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CASA Contested Legal Custody Report Form to the Court

  1. Insert Case JC# (from the Complaint).

  2. Case Status: Adjudicated

  3. Use your CASA/GAL name.

  4. Choose one*

  5. Add a 2nd CASA/GAL

  6. Choose one

  7. Enter first and last name of the child.

  8. Add a 2nd child

  9. Add a 3rd child

  10. Add a 4th Child

  11. Add a 5th Child

  12. Add a 6th Child

  13. Add a 7th Child

  14. Add an 8th Child

  15. Basis for Court Involvement:

    This is found in the caption of the Complaint.

  16. Check all that apply*

  17. Type of Hearing: Contested Legal Custody

  18. File-stamped date on your JE of Appointment

  19. Prior CASA/GAL Report(s) Filed

    If you have written a prior report for this case (same case number) check "yes." You most likely wrote a report for the Adjudication/Disposition Hearing.

  20. CASA/GAL has Attended all Hearings since Appointment*

    The initial emergency shelter care hearing does not count as the CASA was not yet appointed. If a CASA Staff Attorney covered a hearing for you, you must answer no.

  21. Add Missed Hearing Date 2

  22. Add Missed Hearing Date 3

  23. Add Missed Hearing Date 4

  24. Add Missed Hearing Date 5

  25. Add Missed Hearing Date 6

  26. Documents Reviewed Since Last GAL Report:

  27. Add Document 2

  28. Add Document 3

  29. Add Document 4

  30. Add Document 5

  31. Add Document 6

  32. Add Document 7

  33. Add Document 8

  34. Add Document 9

  35. Add Document 10

  36. Placement History:

  37. Type "All Children" if all of the children were moved to the same home at the same time.

  38. Add Placement 2

  39. Type "All Children" if all of the children were moved to the same home at the same time.

  40. Add Placement 3

  41. Type "All Children" if all of the children were moved to the same home at the same time.

  42. Add Placement 4

  43. Type "All Children" if all of the children were moved to the same home at the same time.

  44. Add Placement 5

  45. Type "All Children" if all of the children were moved to the same home at the same time.

  46. Add Placement 6

  47. Type "All Children" if all of the children were moved to the same home at the same time.

  48. Add Placement 7

  49. Type "All Children" if all of the children were moved to the same home at the same time.

  50. Add Placement 8

  51. Type "All Children" if all of the children were moved to the same home at the same time.

  52. Add Placement 9

  53. Type "All Children" if all of the children were moved to the same home at the same time.

  54. Add Placement 10

  55. Add Placement 11

  56. Type "All Children" if all of the children were moved to the same home at the same time.

  57. Add Placement 12

  58. Type "All Children" if all of the children were moved to the same home at the same time.

  59. Add Placement 13

  60. Type "All Children" if all of the children were moved to the same home at the same time.

  61. Add Placement 14

  62. Type "All Children" if all of the children were moved to the same home at the same time.

  63. Add Placement 15

  64. Type "All Children" if all of the children were moved to the same home at the same time.

  65. Persons Interviewed Since Last GAL Report:

    List all the people you have interviewed and their relationship to the child(ren) involved on the case. Be sure to include CASA children interviewed or observed.

  66. Add Person Interviewed 2

  67. Add Person Interviewed 3

  68. Add Person Interviewed 4

  69. Add Person Interviewed 5

  70. Add Person Interviewed 6

  71. Add Person Interviewed 7

  72. Add Person Interviewed 8

  73. Add Person Interviewed 9

  74. Add Person Interviewed 10

  75. Add Person Interviewed 11

  76. Add Person Interviewed 12

  77. Add Person Interviewed 13

  78. Add Person Interviewed 14

  79. Add Person Interviewed 15

  80. Add Person Interviewed 16

  81. Add Person Interviewed 17

  82. Add Person Interviewed 18

  83. Add Person Interviewed 19

  84. Add Person Interviewed 20

  85. Add Person Interviewed 21

  86. Add Person Interviewed 22

  87. Add Person Interviewed 23

  88. Add Person Interviewed 24

  89. Add Person Interviewed 25

  90. Attempted Contacts - Unsuccessful:

    List any parties you have tried unsuccessfully to interview and put in your attempts to reach these parties.

