SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE Date: Time: Dept: FOR COURT USE ONLY Petitioner Respondent Evaluator assigned: Case Number Evaluator phone #: Riverside 951-955-6906 Indio 760-863-8162 Temecula 951-600-6428 Hemet 951-288-1915 This matter is set for hearing on at am/pm. Order for Evaluation The court orders a child custody/visitation evaluation to be conducted by the Child Custody Evaluator / Expert designated above, pursuant to Family Code 3111. A PARTIAL Evaluation A FULL Evaluation Partial - including an evaluation per FC 3118 Specific areas of focus include: Custody & parenting time Overnight visitation Substance abuse Domestic violence Child abuse Child neglect Psychiatric illness Supervised visitation Special Needs of the child School related issues Request to move away Other Specific issue description: FC 3111 - new draft Order for Evaluation (111600 050803) 1 of 3 RI-F25 American LegalNet, Inc. www.FormsWorkFlow.com 1 If the assigned Evaluator has not contacted you within ten (10) calendar days, each party is ordered to contact the Mediation/Evaluation Office to make immediate arrangements for the commencement of the evaluation. 2 Each party is ordered to cooperate with the Court Evaluator, and is ordered to complete any directives for the completion of the evaluation. 3 The Evaluator may arrange visits and contact between the parties and the children so as to complete the evaluation, in addition to any contacts ordered by the courts. 4 The evaluation process is to be treated as confidential by the parties and their attorney. Each party is enjoined and restrained from causing or allowing the release of the report. An exception to this order is that the report may be shared with the party's counsel and any retained experts without further court order. 5 Copies of the Evaluation Report shall be transmitted to the Family Conciliation Court, any counsel of record, and any party appearing in pro per at least ten (10) calendar days prior to the next court hearing regarding custody and visitation. 6 The written Evaluation Report shall be received into evidence without foundation, and over any hearsay objection, subject to each party's right to examine the Evaluator, who shall be made available at reasonable times. 7 The parties shall complete a PARENT INFORMATION sheet provided by the Mediation / Evaluation Office, if they have not already done so, and Releases of Information as necessary in the discretion of the Evaluator. 8(a) The rate for an Evaluation is $60.00 per hour. The costs of the evaluation shall be advanced (%) by the Respondent. The as follows: (%) by the Petitioner and Court reserves jurisdiction to further assess or reallocate the costs of the evaluation at further hearings on the matter. 8(b) Both parties are directed to go to the Superior Court Financial Services office forthwith to make payment arrangements based on ability to pay. If any party disagrees with the rate set by the Financial Services Division the party may file a motion for judicial determination of said fees. 9 Violation of any of the provisions herein may be considered by the Court in making custody/visitation orders. 10 Other orders regarding the Family Court 3111 evaluation: FC 3111 - new draft Order for Evaluation (111600 050803) 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Signature Page Order for Evaluation for FC 3111 Case Number: Party's acknowledgement of the Order: Petitioner Respondent Date Attorney for Petitioner Date Attorney for Respondent Date Date IT IS SO ORDERED Dated: Judge/Commissioner of the Superior Court of California FC 3111 - new draft Order for Evaluation (111600 050803) 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com