The Missouri Annual Status Report By Guardian of Adult (MSR) is a required document that is submitted annually to the Missouri Department of Health and Senior Services. It is used to provide information on the condition of an adult ward or protected person to ensure they are receiving adequate care and protection. The MSR is completed by the guardian of the adult and documents the condition and health of the adult, his or her living situation, social and recreational activities, and any financial obligations or income received. The MSR also describes any changes that have occurred since the last report was submitted. The Missouri Annual Status Report By Guardian of Adult is divided into two parts: the initial report and the annual update. The initial report must be submitted within 30 days of the guardianship appointment and must include documentation of an assessment of the adult's physical and mental condition, living arrangements, and financial obligations. The annual update must be filed within 30 days of the anniversary of the guardianship and must include updated information on the adult's condition, living arrangements, and financial obligations. The MSR is required to be submitted by guardians of adults in Missouri in order to maintain their guardianship. Failure to file an annual update or provide inaccurate or incomplete information in the report can result in the guardian’s removal from the guardianship.