STATE OF NEW YORK COUNTY OF IN THE MATTER ; COURT OF , PETITIONER, ORDER AUTHORIZING EXPERT SERVICES Docket No. V. , RESPONDENT. Upon appropriate inquiry, it has been found by that the services of this Court are necessary (expert’s name) and proper and it is therefore ORDERED that is appointed to conduct (expert’s name) forensic evaluations of the following child[ren] and parties: NAME RELATIONSHIP ___________________________________ _____________________ ___________________________________ _____________________ ___________________________________ _____________________ ___________________________________ _____________________ ___________________________________ _____________________ , 20 and shall submit a report to the Court by ; and it is further ORDERED that compensation for the forensic evaluations and any court appearances shall be paid proportionately to the ratio 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 American LegalNet, Inc. www.USCourtForms.com Article 18-B, Section 722-C of the County Law. party does not have assigned counsel, the adult If the adult party shall compensate the expert for his or her proportional share of the evaluation on or before _______________, 20___. The child[ren]’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 total 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 's ORDERED that the parties submit Dr. statement for services to their respective health insurance carriers, such that those carriers will be a primary source of payment for the expert services; and it is further DSS ORDERED that _____________________________________ other agency, hospital, school, expert, etc. cooperate in making themselves and their records available to ; and it is further (expert’s name) ORDERED that each party execute any and all consents that may be requested by in connection with (expert’s name) the evaluation; and it is further ORDERED that if it is anticipated that the evaluation may exceed the maximum limit, then a supplemental request will be made to the Court for additional compensation. Dated: Honorable______________________________ American LegalNet, Inc. www.USCourtForms.com