2013 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, or an unsworn declaration under ORS 194.800 (Short title) to 194.835 (Relation to Electronic Signatures in Global and National Commerce Act), if the declarant is physically outside the boundaries of the United States. 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,

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; 2013 c.218 §16]