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RECEIVED - ctprobate.gov

RESET. conservator 's Report PC-371 REV. 10/17. C ONN EC TI C UT PROBATE COURTS. RECEIVED : Instructions: 1) A conservator of the person may use this form to report to the Probate Court at least annually on the condition of the person under conservatorship. If there is no conservator of the person appointed, the conservator of the estate may use this form to file a report with the court one year after a conservator was appointed and every three years after the initial appointment as part of the statutory review of the conservatorship. 2) Upon termination of a temporary conservatorship, the temporary conservator may also use this form to file a report with the court. 3) For more information, see sections 45a-654 (f), 45a-656 (c) and 45a-660 (c). 4) Type or print the form in ink. Probate Court Name District Number In the Matter of Present Address of the Person under Conservatorship Hereinafter referred to as the person under conservatorship.

Conservator’s Report PC-371 Page 2 of 2 4. List any significant problems that have arisen relating to the conservatorship, if applicable.

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