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IN THE __________ JUDICIAL DISTRICT COURT, _______________________ COUNTY, STATE OF UTAH CHILD CUSTODY _______________________________________ SETTLEMENT CONFERENCE Petitioner REPORT vs. Case No. ________________________ ________________________________________ Judge ___________________________ Respondent Commissioner ____________________ APPOINTED CUSTODY EVALUATOR: _______________________________ DATE OF SETTLEMENT CONFERENCE : ___________________ MINOR CHILD(REN) & DATE(S) OF BIRTH: MOTHER: FATHER: OTHER PARTIES EVALUATED AND RELATIONSHIP TO CHILDREN: (e.g., stepparent, parents partner) GUARDIAN ad LITEM: MOTHERS COUNSEL: FATHERS COUNSEL: CONCLUSIONS: A. Summary of Childrens Needs: These forms and procedures have been approved by the Judicial Council, and the Supreme CAnyou rt. custody evaluation submitted to the court must conform in substance to these forms. >>>> 2 B. Summary of Each Parents and Stepparents Ability and Propensity to Provide for Childrens Needs:( Include parenting skills, impairments, availability, willingness to facilitate childs relationship with other parent, and the unique manner in which each parents skills fit the childrens needs.) C. Rule 4-903 Considerations: 1. Childs preference 2. Benefit of keeping siblings together 3. Relative strength of the childs bond with one or both of the prospective custodians 4. General interest in continuing previously determined custody arrangements where the child is happy and well adjusted 5. Factors relating to the prospective custodians character or status or their capacity or willingness to functioning as parents, including: i. Moral character and emotional stability ii. Duration and depth of desire for custody iii. Ability to provide personal rather than surrogate care iv. Significant impairment of ability to function as a parent through drug abuse, excessive drinking or other causes v. Reasons for having relinquished custody in the past vi. Religious compatibility with the child vii. Kinship, including, in extraordinary circumstances, stepparent status viii. Financial condition ix. Evidence of abuse of the subject child, another child, or spouse 6. Other factors deemed important by the evaluator, the parties, or the court. D. Recommendations: At commissioner or judges discretion, evaluator may issue verbal recommendations concerning the legal or physical custody and parent-time scheduling arrangements. 2