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

Current Status of Case:

Guardian ad Litem Recommendations:

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