IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

AT

In the Matter of the Protective Proceedings of:	)

)

)

)	Case No:

)

Protected Person	)	COURT VISITOR’S REPORT

)	ON COMPLIANCE REVIEW

I,	, was appointed as the Court Visitor for this guardianship or conservatorship case in an Order of Appointment for Compliance Review (form PG-132), issued on	[date].

A. REASON FOR REVIEW

1.	Type of Order: Full guardian & conservator Partial guardian Conservator only

Name(s) of guardian/conservator:

2.	Did you review the current court order? Yes No

3.	Describe your understanding of why this compliance review was ordered by the court:

B. CONTACTS

1.	Did you interview the protected person about this review and/or in preparation for this report?

Yes [Describe below how the contact was made (in person, phone, etc.) and the	protected person’s opinion about the need for change.]

No [Explain below why not below.]

2.	List all contacts or attempted contacts made (including any interview with the guardian/conservator) and the method of contact. [Attach extra pages if necessary.]

Name	Relationship to Respondent	Address	Phone/Email	How was contact made?

3.	If you were not able to make any contact with the guardian, conservator, or protected person, did you request any of the following to get additional contact information?

An Accurint check? Yes No

A PFD check? Yes No

Please briefly explain:

C. DETAILS OF REVIEW

1.	Did you need to review any records pertaining to this review? Yes No

If yes, please list records reviewed.

Type of Record	Source	Date Created	Copy Attached?

I was unable to review the following records, because:

If you were able to make contact, please give a brief summary of the protected person’s current circumstances (medical, mental health, housing, etc.), if possible. As part of any compliance review, please ensure the safety and well being of the protected person if able, and if not, explain barriers.

3.	Financial Narrative. Describe current financial circumstances or concerns, if any.

D. SUMMARY OF REVIEW

Describe the areas that you’ve investigated, issues or concerns of the parties, and a general basis for your recommendations:

E. RECOMMENDATIONS

The visitor recommends:

No changes to the current order.

The guardian and/or conservator should do the following:

The Court should schedule a full review hearing with appropriate appointment orders (PG-111 or PG-114), as changes to the guardianship or conservatorship may need to be made. The visitor will file an updated report, if necessary, for the scheduled hearing.

Termination of the guardianship or conservatorship. If there has been no contact made with the guardian or conservator, it is recommended that a Notice of Intent to Dismiss be issued. If there is still no response, termination of the order with the order being distributed to any entity that may need to be informed.

The visitor recommends that permission be given to notify other relevant entities using confidential information such as a report of harm or notice to law enforcement or a benefit agency:

Date	Signature of Court Visitor

Phone Number	Print or Type Name of Court Visitor

Email Address	Address

I certify that on	at	[date/time], I mailed hand-delivered emailed

a copy of this report and all attachments to:

Protected Person Protected Person’s Attorney (if appointed) Guardian Conservator

Other:

Signature of Court Visitor: