court_form | California
FL-329 - Confidential Child Custody Evaluation Report
Summary
Confidential Child Custody Evaluation Report
Text
Form ID: FL-329
Title: Confidential Child Custody Evaluation Report
Effective Date: 2022-09-22
Mandatory Form: yes
Languages: español
Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-329
Primary Download URL: https://www.courts.ca.gov/documents/fl329.pdf
Alternate Download URLs: https://www.courts.ca.gov/documents/fl329s.pdf
Form Detail Page:
Confidential Child Custody Evaluation Report
(FL-329)
Gives the parents and the court a summary of the child custody evaluator’s investigations, interviews, and recommendations about the needs and safety of the child in a case involving serious allegations of child sexual abuse or child abuse.
Get form FL-329
español
Get form FL-329 in Spanish
(Spanish)
Effective: September 22, 2022
PDF Text:
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
Form Adopted for Mandatory Use
Judicial Council of California
FL-329 [Rev. September 22, 2022]
Page 1 of 8
Family Code, §§ 3118, 3150;
Cal. Rules of Court, rules 5.220, 5.242
FL-329
EVALUATOR: LICENSE NO. (if applicable):
NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
EMAIL ADDRESS:
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
FOR COURT USE ONLY
CONFIDENTIAL
CASE NUMBER:
NOTICE
This child custody evaluation report is private and confidential. It must NOT become part of the public court file.
At least 10 days before any hearing regarding custody of
the child, the evaluator must file the report with the clerk
of the court and serve it on the parties or their attorneys
and the attorney appointed for the child.
The report may not be made available to anyone other
than the parties or their attorneys, the attorney
appointed for the child, and the court.
}
}
TOTAL NUMBER OF PAGES OF THE REPORT (specify):
(Include in the total the cover page and all attachments.)
Attachments are confidential and must NOT be filed or served separately from the report.
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
FL-329 [Rev. September 22, 2022]
FL-329
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CASE NUMBER:
1. The Order Appointing Child Custody Evaluator (form FL-327) filed on (date) is attached (see Attachment 1).
2. The names and dates of birth of each child are (specify): Additional children are listed on Attachment 2.
Child's name Date of birth
3. Dependency court orders
a. There are no dependency court orders that might affect child custody.
b. There are dependency court orders that might affect child custody, as follows: See Attachment 3b(1).
(1) Court (county, state) Case number Date order filed
(2) Any dependency court orders or findings that might have a bearing on the child custody dispute in family court are
summarized (specify): Below: See Attachment 3b(2).
4. Summary of child welfare agency investigations and recommendations
a. The children listed in item 2 and the children's parents are or have been the subject of a child abuse investigation (specify):
Yes No (Skip b through f; go to item 5.)
b. I consulted with the agencies providing child welfare services about the serious allegation of child sexual abuse or the
allegation of child abuse, reviewed the child welfare agencies' files, and obtained recommendations from social workers
about each child's safety and need for protection. (You must not photocopy any document contained in the child welfare
services agency file.)
The status or disposition of the investigation about the safety of each child is (specify):c. Below: See Attachment 4c.
Page 2 of 8
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
FL-329 [Rev. September 22, 2022]
FL-329
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CASE NUMBER:
d. The contact information for each social worker is (specify): See Attachment 4d.
Name:
Telephone No.:
Mailing Address:
City and Zip Code:
Email address:
Name:
Telephone No.:
Mailing Address:
City and Zip Code:
Email address:
e. A summary of all child welfare agency investigations about the safety of each child (including statements made by each child
and the parents, information about child abuse, domestic violence, or substance abuse, and recommendations made or
anticipated to be made regarding safety of each child) are (specify): Below: See Attachment 4e.
f. Recommendations made or anticipated to be made by each social worker to the juvenile court about the safety and need for
protection of each child are (specify): Not applicable to this case. Below: See Attachment 4f.
