Last updated: 9/14/2022
Table Of Contents Child Custody Evaluation
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Description
IN THE __________ JUDICIAL DISTRICT COURT, _______________________ COUNTY, STATE OF UTAH TABLE OF CONTENTS _______________________________________ CHILD CUSTODY EVALUATION Petitioner Case No. ________________________ vs. Judge ___________________________ _______________________________________ Respondent Commissioner ____________________ 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, parents partner) ___________________________________________________________________ GUARDIAN ad LITEM: ______________________________________________ MOTHERS COUNSEL: ______________________________________________ FATHERS COUNSEL: _______________________________________________ These forms and procedures have been approved by the Judicial Council, and the Supreme CAnoy curut.s t ody evaluation submitted to the court must conform in substance to these forms. 1 <<<<<<<<<********>>>>>>>>>>>>> 2CONCLUSIONS: Page a nd paragraph A. Summary of Childrens Needs: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B. Summary of Each Parents and Stepparents Ability and Propensity to Provide for these Childrens Needs:( Include parenting skills, impairmentsavailability,, willingness to facilitate childs relationship with other parent, and the uniq ue manner in which each parents skills fit the childrens needs. . . . . . . . .) C. Suggested Custody Arrangements (Legal and Physical): . . . . . . . . . . . . . D. Suggested Parent-Time Arrangements: . . . . . . . . . . . . . . . . . . . . . . . . . (State if standard; provide page numbers if non-standar d) E. Rule 4-903 Considerations: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (place all of these together in report and indicate page number ) s F. Special Considerations: BACKGROUND: A. Mediation or Resolution Attempted? Yes N o B. Temporary Custody and Parent-Time Arrangeme nt: state briefly C. Current Living Arrangement: (who else lives in each home?) . . . . . . (state briefly or provide page and paragraph numbers) D. Each Parents Perception of Custody Issues . . . . . . . . . . . . . . . . . . . . . . EVALUATORS 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
