court_form | California
FL-325 - Declaration of Court-connected Child Custody Evaluator Regarding Qualifications
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Declaration of Court-connected Child Custody Evaluator Regarding Qualifications
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Form ID: FL-325 Title: Declaration of Court-connected Child Custody Evaluator Regarding Qualifications Effective Date: 2020-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-325 Primary Download URL: https://www.courts.ca.gov/documents/fl325.pdf Form Detail Page: Declaration of Court-connected Child Custody Evaluator Regarding Qualifications (FL-325) Tells you and the court that the person is a court employee who is eligible to be appointed to as a child custody evaluator. This is used to list the employee's specific qualifications before the court orders the appointment. Get form FL-325 Effective: January 1, 2020 PDF Text: 1. I, (name): , declare that if I appeared in court and were sworn, I would testify to the truth of the facts in this declaration. a. 7. I have completed Form Adopted for Mandatory Use Judicial Council of California FL-325 [Rev. Jan. 1, 2020] DECLARATION OF COURT-CONNECTED CHILD CUSTODY EVALUATOR REGARDING QUALIFICATIONS Family Code, §§ 1816, 3110.5; Cal. Rules of Court, rules 5.225, 5.230 www.courts.ca.gov Page 1 of 2 I am licensed as a psychologist, marriage and family therapist, clinical social worker, or professional clinical counselor qualified to assess couples and families; or I am not licensed, but I am eligible to be certified by the court to perform court-connected child custody evaluations under Family Code section 3110.5(c)(5) and rule 5.225(c)(2)(A) because a. b. I meet the requirements for a court-connected child custody evaluator under rule 5.225(j); and I am not licensed or eligible for certification as indicated in item 4 or 5. I request that the court certify that I meet all the requirements for a court-connected evaluator under rule 5.225. (1) (2) NOTICE: If item 6 is checked, the court may not appoint the person to perform a child custody evaluation in this case unless, under Family Code section 3110.5(d) and rule 5.225(c)(2)(B), all the following criteria have been met: The court determined that there are no licensed or certified evaluators who are willing and available, within a reasonable period of time, to perform child custody evaluations; (1) EVALUATOR (name and address): TELEPHONE NO.: FAX NO.: E-MAIL ADDRESS (optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: DECLARATION OF COURT-CONNECTED CHILD CUSTODY EVALUATOR REGARDING QUALIFICATIONS FOR COURT USE ONLY FL-325 2. As of (date): , I am a court-connected child custody evaluator or a person who supervises court- connected child custody evaluators for the above court. 3. I submit this form to indicate compliance with all applicable requirements for a court-connected child custody evaluator under rule 5.225 of the California Rules of Court for (specify year): . LICENSING REQUIREMENTS 4. b. I am licensed as a physician and I am a board-certified psychiatrist, or I have completed a residency in psychiatry; or 5. I am being supervised by a court-connected child custody evaluator who has complied with all the requirements for court-connected child custody evaluators under rule 5.225; and 6. The parties have stipulated that the person may conduct the child custody evaluation; and (2) The court approves the person's appointment.(3) EDUCATION AND TRAINING REQUIREMENTS the basic and advanced domestic violence training requirements for a court-connected child custody evaluator under rule 5.225(e); and a. b. the 40 hours of education and training requirements for a court-connected evaluator under rule 5.225(d); or at least 20 of the 40 hours of the education and training requirements for a court-connected evaluator. I will complete the remaining hours of education and training required by rule 5.225(d) within 12 months of conducting my first evaluation as a court-connected child custody evaluator. c. CONTINUING EDUCATION AND TRAINING REQUIREMENTS I have recently completed the initial education and training in item 7. I must complete the continuing education and training requirements of rule 5.225(i) by (specify date): (within 18 months after completing the initial education and training described in items 7a and 7b). a.8. (SIGNATURE OF DECLARANT) FL-325 [Rev. Jan. 