ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address):

FOR COURT USE  ONLY

GC-251

FAX NO. (Optional):       

SUPERIOR COURT OF CALIFORNIA, COUNTY OF

TELEPHONE NO.: 

E-MAIL ADDRESS (Optional): 

       ATTORNEY FOR (Name):

STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

GUARDIANSHIP OF THE

PERSON

ESTATE OF (Name):

CONFIDENTIAL GUARDIANSHIP STATUS REPORT

MINOR

  CASE NUMBER:

NOTICE TO GUARDIAN 

You must complete, sign, and return to the court on or before (date):                                                      ,
a separate copy of this form for each child for whom you are guardian of the person or estate under the above 
case number.  If you are the guardian of the child's estate only, you must complete at least items 1–2, 6d, and 
7–8.  All other guardians must complete the entire form. 
Failure to complete, sign, and return this form will result in further court action, possibly including your 
removal as guardian.  A guardian who willfully submits any material information required by this form that he 
or she knows to be false is guilty of a misdemeanor.
An "Attachment" is one or more separate sheets of paper attached to this form.  You may use any letter-sized 
paper for this purpose, including copies of Judicial Council form MC-025, Attachment, available from the court.  
Label each attachment with the item or question number you are answering.  

1.

Guardian* (Continue on Attachment 1 if necessary.  If there is more than one guardian, each must provide the information 
requested in items 1a–f, and each must sign this form.):

(Name):

Present address (street address, including apartment number, city, state, and zip code, of each guardian):

Years at this address:
Telephone (home):                                                   Telephone (work):
Do you have any significant health problems that would interfere with your ability to continue as guardian in the next year?

     No     

     Yes         (If your answer is "Yes," please explain in Attachment 1d.)

Since your appointment or your last report, have you, or has any adult living in the home where the child is living, been 
arrested for, charged with, or convicted of (1) any felony or misdemeanor; or (2) any other offense involving alcohol, illegal 
     Yes     
drugs, or sexual misconduct?       
(If your answer is "Yes," please explain in Attachment 1e.  You need not report minor traffic offenses that do not involve 
alcohol or illegal drugs.)
Are you a court-appointed guardian or conservator for any other child or adult under a different case number or court?

       No     

     No        

    Yes 

(If your answer is "Yes," please identify in Attachment 1f each other child or adult,  

by name, court, and case number.)

2.

* If you are the guardian of a child's estate, you must file regular accountings with the court in addition to this report.
Personal Information on Child Under Guardianship (continue on Attachment 2 if necessary):
a.

(Name):

(Birthdate):

The child     
(If the child lived in your home but has left, state when and why the child left.  If the child has never lived in your home, 
please explain.  Complete on Attachment 2d if necessary.):

 now living in my home.   

     is not       

     is

(If the child is not now living in your home, state the complete name, relationship to child, address, and telephone number of 
the person the child is living with.  Complete on Attachment 2e if necessary.):

Form Adopted for Mandatory Use
Judicial Council of California
GC-251 [New July 1, 2003]

CONFIDENTIAL GUARDIANSHIP STATUS REPORT

Page 1 of 3

Prob. Code, § 1513.2 

a.

b.

c.
d.

e.

f.

b.

c.
d.

e.

GUARDIANSHIP OF THE

PERSON

ESTATE OF    (Name):

CASE NUMBER:

3.  

Child's Education (continue on Attachment 3 if necessary):
a.

Name and address of child's school:

MINOR

b.

c.

b.

c.

d.

e.

f.

Child's grade:

(Describe the child's current progress in school, including grades, attendance, behavior problems, tutoring programs, etc.  
Complete on Attachment 3c if necessary.  Attach a copy of the child's last report card, progress report, or other similar 
school record received by you.):

4.  

Child's Physical and Emotional Health (continue on Attachment 4 if necessary):
a.