5. Summary of law enforcement investigation and recommendations
a. I consulted with law enforcement about the serious allegation of child sexual abuse or the allegation of child abuse and obtained
recommendations from these professionals about each child's safety and need for protection.
b. Recommendations from each law enforcement professional about each child's safety and need for protection are summarized
(specify): Below: See Attachment 5b.
including information about child abuse, domestic
violence, or substance abuse.
c. I obtained from a law enforcement investigator all available information obtained from criminal background checks of (specify):
the parents any suspected perpetrator that is not a parent
A summary of the information obtained from each law enforcement investigator is (specify): d. Below: See Attachment 5d.
Page 3 of 8
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
FL-329 [Rev. September 22, 2022]
FL-329
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CASE NUMBER:
6. Multidisciplinary and forensic examinations; interview of the child
a. Multidisciplinary interview team (MDIT) interviews
(1) I reviewed the results of the MDIT interview.
(2) I requested an MDIT interview because (select one):
(a) There was no MDIT interview of the child.
(b) I believe that the MDIT interview was inadequate for purposes of this investigation.
(3) I interviewed each child because (select one):
(a) There was no MDIT interview of the child.
(b) I believe that the MDIT interview was inadequate for purposes of this investigation.
(4) Whenever possible, I avoided repeated interviews of the child.
(5) A summary of interview of each child is:the MDIT my Below: See Attachment 6a(5).
(6) Written documentation of the MDIT my interview of each child is attached (see Attachment 6a(6)).
(7) I obtained information about the presence of domestic violence or substance abuse in the family from (specify):
the MDIT interview my interview with each child. A summary of the information is (specify):
Below: See Attachment 6a(7).
b. Forensic examination of the child
(1) I reviewed the forensic medical examinations of each child.
(2) No forensic medical examination of the child or children was conducted, and (select (a) or (b)):
(a) I requested a forensic medical examination of each child.
(b) I did not request a forensic medication examination. The examination is not needed because (explain):
Below: See Attachment 6b(2)(b).
(3) A summary of the forensic medical examination of each child is (specify): Below: See Attachment 6b(3).
Page 4 of 8
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
FL-329 [Rev. September 22, 2022]
FL-329
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CASE NUMBER:
(4) I obtained information about the presence of domestic violence or substance abuse in the family from this source.
A summary of the information is (specify): Below: See Attachment 6b(4).
(5) A copy of all written forensic medical reports is included with this report. See Attachment 6b(5).
b. Prior or currently treating therapists
I interviewed each child's (1) prior therapistcurrent therapist treating for suspected child abuse.
A summary of each interview (excluding any privileged communication) is Below: See Attachment 7b(1).
(2) I reviewed I obtained written reports from therapists treating each child for suspected child abuse.
A summary of each report (excluding any privileged communication) is: Below: See Attachment 7b(2).
7. Documentation of other material interviews; relevant background material
a. I interviewed the parents.
(1) A summary of each interview is (specify): Below: See Attachment 7a(1).
(2) Written documentation of each interview is attached (see Attachment 7a(2)).
(3) I obtained information about the presence of domestic violence or substance abuse in the family from this source.
A summary of the information is (specify): Below: see Attachment 7a(3).
Page 5 of 8
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
FL-329 [Rev. September 22, 2022]
FL-329
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CASE NUMBER:
(3) All written reports from the therapists (excluding privileged communication) are attached (see Attachment 7b(3).)
(4) I obtained information about the presence of domestic violence or substance abuse in the family from this source.
A summary (excluding privileged communication) is (specify): Below: See Attachment 7b(4).
c. Medical personnel; other medical examinations
(1) I interviewed other medical personnel who provided relevant information (specify in summary).
all written results from other medical examinations or treatments that could
help establish or disprove whether each child has been the victim of sexual abuse or other child abuse under
Family Code section 3118.
(2) I reviewed I obtained
(3) A summary of each interview examination result is: Below: See Attachment 7c(3).
(4) All written reports from the above medical examinations are attached (see Attachment 7c(4)).
(5) I obtained information about the presence of domestic violence or substance abuse in the family from this source.
