State Of New York County of In the Matter of ; Family Court Petitioner, ORDER AUTHORIZING EXPERT SERVICES Docket No: v. Respondent At a proceeding before this court held on , in which the Petitioner appeared personally and by attorney, , Esq. and the Respondent appeared personally and by attorney, , Esq. and the interests of the infant issue of the parties having been represented by his Designated Law Guardian, , Esq. and the said Designated Law Guardian having moved this Court for certain forms of relief at said Appearance, and the Parties and their attorneys having been on heard said requests and after due deliberation thereon, it is ORDERED, that evaluations of the following child and parties: Name , Ph.D. is appointed to conduct forensic Relationship and shall submit a report, if necessary to the Court by , 20 ; and it is further ORDERED, that compensation for the forensic evaluations and any court appearances shall be paid proportionately to the ration of adult parties evaluated and child[ren] evaluated. If the adult party has assigned counsel, the expert shall be compensated for the adult's proportional share of the evaluation pursuant to Article 18-B, Section 722-c of the County Law. If the adult party does not have assigned counsel, the adult party shall compensate the expert for his or her proportional share of the evaluation on or before and shall deposit with said expert a retainer of $ per party on or before . The child's portion of the evaluation shall be paid by the Law Guardian Program of the Fourth Department pursuant to Section 35 of the Judiciary Law. The cost of the [child[ren]'s] evaluation shall not exceed $ at a rate not to exceed $ per hour. This authorization includes expert testimony should that become necessary; and it is further ORDERED, that the parties submit , Ph.D.'s statement for services to their respective health insurance carriers, such that those carriers will be a primary American LegalNet, Inc. www.USCourtForms.com source of payment for the expert services; and it is further ORDERED, that if it is anticipated that the [child[ren]'s portion of the] evaluation may exceed the maximum limit, then a supplemental request will be made to the Court for additional compensation. ORDERED, that each party execute any and all consents that may be requested by in connection with the evaluation and contact at his/her office telephone number of within five days from the date of granting of this Order to establish initial appointments, and it is further ORDERED, having determined that the interests of justice significantly outweighs the need for confidentiality, that all educational facilities, medical providers including psychologists and psychiatrists, marital counselors, drug, alcohol or substance abuse programs, New York State, County, including County Department of Social Service and subcontracting agencies, and all criminal agencies having records pertaining to or having information about the same provide any and all such records to upon presentation of a photocopy of this Order without specific authorization by the Parties or the said child's parents and it is further ORDERED, each party execute any and all consents that may be requested by the in connection with the evaluation. said Dated: HONORABLE ___________________________ American LegalNet, Inc. www.USCourtForms.com