6/14GuardianadLitemPretrialProceedingActivitiesList(domesticcases)1. Iwasappointedastheguardianadlitemforthechild/childrenofthepartieson,20.2. ThefollowingisalistoftheactivitiesthatIhavecarriedoutinconnectionwiththiscasesinceMyAppointmentMyLastReport.Checkallthatapply Metwiththefollowingchild/renwhois/arethesubjectofthiscase:NameofChildDateofMeeting Metwith/spoketotheparentsorguardianofthechild/children: Mother Father Otherparent LegalGuardian Observedchild/renwithparent Mother Father Otherparent LegalGuardianSTATEOFVERMONTSUPERIORCOURTFAMILYDIVISIONUnitDocketNo.v. American LegalNet, Inc. www.FormsWorkFlow.com 6/14 Servedasacontactbetweenparent(s)andchild/ren Metwith/spoketothefollowingrelativesorthosewithsignificantrelationshipwithchild/ren Grandmother(paternal) Grandfather(paternal) Grandmother(maternal) Grandmother(maternal) Aunt/Uncle OtherSignificantRelationship Otherrelative Metwithorspoketoschool/daycarepersonnel:(releasesobtained) Classroomteacher SpecialEducationTeacher SpecialEducationTeam/IEP Counselor/MentalHealthProfessional SchoolNurse Administrator DaycareProvider MetwithorspoketoChild222sHealth/Medical/MentalHealthProfessionals(releasesbtained) Pediatrician MentalHealthProfessional Other MetwithorspoketoParent222s/LegalGuardian222sHealth/Medical/MentalHealthProfessionals(releasesobtained) Doctor MentalHealthProfessional Other American LegalNet, Inc. www.FormsWorkFlow.com 6/14 ReviewedRecords CourtRecords(includingreportssuchasforensicevaluationorhomestudy) MedicalRecords EducationalRecords Other RequestedAppointmentofAttorneyforChild/renpursuanttoVRFP7(e)(6) Performedthefollowingotherdutiesonbehalfofthechild/renasdirectedbytheCourt.Describeotherdutiesbelow. Respectfullysubmitted:DatedSignature PrintedName cc:PlaintifforattorneyforplaintiffDefendantorattorneyfordefendant American LegalNet, Inc. www.FormsWorkFlow.com