A summary of the information is (specify): Below: See Attachment 7c(5).
d. Other professionals
(1) I interviewed other professionals who provided relevant information (specify in summary).
all written results from other professionals that could help establish or disprove
whether the child has been the victim of sexual abuse or other child abuse under Family Code section 3118.
(2) I reviewed I obtained
(3) A summary of each interview examination result is: Below: See Attachment 7d(3).
(4) All written reports from other professionals are attached (see Attachment 7d(4)).
Page 6 of 8
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
FL-329 [Rev. September 22, 2022]
FL-329
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CASE NUMBER:
e. Other witnesses
(1) I interviewed other witnesses who provided relevant information (specify in summary).
(2) A summary of each interview is (specify): Below: See Attachment 7e(2).
(3) Written documentation of each witness interviewed is attached (see Attachment 7e(3)).
(4) I obtained information about the presence of domestic violence or substance abuse in the family from these sources.
A summary of the information is (specify): Below: See Attachment 7e(4).
(5) I obtained information about the presence of domestic violence or substance abuse in the family from these sources.
A summary of the information is (specify): Below: See Attachment 7d(5).
8. Victims of Crime Program
List which, if any, family members are known to have been deemed eligible for assistance from the Victims of Crime Program
due to child abuse or domestic violence (specify): Below: See Attachment 8.
9. Limitations in the evaluation
Describe any limitations in the evaluation that result from unobtainable information, failure of a party to cooperate, or the
circumstances of particular interviews. Below: See Attachment 9.
Page 7 of 8
CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT
UNDER FAMILY CODE SECTION 3118
Page 8 of 8FL-329 [Rev. September 22, 2022]
FL-329
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT/PARTY:
CASE NUMBER:
10.Other
Additional information that I believe would be helpful to the court in determining the best interests of the child under Family Code
section 3011 (specify): Below: See Attachment 10.
11. My recommendations regarding the therapeutic needs of each child and how to ensure the safety of each child are (specify):
Below: See Attachment 11.
12. Summary of procedures
I have summarized the data-gathering procedures, information sources, and time spent, and present all relevant information,
including information that does not support the conclusions reached. Below: See Attachment 12.
13. Number of pages attached:
Date:
(NAME OF EVALUATOR)
SIGNATURE OF EVALUATOR
Retrieval chunks
-
#1
Form ID: FL-329 Title: Confidential Child Custody Evaluation Report Effective Date: 2022-09-22 Mandatory Form: yes Languages: español Info Page: https://selfhelp.courts.ca.gov/jcc-form/FL-329 Primary Download URL: https://www.courts.ca.gov/documents/fl329.pdf Alternate Download URLs: https://www.courts.ca.gov/d…
-
#2
2. The names and dates of birth of each child are (specify): Additional children are listed on Attachment 2. Child's name Date of birth 3. Dependency court orders a. There are no dependency court orders that might affect child custody. b. There are dependency court orders that might affect child custody, as follo…
-
#3
a. I consulted with law enforcement about the serious allegation of child sexual abuse or the allegation of child abuse and obtained recommendations from these professionals about each child's safety and need for protection. b. Recommendations from each law enforcement professional about each child's safety and need…
-
#4
Below: See Attachment 6b(2)(b). (3) A summary of the forensic medical examination of each child is (specify): Below: See Attachment 6b(3). Page 4 of 8 CONFIDENTIAL CHILD CUSTODY EVALUATION REPORT UNDER FAMILY CODE SECTION 3118 FL-329 [Rev. September 22, 2022] FL-329 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: …
-
#5
help establish or disprove whether each child has been the victim of sexual abuse or other child abuse under Family Code section 3118. (2) I reviewed I obtained (3) A summary of each interview examination result is: Below: See Attachment 7c(3). (4) All written reports from the above medical examinations are attac…
-
#6
Page 8 of 8FL-329 [Rev. September 22, 2022] FL-329 PETITIONER/PLAINTIFF: RESPONDENT/DEFENDANT: OTHER PARENT/PARTY: CASE NUMBER: 10.Other Additional information that I believe would be helpful to the court in determining the best interests of the child under Family Code section 3011 (specify): Below: See Attach…