  91. Add Attempted Contacts - Unsuccessful 2

  92. Add Attempted Contacts - Unsuccessful 3

  93. Add Attempted Contacts - Unsuccessful 4

  94. Add Attempted Contacts - Unsuccessful 5

  95. Add Attempted Contacts - Unsuccessful 6

  96. Add Attempted Contacts - Unsuccessful 7

  97. Add Attempted Contacts - Unsuccessful 8

  98. Add Attempted Contacts - Unsuccessful 9

  99. Add Attempted Contacts - Unsuccessful 10

  100. Add Attempted Contacts - Unsuccessful 11

  101. Add Attempted Contacts - Unsuccessful 12

  102. Add Attempted Contacts - Unsuccessful 13

  103. Add Attempted Contacts - Unsuccessful 14

  104. Add Attempted Contacts - Unsuccessful 15

  105. Dates of Contact with Child:

  106. Type "All Children" if you saw all of the children at the same time.

  107. Add Date of Contact 2

  108. Add Date of Contact 3

  109. Add Date of Contact 4

  110. Add Date of Contact 5

  111. Add Date of Contact 6

  112. Add Date of Contact 7

  113. Add Date of Contact 8

  114. Add Date of Contact 9

  115. Add Date of Contact 10

  116. Add Date of Contact 11

  117. Add Date of Contact 12

  118. Add Date of Contact 13

  119. Add Date of Contact 14

  120. Add Date of Contact 15

  121. Add Date of Contact 16

  122. Add Date of Contact 17

  123. Add Date of Contact 18

  124. Add Date of Contact 19

  125. Add Date of Contact 20

  126. Add Date of Contact 21

  127. Add Date of Contact 22

  128. Add Date of Contact 23

  129. Add Date of Contact 24

  130. Add Date of Contact 25

  131. Add Date of Contact 26

  132. Add Date of Contact 27

  133. Add Date of Contact 28

  134. Add Date of Contact 29

  135. Add Date of Contact 30

  136. Add Date of Contact 31

  137. Add Date of Contact 32

  138. Add Date of Contact 33

  139. Add Date of Contact 34

  140. Add Date of Contact 35

  141. Add Date of Contact 36

  142. Add Date of Contact 37

  143. Add Date of Contact 38

  144. Add Date of Contact 39

  145. Add Date of Contact 40

  146. Child(ren)'s Well Being (as of this writing):

    Write in complete sentences in the comment section.

  147. Physical Health*

  148. Are Children on Target Developmentally?*

  149. Mental Health*

  150. Process*

    Do the children understand the situation?

  151. Safety*

    Do the children feel safe in their current environment?

  152. Financial Needs or Special Financial Circumstances*

  153. Are Children Visiting Parents, Siblings and Appropriate Relatives?*

  154. Has LCCS Arranged Case Plan Services?*

  155. Are Parties in Compliance with Court Orders?*

  156. This is a fact-based narrative section. Include each parent and child's progress toward permanency. Do not include a Case History or Recommendations and please do not repeat information.

  157. School Status:

    Include each child, whether they are in school or not.

  158. School Type*

  159. Is the child age appropriate for the grade?

  160. Did the school change after removal?

  161. If in high school, is the teen on target toward graduation?

  162. Since removal, grades have:

  163. This box is for comments regarding grade level, absences, grades, behavior, socialization, suspensions/expulsions, IEP or testing needed, etc.

  164. Add Child School Status 2

  165. School Type 2

  166. Is the child age appropriate for the grade? 2

  167. Did the school change after removal? 2

  168. If in high school, is the teen on target toward graduation? 2

  169. Since removal, grades have: 2

  170. This box is for comments regarding grade level, absences, grades, behavior, socialization, suspensions/expulsions, IEP or testing needed, etc.

  171. Add Child School Status 3

  172. School Type 3

  173. Is the child age appropriate for the grade? 3

  174. Did the school change after removal? 3

  175. If in high school, is the teen on target toward graduation? 3

  176. Since removal, grades have: 3

  177. This box is for comments regarding grade level, absences, grades, behavior, socialization, suspensions/expulsions, IEP or testing needed, etc.

  178. Add Child School Status 4

  179. School Type 4

  180. Is the child age appropriate for the grade? 4

  181. Did the school change after removal? 4

  182. If in high school, is the teen on target toward graduation? 4

  183. Since removal, grades have: 4

  184. This box is for comments regarding grade level, absences, grades, behavior, socialization, suspensions/expulsions, IEP or testing needed, etc.

  185. Add Child School Status 5

  186. School Type 5

  187. Is the child age appropriate for the grade? 5

  188. Did the school change after removal? 5

  189. If in high school, is the teen on target toward graduation? 5

  190. Since removal, grades have: 5

  191. This box is for comments regarding grade level, absences, grades, behavior, socialization, suspensions/expulsions, IEP or testing needed, etc.

  192. Add Child School Status 6

  193. School Type 6

  194. Is the child age appropriate for the grade?

  195. Did the school change after removal? 6

  196. If in high school, is the teen on target toward graduation? 6

  197. Since removal, grades have: 6

  198. This box is for comments regarding grade level, absences, grades, behavior, socialization, suspensions/expulsions, IEP or testing needed, etc.

  199. Add Child School Status 7

  200. School Type 7

  201. Is the child age appropriate for the grade? 7

  202. Did the school change after removal? 7

  203. If in high school, is the teen on target toward graduation? 7

  204. Since removal, grades have: 7

  205. This box is for comments regarding grade level, absences, grades, behavior, socialization, suspensions/expulsions, IEP or testing needed, etc.

  206. Add Child School Status 8

  207. School Type 8

  208. Is the child age appropriate for the grade? 8

  209. Did the school change after removal? 8

  210. If in high school, is the teen on target toward graduation? 8

  211. Since removal, grades have: 8

  212. This box is for comments regarding grade level, absences, grades, behavior, socialization, suspensions/expulsions, IEP or testing needed, etc.

  213. You must ask each child on your case, individually and in private, what the child wants regarding placement and permanence. The child's wishes may be different than your recommendations, but his or her wishes, as stated to you, must be reported in this section. You may quote the child. Example: "Johnny stated to me, 'I want to live with Mommy if her boyfriend moves out.'"

  214. Number each recommendation. Write each recommendation on its own separate line. Custody must be addressed as the first recommendation.

  215. In addition, the CASA/GAL requests the Court restrict access and place this report under seal to preserve the privacy, confidentiality, and safety of the parties and the best interests of the child(ren).

  216. REMINDER: Email individual photos of each child to the CASA office identifying what each child is wearing so we know which child belongs to which picture.

  217. By checking this box, I attest that I am the aforementioned CASA/GAL and this report is my work product.*

  218. Leave This Blank:

  219. This field is not part of the form submission.