COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Index No. Calendar No. IN THE __________ JUDICIAL DISTRICT COURT, : JUDICIAL Plaintiff(s) _______________________ COUNTY, STATE OF UTAH SUBPOENA -against- : : TABLE OF CONTENTS CHILD CUSTODY EVALUATION* _______________________________________ Petitioner : Case No. ________________________ : vs.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Defendant(s) . . . . . . . .. .......... Judge ___________________________ _______________________________________ Respondent Commissioner ____________________ THE PEOPLE OF THE STATE OF NEW YORK TO APPOINTED CUSTODY EVALUATOR: _______________________________ GREETINGS: DATE OF SETTLEMENT CONFERENCE: ______________________________ of you attend before WE COMMAND YOU, that all business and excuses being laid aside, you and each , the Honorable at the Court DATE REPORT PERFORMED: _______________________________________ located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed MINOR CHILD(REN) & DATE(S) OF BIRTH: ___________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the ___________________________________________________________________ Your failure to comply with this subpoena is punishable as a contempt of court and MOTHER: _________________________________________________________ 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 of your failure to comply. FATHER: __________________________________________________________ Witness, Honorable , one of the Justices of the OTHER PARTIES EVALUATED AND RELATIONSHIP TO CHILDREN: Court in(e.g., stepparent, parent's partner) County, day of , 20 ___________________________________________________________________ (Attorney must sign above and type name below) GUARDIAN ad LITEM: ______________________________________________ Attorney(s) for MOTHER'S COUNSEL: ______________________________________________ FATHER'S COUNSEL: _______________________________________________ Office and P.O. Address * Telephone Supreme Court. Any custody These forms and procedures have been approved by the Judicial Council, and the No.: Facsimile evaluation submitted to the court must conform in substance to these forms. No.: 1 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : : CONCLUSIONS: Plaintiff(s) Calendar No. JUDICIAL SUBPOENA Page and paragraph A. Summary of Children's Needs: . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . -against: B. Summary of Each Parent's and Stepparent's Ability and Propensity to Provide for these Children's Needs: (Include parenting skills, impairments, :availability, willingness to facilitate child's relationship with other parent, and the unique Defendant(s) : . . . . manner . . .which each. parent's .skills . . .the. children's. needs.) . . . . . . . . . . . . . . . in . . . . . . . . . . . . . . . . . . . . fit . . . . . . . . . . . . . C. Suggested Custody Arrangements (Legal and Physical): . . . . . . . . . . . . . THE PEOPLE OF THE STATE OF NEW YORK . . . . . . . . . . . . . . . . . . . . . . . . D. Suggested Parent-Time Arrangements: . TO (State if standard; provide page numbers if non-standard) GREETINGS: E. Rule WE COMMAND YOU, . . . .all. business .and.excuses. being .laid.aside, .you and each of you attend before 4-903 Considerations: that . . . . . . . . . . . . . . . . . . . . . . . . . (place all of these together in report and indicate the numbers )Court , the Honorable at page located at County of F. room Special Considerations: day of in , on the , 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 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 BACKGROUND: result of your failure to comply. A. Mediation or Resolution Attempted? Witness, Honorable Court in County, Yes day of , 20 B. Temporary Custody and Parent-Time Arrangement: No , one of the Justices of the state briefly (Attorney must sign above and type name below) C. Current Living Arrangement: (who else lives in each home?) (state briefly or provide page and paragraph numbers) ...... Attorney(s) for D. Each Parent's Perception of Custody Issues . . . . . . . . . . . . . . . . . . . . . . EVALUATOR'S PROCEDURES: A. Interviews of Adults and Children: . . . . . . . . . . . . . . . .Office .and.P.O. .Address .... .. ... .. B. Home Visits and Other Observation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . C. Psychological Testing: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . D. Collateral Contacts: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .No.: . . . Telephone . . . E. Documents and Other Material Reviewed: . . . . . . . . .Facsimile. No.:. . . . . ...... ... 2 E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com