Free TABLE OF CONTENTS CHILD CUSTODY EVALUATION - Utah

IN THE __________ JUDICIAL DISTRICT COURT, _______________________ COUNTY, STATE OF UTAH TABLE OF CONTENTS CHILD CUSTODY EVALUATION Case No. ________________________ Judge ___________________________ Commissioner ____________________

_______________________________________ Petitioner vs. _______________________________________ Respondent

APPOINTED CUSTODY EVALUATOR: _______________________________ DATE OF SETTLEMENT CONFERENCE: ______________________________ DATE REPORT PERFORMED: _______________________________________ MINOR CHILD(REN) & DATE(S) OF BIRTH: ___________________________ ___________________________________________________________________ MOTHER: _________________________________________________________ FATHER: __________________________________________________________ OTHER PARTIES EVALUATED AND RELATIONSHIP TO CHILDREN: (e.g., stepparent, parent's partner) ___________________________________________________________________ GUARDIAN ad LITEM: ______________________________________________ MOTHER'S COUNSEL: ______________________________________________ FATHER'S COUNSEL: _______________________________________________



These forms and procedures have been approved by the Judicial Council, and the Supreme Court. Any custody evaluation submitted to the court must conform in substance to these forms.

1

CONCLUSIONS:

Page and paragraph

A. Summary of Children's Needs: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. Summary of Each Parent's and Stepparent's Ability and Propensity to Provide for these Children's Needs: (Include parenting skills, impairments, availability, willingness to facilitate child's relationship with other parent, and the unique manner in which each parent's skills fit the children's needs.) . . . . . . . . C. Suggested Custody Arrangements (Legal and Physical): . . . . . . . . . . . . . D. Suggested Parent-Time Arrangements: . . . . . . . . . . . . . . . . . . . . . . . . . (State if standard; provide page numbers if non-standard)

E. Rule 4-903 Considerations: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (place all of these together in report and indicate page numbers ) F. Special Considerations:

BACKGROUND: A. Mediation or Resolution Attempted? Yes No state briefly

B. Temporary Custody and Parent-Time Arrangement:

C. Current Living Arrangement: (who else lives in each home?) . . . . . . (state briefly or provide page and paragraph numbers) D. Each Parent's Perception of Custody Issues . . . . . . . . . . . . . . . . . . . . . . EVALUATOR'S PROCEDURES: A. Interviews of Adults and Children: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. Home Visits and Other Observation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C. Psychological Testing: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D. Collateral Contacts: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . E. Documents and Other Material Reviewed: . . . . . . . . . . . . . . . . . . . . . . . . 2