Free Attachment 1 to Order Appointing Child Custody Evaluator (FL/E-CT-019) - California

Attachment 1
Abbreviated Case Name: ________________________________________ Case No: _______________ Dept. No: ________________ Date: _________________ Next Hearing Date: ________________

Specific areas of focus: Child abuse/neglect Domestic violence Substance abuse Psychiatric illness Move away Other: _____________________________________________________________________________________________ _____________________________________________________________________________________________ Payment of fees for evaluation services, including preparation of report, shall be as follows: (check one) a. ___________________________________________ to pay all fees subject to the Court reserving the right to order reimbursement from the other party. b. Parties to share all fees, ________% payable by Petitioner and ________% payable by Respondent. ISSUES: (Description of issues, scope and purpose of evaluation): _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ School related issues Special needs of the child Supervised visitation Extended visitation Timeshare

FL/E-CT-019 Adopted for Mandatory Use April 28, 2008

Attachment to Order Appointing Child Custody Evaluator