1, 2020] DECLARATION OF COURT-CONNECTED CHILD CUSTODY EVALUATOR REGARDING QUALIFICATIONS Page 2 of 2 Date: FL-325 EVALUATOR'S NAME: (TYPE OR PRINT NAME) I have completed the continuing education and training requirements within the 12-month period immediately preceding the date I signed this declaration, as follows: b.8. (1) 8 hours of update training requirements covering the subjects described in rule 5.225(d) (2) 4 hours of domestic violence update training under rule 5.230 I have complied with the experience requirements for a court-connected child custody evaluator specified in rule 5.225(g) because I participated in the completion of four court-appointed child custody evaluations in the preceding three years as follows: 9. a. I independently conducted and completed the child custody evaluations as stated in rule 5.225(g)(1)(A); or b. I materially assisted another evaluator as stated in rule 5.225(g)(1)(B). I have complied with the experience requirements for those who supervise court-connected child custody evaluators because I conducted or materially assisted in the completion of four court-connected child custody evaluations in the preceding three years as stated in rule 5.225(g)(3). 10. I have not complied with the experience requirements for child custody evaluators stated in rule 5.225(g)(1).11. NOTICE: If item 11 is checked, the court may not appoint a court-connected evaluator to perform a child custody evaluation unless, under rule 5.225(g)(2), all the following criteria have been met: The court determined that there are no child custody evaluators who meet the experience requirements for child custody evaluators who are willing and available, within a reasonable period of time, to perform child custody evaluations; (1) The parties have stipulated that the person may conduct the evaluation; and (2) The court approves the person's appointment.(3) USE OF INTERNS I intend to use interns to assist with the child custody evaluation in the manner disclosed and agreed to by the parties and attorneys in the case. Each intern will have complied with the criteria of rule 5.225(m) and will work under my supervision at all times. 12. NOTICE All court-connected child custody evaluators must submit this form to the court executive officer or his or her designee. Court-connected child custody evaluators appointed as of January 1 of a given year must submit this form by January 30 of that year. Court-connected evaluators beginning practice after January 1 must submit this form before beginning any work on the first child custody evaluation and by January 30 of every year thereafter. (Cal. Rules of Court, rule 5.225(l)(1)(A).) I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. CERTIFICATION BASED ON THE FOREGOING, THE COURT CERTIFIES THAT THE ABOVE PERSON IS A COURT-CONNECTED CHILD CUSTODY EVALUATOR WHO MEETS ALL THE QUALIFICATIONS FOR COURT-CONNECTED EVALUATORS AS SPECIFIED BY THE JUDICIAL COUNCIL IN RULE 5.225 OF THE CALIFORNIA RULES OF COURT. Date: JUDGE COMMISSIONER
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Form ID: FL-325 Title: Declaration of Court-connected Child Custody Evaluator Regarding Qualifications Effective Date: 2020-01-01 Mandatory Form: yes Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-325 Primary Download URL: https://www.courts.ca.gov/documents/fl325.pdf Form Detail Page: Declaration of Cou…
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DECLARATION OF COURT-CONNECTED CHILD CUSTODY EVALUATOR REGARDING QUALIFICATIONS FOR COURT USE ONLY FL-325 2. As of (date): , I am a court-connected child custody evaluator or a person who supervises court- connected child custody evaluators for the above cour…
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(1) 8 hours of update training requirements covering the subjects described in rule 5.225(d) (2) 4 hours of domestic violence update training under rule 5.230 I have complied with the experience requirements for a court-connected child custody evaluator specified in rule 5.225(g) because I participated in the compl…
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CERTIFICATION BASED ON THE FOREGOING, THE COURT CERTIFIES THAT THE ABOVE PERSON IS A COURT-CONNECTED CHILD CUSTODY EVALUATOR WHO MEETS ALL THE QUALIFICATIONS FOR COURT-CONNECTED EVALUATORS AS SPECIFIED BY THE JUDICIAL COUNCIL IN RULE 5.225 OF THE CALIFORNIA RULES OF COURT. Date: JUDGE COMMISSIONER