STATE OF NEW YORK COUNTY OF ; COURT IN THE MATTER OF , PETITIONER, V. , ORDER AUTHORIZING EXPERT SERVICES Docket No. _____ RESPONDENT. Upon appropriate inquiry, it has been found by this Court that the services of (expert’s name) ORDERED that are necessary and proper and it is therefore (expert’s name) is appointed to conduct forensic evaluations of the following child[ren] and parties: NAME and shall submit a report to the Court by RELATIONSHIP , 20 ; 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 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 American LegalNet, Inc. www.FormsWorkFlow.com proportional share of the evaluation on or before , 20 . The child[ren]'s portion of the evaluation shall be paid by the Attorneys for Children Program of the Fourth Department pursuant to Section 35 of the Judiciary Law. The total evaluation shall not exceed $ (cap) 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 Dr. 's 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 ORDERED that (DSS or other agency/hospital/school/expert etc. as appropriate)cooperate in making themselves and their records available to ; and it is (expert’s name) further ORDERED that each party execute any and all consents that may be requested by (expert’s name) in connection with 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.FormsWorkFlow.com