IN THE DISTRICT OF THE FIRST JUDICIAL DISTRICT OF THE STATE OF IDAHO,
IN AND FOR THE COUNTY OF XXXXXXXX MAGISTRATE DIVISION

Photo of child/children

In the Matter of:	) )	Case no. CV
Name of child, DOB:	)
)	Adjudicatory Report of the Guardian ad Litem
A child under 18 years of age	)

Referral:

Guardian ad Litem Recommendations:

Legal custody

Legal custody with extended home visits

Protective supervision

Dismiss the case

Additional Recommendations:

Expressed Wishes for Each Child:

Child is not capable of expressing wishes.

Child is capable of expressing wishes.

Question asked:

Answer provided:

Comments:

Guardian ad Litem Concerns:

Child Well-being

Child Contacted

Visitation

Education for Each Child

Medical for Each Child

Current Services for Each Child

Current Placement for Each Child

Child(ren) was/were originally removed on XX/XX/XXXX

Child(ren) has/have been placed X time(s) since initial removal.

Current placement type: Relative OR Non-Relative

Comments:

Legal Cases Involving Child

Parents’ Situation:

Mother

Father

Persons Contacted:

Collateral information

Documents Reviewed:

CERTIFICATION UNDER PENALTY OF PERJURY

I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct to the best of my knowledge.

Respectfully submitted this XX day of XXXXX, XXXX:

/s/

Name

Guardian ad Litem