2017 New Mexico Statutes
Chapter 45 - Uniform Probate Code
Article 5 - Protection of Persons Under Disability and Their Property
Part 3 - GUARDIANS OF INCAPACITATED PERSONS
Section 45-5-314 - Annual report.
45-5-314. Annual report.
A. The guardian of an incapacitated person shall file an initial report with the appointing court within ninety days of the guardian's appointment. Thereafter, the guardian shall file an annual report within thirty days of the anniversary date of the guardian's appointment. A copy of the report shall also be submitted to the district judge who appointed the guardian or the judge's successor, to the incapacitated person and to the incapacitated person's conservator, if any. The court shall review this report. The report shall include information concerning the progress and condition of the incapacitated person, including but not limited to the incapacitated person's health, medical and dental care, residence, education, employment and habitation; a report on the manner in which the guardian carried out the guardian's powers and fulfilled the guardian's duties; and the guardian's opinion regarding the continued need for guardianship. If the guardian has been provided power pursuant to Paragraph (4) of Subsection B of Section 45-5-312 NMSA 1978, the report shall contain information on financial decisions made by the guardian. The report shall be substantially in the following form:
"STATE OF NEW MEXICO
COUNTY OF ____________________
______ JUDICIAL DISTRICT COURT
IN THE MATTER OF THE GUARDIANSHIP OF
________________________________________________
CAUSE NO. __________ |
an incapacitated adult
GUARDIAN'S 90-DAY ____ ANNUAL ____ FINAL ____ (check one)
REPORT ON THE CONDITION AND WELL-BEING OF AN ADULT PROTECTED PERSON
Date of Appointment: _________________________
Pursuant to Section 45-5-314 NMSA 1978, the undersigned duly appointed, qualified and acting guardian of the above- mentioned protected person reports to the court as follows (attach additional sheets, if necessary):
1. PROTECTED
Name________________________________________________
PERSON: | Residential Address____________________________ | |
Facility Name _________________________________ | ||
City, State, Zip Code__________________________ | ||
Telephone _____________ Date of Birth ________ |
Name of person primarily responsible at protected person's place of residence:
2. GUARDIAN: | Name __________________________________________ |
Business Name (if any) ___________________________ | |
Address _________________________________________ | |
City, State, Zip Code ____________________________ | |
Telephone ____________ Alternate Telephone # _____ | |
Relation to Protected Person _____________________ |
3. FINAL REPORTS ONLY (otherwise, go to #4)
I am filing a Final Report because of: ___ My resignation
___ Death of the Protected Person ___ Court Order
___ Other (please explain): __________________________
A. If because of resignation, Name of successor, if appointed: | |
Address ______________________________________________ | |
City, State, Zip Code____________________________________ | |
B. If because of Protected Person's death: (attach copy of death certificate, if available) |
Date and place of death:______________________________________
Name of personal representative if appointed: ________________________
Address ______________________________________________________
City, State, Zip Code_________________________________________
4. During the past year or 90 days (if initial report), I have visited the Protected Person ______ times. The date of my last personal visit was __________________________.
5. (A) Describe the residence of the Protected Person:
_____ Hospital/medical facility _____ Protected Person's home | ||
_____ Guardian's home | _____ Relative's home (explain below) | |
_____ Nursing home | _____ Boarding/Foster/Group Home |
_____ Other: | ___________________________________________________ |
(B) During the past year or 90 days (if first report), has the Protected Person changed his/her residence? ______ |
Do you anticipate a change of residence for the protected person in the next year?______
6. The name and address of any hospital or other institution (if any) where the Protected Person is now admitted:
______________________________________________________________
_____________________________________________________________.
7. The Protected Person is under a physician's regular care.
_____ Yes | _____ No |
Identify the health care providers.
Physician: ____________________________________________________
Dentist (if any): _____________________________________________
Mental Health Professional (i.e., psychiatrist, counselor):
______________________________________________________________
Other:________________________________________________________
8. (A) During the past year or 90 days (if initial report), the Protected Person's physical health:
Remained the same _____
Primary diagnosis: ___________________________________________
_____ improved | _____ deteriorated |
(explain) _______________________________________
(B) During the past year or 90 days (if initial report), the Protected Person's mental health: | |
Remained the same _____ | |
Major diagnosis, if any: ______________________________ | |
Improved ________ deteriorated (explain) __________________ |
If physical or mental health has deteriorated, please explain:
______________________________________________________________
9. Describe any significant hospitalizations or mental or medical events during the past year or 90 days (if initial report):
______________________________________________________________
10. List the Protected Person's activities and changes, if any, over the past year or 90 days (if initial report):
Recreational Activities:
Educational Activities:
Social Activities:
List Active Friends and/or Relatives:
Occupational activities:
Other:
11. Describe briefly any contracts entered into and major decisions made on behalf of the Protected Person during the past year or 90 days (if initial report):
______________________________________________________________
12. The Protected Person has made the following statements regarding his/her living arrangements and the guardianship over him/her:
______________________________________________________________
13. I believe the Protected Person has unmet needs.
_____ Yes (explain) _____ No
________________________________________________________
If yes, indicate efforts made to meet these needs:
______________________________________________________________
14. The Protected Person continues to require the assistance of a guardian:
_____ Yes _____ No
Explain why or why not: _______________________________________
_____________________________________________________________.
15. The authority given to me by the Court should:
_____ remain the same _____ be decreased _____ be increased
Why: _________________________________________________________
______________________________________________________________
16. Additional information concerning the Protected Person or myself (the guardian) that I wish to share with the Court:
______________________________________________________________
______________________________________________________________
______________________________________________________________
17. If the court has granted you the authority to make financial decisions on behalf of the Protected Person, then please describe the decisions you have made for the protected person: _____________________________________________________.
Signature of Guardian: ________________________ Date: _______
Printed Name: _______________________________." |
A.[B.] Any guardian may rely on a qualified health care professional's current written report to provide descriptions of the physical and mental conditions required in items 7, 8, 9, 14 and 15 of the annual report as specified in Subsection A of this section.
B.[C.] The guardian may be fined five dollars ($5.00) per day for an overdue annual report. The fine shall be used to fund the costs of visitors, counsel and functional assessments utilized in conservatorship and guardianship proceedings pursuant to the Uniform Probate Code.
C.[D.] The court shall not waive the requirement of an annual report under any circumstance but may grant an extension of time not to exceed sixty days. The court may require the filing of more than one report annually. End Form
History: 1978 Comp., 45-5-314, enacted by Laws 1989, ch. 252, 14; 1993, ch. 301, 11; 2009, ch. 159, 41.
