COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) Calendar No. JUDICIAL SUBPOENA IN THE __________ JUDICIAL DISTRICT COURT, -against_______________________ COUNTY, :STATE OF UTAH : _______________________________________ Petitioner Defendant(s) CHILD CUSTODY : SETTLEMENT CONFERENCE REPORT* : ...................................................... vs. Case No. ________________________ ________________________________________ THE PEOPLE OF THE STATE OF NEW YORK Respondent Judge ___________________________ TO Commissioner ____________________ GREETINGS: APPOINTED CUSTODY EVALUATOR: _______________________________ WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable SETTLEMENT CONFERENCE: ___________________ at the Court DATE OF located at County of in room , on the day of , 20 o'clock in the noon, and at any recessed MINOR CHILD(REN) & DATE(S) OF BIRTH: , at or adjourned date, to testify and give evidence as a witness in this action on the part of the MOTHER: FATHER: Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result OTHER PARTIES EVALUATED AND RELATIONSHIP TO CHILDREN: of your failure to comply. (e.g., stepparent, parent's partner) Witness, Honorable Court in County, , one of the Justices of the day of , 20 GUARDIAN ad LITEM: MOTHER'S COUNSEL: FATHER'S COUNSEL: (Attorney must sign above and type name below) Attorney(s) for CONCLUSIONS: A. Summary of Children's Needs: Office and P.O. Address * Telephone No.: These forms and procedures have been approved by the Judicial Council, and the Supreme Court. Any Facsimile No.: custody evaluation submitted to the court must conform in substance to these forms. E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : Plaintiff(s) Calendar No. JUDICIAL SUBPOENA B. Summary of Each Parent's and Stepparent's Ability and Propensity to Provide for -against: Children's Needs: (Include parenting skills, impairments, availability, willingness to facilitate child's relationship with other parent, and the unique manner in : which each parent's skills fit the children's needs.) C. Rule 4-903 Considerations: : Defendant(s) : . . . . . . . . 1. . .Child's. preference . . . . . . . . . . . . . . . . . . . . . . . . . . . .. ..... ......... 2. Benefit of keeping siblings together THE PEOPLE OF THE STATE OF NEW YORK 3. Relative strength of the child's bond with one or both of the prospective custodians TO 4. General interest in continuing previously determined custody arrangements where the child is happy and well adjusted GREETINGS: 5. Factors relating to the prospective custodians' character or status or their capacity WE or willingness to functioning as parents, including: laid aside, you and each of you attend before COMMAND YOU, that all business and excuses being , the Honorable at the Court located at County of i. Moral character and emotional stability in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the ii. Duration and depth of desire for custody iii. Ability to provide personal rather than surrogate care Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a to functionpenalty of $50 and all drug iv. Significant impairment of ability maximum as a parent through damages sustained as a result of your failure to comply. abuse, excessive drinking or other causes Witness, Honorable for having relinquished custody in the pastone of the Justices of the , v. Reasons Court in County, day of , 20 vi. Religious compatibility with the child vii. Kinship, including, in extraordinary circumstances, stepparenttype name below) (Attorney must sign above and status viii. Financial condition ix. Evidence of abuse of the subject child, another child, or spouse Attorney(s) for 6. Other factors deemed important by the evaluator, the parties, or the court. D. Office and P.O. Address Recommendations: At commissioner or judge’s discretion, evaluator may issue verbal recommendations concerning the legal or physical custody and parent-time scheduling arrangements. 2 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com