Free Custody Settlement Conference Report - Hawaii

Name:______________________________________ Address:___________________________

___________________________
Telephone No.:_______________________

CUSTODY EVALUATOR

IN THE FAMILY COURT OF THE FIRST CIRCUIT STATE OF HAWAI`I ) ) , ) ) ) ) ) ) , )
) )

FC-

No.

Plaintiff/Petitioner

CUSTODY SETTLEMENT CONFERENCE REPORT

vs.

Defendant/Respondent.

CUSTODY SETTLEMENT CONFERENCE REPORT

Custody Evaluator: Mother: Mother's Attorney:

Date of Settlement Conference: Father: Father's Attorney:

Other Adults Evaluated and Relationship to the Child/ren:

List the Child/ren (start from oldest), date of birth, age, school, grade:

INSTRUCTIONS: This form should be typewritten. The completed form and a courtesy copy for the judge shall be sent or delivered to the court clerk noted in the appointment order at Family Court, P. O. Box 3498, Honolulu, HI, 96811-3498. Send an un-filed copy to each attorney and pro se party.
Appendix 5 Effective 09/07
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A.

Present Living Arrangements of the child/ren and parents:

B.

Parenting arrangements prior to separation:

C.

Briefly address the focus issues listed in the Appointment Order:

D.

Summary of child/ren's needs:

E.

Summary of each parent's and other caretaker's attachment and ability to provide for the child/ren's needs: (include parenting skills, impairments, availability, willingness to facilitate the child/ren's relationship with other parent/caretakers, willingness and ability to communicate regarding the child/ren, unique manner in which each parent's skills fit the child/ren's needs):

F.

Each parent's perception of the strengths and weaknesses of the other parent's parenting abilities.

G.

What do the child/ren want the judge to know?

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H.

If there are child abuse or domestic violence or any other special concerns, how should visitation be structured to ensure the physical safety and psychological wellbeing of the child/ren and the safety of the custodial parent?

I.

What else should be considered?

J.

What services or interim orders might help to facilitate the parents' communication and sound decision making regarding their child/ren?

K.

The court should interview the following child/ren (list name and age):

L.

Specific information the judge needs in order to interview the child/ren appropriately (including any verbal, intellectual, and/or developmental concerns). Suggested areas of inquiry:

DATED: Honolulu, Hawai`i,

Custody Evaluator's Signature

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CLEAR