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As a guardian (or conservator), do I have to file an annual report?

Yes. Standardized forms with instruction can be found on the Arizona Supreme Court Probate page. Instructional videos listed on that site can help you better understand the forms and what is required of you or you can read Arizona Revised Statutes, Title 14, which also lists additional procedures and requirements in this area.
Resources:
•    Arizona Supreme Court Probate webpage
•    Trusts, Estates, and Protective Proceedings A.R.S. Title 14