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:	)
)	Permanency Report of the Guardian ad Litem
A child under 18 years of age	)

Referral:

Guardian ad Litem Recommendations:

Continued efforts at reunification

Termination of parental rights and adoption

Guardianship

Another planned permanent living arrangement (APPLA) for youth 16 and older

Additional Recommendations/Comments

The GAL offers the following information since the last written report.

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

Legal Cases Involving Child

Parents’ Situation:

Mother

Father

Persons Contacted:

Documents Reviewed Since Last Written Report:

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