Is the child having any current medical or dental problems?  
(If your answer is "Yes," please explain. Continue on Attachment 4a if necessary.):

     No        

     Yes     

The child                 is                 is not    current on immunizations.
(If the child is not current, please explain.  Continue on Attachment 4b if necessary.):

(Name, address, and telephone number of each physician, dentist, or other health care provider now seeing or treating the 
child.  Please explain if the child has not been seen by a health care provider for any problem identified in item 4a above.  
Complete on Attachment 4c if necessary.):

Is the child having any emotional or behavioral problems that cause you concern?     
(If your answer is "Yes," please explain.  Continue on Attachment 4d if necessary.):

     No

     Yes

Has the child experienced any traumatic event, major disruption, or significant change during the past year, such as the 
death of a parent, abuse, or a major illness?     
Continue on Attachment 4e if  necessary.):

     Yes    (If your answer is "Yes," please explain. 

      No     

(Name, address, and telephone number of any therapist the child has been seeing for any of the problems described in 
items 4d and 4e above.  If the child has not been seeing a therapist for these problems, please explain.  Continue on 
Attachment 4f if necessary.):

g.

(Describe the child's social activities/services, including recreational, educational, church, social, occupational, or cultural
activities.  Continue on Attachment 4g if necessary.):

h.

(Describe your goals for the child for the next year.  Continue on Attachment 4h if necessary.):

5.

Other Persons in the Child's Home (complete on Attachment 5 if necessary):

a.

(Name, age, and relationship to the child and to you of each person now living in the child's home.  Complete on 
Attachment 5a if necessary.):

b.

(Name of each person identified in item 5a who moved into the child's home after the guardianship was established.  
Continue on Attachment 5b if necessary.):

GC-251 [New July 1, 2003]

CONFIDENTIAL GUARDIANSHIP STATUS REPORT

Page 2 of 3

GUARDIANSHIP OF THE

PERSON

ESTATE OF    (Name):

CASE NUMBER:

6.

Child's Natural Parents (complete on Attachment 6 if necessary):
a.

(Name, address, and telephone number of child's mother):

(1)

MINOR

(2)

(Name, address, and telephone number of child's father):

(1)

(2)

(1)

(2)

b.

Visits of child's mother:     

     Yes     

     No     

Frequency:

Average length:

Visits                  are                  are not     supervised.

(Name and telephone number of person who is present during visits):

(3)

Overnight visits:      

     Yes     

     No     (Address  of overnight visits):

(4)

Are there any problems during the visits?       
Attachment 6b.)
Visits of child's father:

     Yes     

c.

     No     

Frequency:

Average length:

     No        

     Yes     (If you answered "Yes," please explain in

Visits                  are                  are not     supervised.

(Name and telephone number of person who is present during visits):

(3)

Overnight visits:      

     Yes     

     No     (Address  of overnight visits):

     No        

     Yes     (If you answered "Yes," please explain in

(4)

Are there any problems during the visits?       
Attachment 6c.)

d.

Financial contribution of either or both natural parents:

(1)   

     Yes        

(2)   

     No        

(3)

Average monthly amount: $

7.

Need for Guardianship

The guardianship                 is                 is not     still necessary (State reasons.  Continue on Attachment 7 if necessary.):

8.

Continuation as Guardian

     am        

I
(If you are not able to continue as guardian, state reasons.  Continue on Attachment 8 if necessary.  If you cannot continue as
guardian, you must petition the court to relieve you of your duties.): 

able to continue my duties and obligations as the child's guardian.  

    am not        

I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct.
Date:

 ________________________________________________ 

(TYPE OR PRINT NAME)

(SIGNATURE OF GUARDIAN)

 ________________________________________________ 

(TYPE OR PRINT NAME)

(SIGNATURE OF GUARDIAN)

GC-251 [New July 1, 2003]

CONFIDENTIAL GUARDIANSHIP STATUS REPORT

Page 3 of 3