no):_____.

(d) I have had my driver license revoked or suspended (yes or no):_____.

17. Since my last report, I have delegated the following powers over the protected person for the following periods of time (provide name of person powers delegated to):

______________________

I hereby declare that the above statement is true to the best of my knowledge and belief, and that I understand it is made for use as evidence in court and is subject to penalty for perjury.

Dated this ___ day of________, 2___.

______________________

Guardian

______________________________________________________________________________

[1995 c.664 §32; 1997 c.717 §6; 2007 c.284 §4]