Fill and Sign the Declaration of Private Child Custody Form

     FL-326ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address)FOR COURT USE ONLYTELEPHONE NO.F A X N O . ( O ptio nal) :E-MAIL ADDRESS (Optional):SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS:MAILING ADDRESS:CITY AND ZIP CODE:BRANCH NAME: PETIT IO NER /P LA IN TIF F:R ESPO NDEN T/D EFE N DAN T:DECLARATION OF PRIVATE CHILD CUSTODY EV A LU ATO R R EG ARDIN G Q UALIF IC ATIO NSCASE N UM BER1. I, (name):, d ecla re t h at if I a ppeare d in c o urt a nd w ere s w orn , I w ould t e stif yto t h e t r u th o f t h e f a cts in t h is d ecla ra tio n.2. On (date):, I w as a ppoin te d b y t h e c o urt t o p erfo rm a c h ild c u sto dy e va lu atio n int h is m atte r.3 .I h ave s a tis fie d a ll o f t h e d om estic v io le nce t r a in in g r e quir e m ents f o r a p riv a te c h ild c u sto dy e va lu ato r s e t f o rth in F am ily C ode sectio ns 1 816 a n d 3 110.5 a nd r u le 5 .2 30 o f t h e C alif o rn ia R ule s o f C ourt; a nd4.I h ave s a tis fie d a ll o f t h e e duca tio n , t r a in in g, a nd e xp erie nce r e quir e m ents f o r a p riv a te c h ild c u sto dy e va lu ato r s e t f o rth in r u le 5. 2 25(d )-(f) o f t h e C alif o rn ia R ule s o f C ourt; a nd5 . a .I h ave s a tis fie d t h e lic e nsin g r e quir e m ent f o r a p riv a te c h ild c u sto dy e va lu ato r s e t f o rth in F am ily C ode s e ctio n 3 110.5 (c ) an d r u le 5 .2 25(j) (1 ) o f t h e C alif o rn ia R ule s o f C ourt; o rb.I h ave n ot s a tis fie d t h e lic e nsin g r e quir e m ent f o r a p riv a te c h ild c u sto dy e va lu ato r s e t f o rth in F am ily C ode s e ctio n 3110.5 (c ) a nd r u le 5 .2 250)(1 ) o f t h e C alif o rn ia R ule s o f C ourt, b ut I a m e lig ib le t o p erfo rm a c h ild c u sto dy e va lu atio n in th is c a se u nder F am ily C ode s e ctio n 3 110.5 (d ) a nd r u le 5 .2 250)(2 ) o f t h e C alif o rn ia R ule s o f C ourt b eca use :(1 ) T he c o urt h as d ete rm in ed t h ere a re n o e va lu ato rs m eetin g t h e c rit e ria o f F am ily C ode s e ctio n 3 110.5 (c ) w ho a re willin g a nd a va ila ble , w it h in a r e aso nable p erio d o f t im e, t o p erfo rm c h ild c u sto dy e va lu atio ns; a nd(2 ) T he p artie s h ave s tip ula te d t o , a nd t h e c o urt h as a ppro ve d, h avin g t h e e va lu atio n d one b y a n in div id ual w ho d oes n ot satis fy t h e lic e nsin g c rit e ria s e t f o rth in F am ily C ode s e ctio n 3 110.5 (c ).I d ecla re u nder p e nalt y o f p erju ry u nder t h e la w s o f t h e S ta te o f C alif o rn ia t h at t h e f o re goin g is t r u e a nd c o rre ct.D ate :(T Y PE O R P R IN T N AM E)(S IG NATU RE O F D EC LA R AN T)Pagel of 1Form A dopte d fo r M andato ry U se Ju dic ia l C ouncil o f C alif o rn ia FL -3 26 [R ev. J a nuary 1 , 2 005]DECLARATION OF PRIVATE CHILD CUSTODY EVALUATOR REGARDING QUALIFICATIONSFam ily C ode , § § 1 816; 3 1 10.5C al. R ule s o f C ourt, r u le s 5 .2 25, 5 .2 30ele ctr o nic f o rm  2 005 WWW.LawCA.com La w P ublis h ers