IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT

In the Matter of the Protective Proceedings of:

Case No:

SUPPLEMENT TO COURT VISITOR’S REPORT ON REVIEW

If you recommend an OPA Public Guardian—the appointment of last resort—please describe alternatives you decided are not available or feasible:

I am not recommending appointment of an OPA Public Guardian.

2.	If you are recommending a new public guardian or private professional appointment, please attempt to provide the following about the protected person:

(1) Date and Place of Birth:

(2)	Mother’s Maiden Name:

(3)	Please also provide the protected person’s social security number, but do not record it here. Instead, bring the information to the review hearing.

3.	If this is a new family or other non-professional appointment, did you provide the proposed guardian or conservator with form PG-291? Yes No

4.	Briefly describe the new proposed guardian/conservator and that person’s relationship to the protected person:

5.	Is the new proposed guardian/conservator employed?

No	Not applicable—OPA or professional guardian proposed

Yes, and the person works as	.

6.	Does the new proposed guardian/conservator report felony or other criminal convictions, barrier crimes, small claims cases, theft, fraud, assault, or bankruptcy?

No	Not applicable—OPA or professional guardian proposed

Yes. The person reported	.

7.	Did you check Courtview for court cases involving the new proposed guardian/conservator?

No	Not applicable—OPA or professional guardian proposed

Yes. I found	.

8.	Do you recommend any limitations or special provisions in the order due to a criminal or civil matter? No	Not applicable—OPA or professional guardian proposed

Yes. The order should provide that	.

9.	If you recommend a professional guardian/conservator, does the professional have a current license? No Yes Not applicable—non-professional recommended

10.	Does the private guardian/conservator have liability insurance?

No Yes [Please attach the fee schedule to this report, if applicable.]

Not applicable—non-professional recommended

Visitor Signature:	Print or Type Name: