ATTACHMENT FM-1056 ADDENDUM TO JUDICIAL COUNCIL FORM FL-327 ­ FAMILY COURT SERVICES CASE NUMBER: ORDER APPOINTING CHILD CUSTODY EVALUATOR (Family Court Services) DEPARTMENT NUMBER: FCS NUMBER: THIS IS A COURT ORDER FOR A CHILD CUSTODY/VISITATION EVALUATION. 1. EVALUATION RECOMMENDATIONS: The recommendations resulting from the evaluation shall address the issues checked below: a. b. c. d. e. f. g. Legal Custody, may include division of authority for decision making Physical Custody Visitation Whether visitation shall be supervised, and, if so, by what type of program and for how long Exchange provisions designed to protect the child from exposure to extreme conflict or domestic violence, and to protect the safety of all of the parties Move-away issues Whether either party shall be required to attend counseling, rehabilitation, parenting or co-parenting programs, substance abuse counseling, domestic violence programs, and, if so, which programs, and for how long Whether it is in the following child's best interests to address the Court under California Rule of Court Rule 5.250(C)(3) A - E: (Name(s)): What are the preferences, if any, of the child regarding custody or visitation: (Name(s)): Other: Other recommendations related to any of the above issues necessary for clarification or implementation of the recommended order, or otherwise required to address the health, safety, welfare, and best interests of the child. h. i. j. k. 2. OTHER ORDERS: Both parties shall comply with the ADDITIONAL ORDERS below and on page 2 attached. IT IS SO ORDERED: DATE OF FIRST EVALUATION APPOINTMENT You are obligated to notify the Family Court Services, Calendar Office at 408534-5710, to vacate the Custody Settlement Conference, if you settle. DATE/TIME OF CUSTODY SETTLEMENT CONFERENCE (90 ­ 100 Days from the date of first evaluation appointment) DATE: JUDICIAL OFFICER NOTES/COMMENTS: FM-1056 REV 7/01/12 ADDENDUM TO JUDICIAL COUNCIL FORM FL-327 FAMILY COURT SERVICES Page 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com ATTACHMENT FM-1056 ADDENDUM TO JUDICIAL COUNCIL FORM FL-327 ­ FAMILY COURT SERVICES CASE NUMBER: ORDER APPOINTING CHILD CUSTODY EVALUATOR (Family Court Services) ADDITIONAL ORDERS 3. APPOINTMENTS AND DOCUMENTATION a. DEPARTMENT NUMBER: FCS NUMBER: b. c. d. e. 4. If an appointment is not made upon the issuance of this Order, each party shall contact Family Court Services (FCS) no later than five court days from the filing of this order to schedule an appointment. Fee deposits or the documentation required for requesting modification of FCS fees must be submitted to FCS within five court days from the filing of this court order. When requests for modification of FCS fees have been submitted, fee deposits required by the subsequent Order on Application for Modification of Court Fees Re Custody or Visitation Investigation shall be paid as set forth in the Order. The parties shall appear at Family Court Services for all appointments set for them by the evaluator. Attorneys are required to attend the first appointment with the Evaluator. The parents shall insure that the children appear at all appointment times set for the children by the evaluator. The attorneys for the parties shall attend any additional appointments that are set for them by the evaluator. Upon request, the parties shall provide the evaluator with the names, addresses, and telephone numbers for all individuals involved with the care, day care, medical, dental, or mental health treatment, and education of the children. Both parties shall provide copies of documents requested by the evaluator in a prompt and timely manner. Any documents provided by a party or counsel to the FCS evaluator shall be provided, in accordance with the local rules, to the other party and counsel at the same time and in the same manner. If either party or FCS contends that a party is unduly delaying the evaluation process, a party or FCS may place the matter on the next Case Management Conference calendar for review. The parties shall be charged for any custody/visitation evaluation services, consistent with their ability to pay. EVALUATOR DUTIES, AUTHORITY, AND ACCESS TO INFORMATION a. The evaluator shall adhere to the requirements of California Rules of Court Rule 5.220, court-ordered child custody evaluations, Rule 5.225, education, experience, and training standards for court-appointed child custody investigators and evaluators, Rule 5.230, domestic violence training for court-appointed child custody investigators and evaluators, and Rule 2 of the Superior Court of California, County of Santa Clara Local Family Rules. The evaluator shall have the authority to conduct home visits at his/her discretion. The evaluator shall, at her/his discretion, have access to the children's medical, dental, mental health, and other health care records, school and educational records, and the right to interview school personnel, caretakers, health care providers, mental health professionals, and others who have assessed the children or provided care to the children. Each party shall sign releases for such information as requested by the evaluator. The evaluator shall have access to any and all reports, test results, and other documents relating to the children from third parties, for example, but not limited to: mental health professionals, school personnel, Child Protective Services workers, medical and dental care providers, and day care providers. Each party shall sign releases for such information as requested by the evaluator. In the event that either party fails or refuses to sign releases required by the evaluator, the issue shall be set on the Law and Motion calendar of the All Purpose Judge for a hearing on the appropriateness of the refusal and for issuance of applicable orders regarding the records requested. The evaluator shall have the authority to contact any previously court appointed custody/visitation evaluator or assessor who shall have the authority to release case related information to the evaluator ADDENDUM TO JUDICIAL COUNCIL FORM FL-327 FAMILY COURT SERVICES Page 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com b. c. d. e. FM-1056 REV 7/01/12 ATTACHMENT FM-1056 ADDENDUM TO JUDICIAL COUNCIL FORM FL-327 ­ FAMILY COURT SERVICES CASE NUMBER: ORDER APPOINTING CHILD CUSTODY EVALUATOR (Family Court Services) DEPARTMENT NUMBER: FCS NUMBER: f. g. h. appointed by this order. Contact with any previously appointed Special Master shall be as