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Fill and Sign the Illinois Annual Report Ward Form

Fill and Sign the Illinois Annual Report Ward Form

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IN THE CIRCUIT COURT ________________ JUDICIAL CIRCUIT ____________ COUNTY, ILLINOIS In the Matter of: _____________________________________ A Disabled Person CASE NO. _________________ ANNUAL REPORT ON WARD BY GUARDIAN OF THE PERSON Present Address of Ward: ________________________________________________________ Current living arrangements: _____________________________________________________ If residence of Ward has changed during year, prior address and length of time resided at each: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Guardian's activities on behalf of Ward, including approximate dates of visits or regular visitation schedule with Ward, and any signifcant occurrences during those visits: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Current medical, physical and social condition of Ward: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ __________________________________________________________ Medical, education, vocational and other professional services given to the Ward by others: ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Recommendations as to need for continued Guardianship: ____________________________________________________________ ____________________________________________________________ Page 1 of 2 ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Dated this __________day of _______________________20___. I swear/afrm that the above information is true and correct to the best of my information and knowledge. _________________________________________ Signature of Guardian _________________________________________ Print name of Guardian _________________________________________ Address of Guardian _________________________________________ City, State and Zip Page 2 of 2

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