1.
I, (name): , declare that if I appeared in court and were sworn, I would
testify to the truth of the facts in this declaration.
a.
7. I have completed
Form Adopted for Mandatory Use
Judicial Council of California
FL-325 [Rev. Jan. 1, 2020]
DECLARATION OF COURT-CONNECTED CHILD CUSTODY
EVALUATOR REGARDING QUALIFICATIONS
Family Code, §§ 1816, 3110.5;
Cal. Rules of Court, rules 5.225, 5.230
www.courts.ca.gov
Page 1 of 2
I am licensed as a psychologist, marriage and family therapist, clinical social worker, or professional clinical counselor
qualified to assess couples and families; or
I am not licensed, but I am eligible to be certified by the court to perform court-connected child custody evaluations
under Family Code section 3110.5(c)(5) and rule 5.225(c)(2)(A) because
a.
b.
I meet the requirements for a court-connected child custody evaluator under rule 5.225(j); and
I am not licensed or eligible for certification as indicated in item 4 or 5.
I request that the court certify that I meet all the requirements for a court-connected evaluator under rule 5.225.
(1)
(2)
NOTICE: If item 6 is checked, the court may not appoint the person to perform a child custody evaluation in this
case unless, under Family Code section 3110.5(d) and rule 5.225(c)(2)(B), all the following criteria have been met:
The court determined that there are no licensed or certified evaluators who are willing and available, within a
reasonable period of time, to perform child custody evaluations;
(1)
EVALUATOR (name and address):
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS (optional):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
DECLARATION OF COURT-CONNECTED CHILD CUSTODY
EVALUATOR REGARDING QUALIFICATIONS
FOR COURT USE ONLY
FL-325
2.
As of (date): , I am a court-connected child custody evaluator or a person who supervises court-
connected child custody evaluators for the above court.
3. I submit this form to indicate compliance with all applicable requirements for a court-connected child custody evaluator under rule
5.225 of the California Rules of Court for (specify year): .
LICENSING REQUIREMENTS
4.
b. I am licensed as a physician and I am a board-certified psychiatrist, or I have completed a residency in psychiatry; or
5.
I am being supervised by a court-connected child custody evaluator who has complied with all the requirements for
court-connected child custody evaluators under rule 5.225; and
6.
The parties have stipulated that the person may conduct the child custody evaluation; and
(2)
The court approves the person's appointment.
(3)
EDUCATION AND TRAINING REQUIREMENTS
the basic and advanced domestic violence training requirements for a court-connected child custody evaluator under
rule 5.225(e); and
a.
b.
the 40 hours of education and training requirements for a court-connected evaluator under rule 5.225(d); or
at least 20 of the 40 hours of the education and training requirements for a court-connected evaluator. I will complete the
remaining hours of education and training required by rule 5.225(d) within 12 months of conducting my first evaluation
as a court-connected child custody evaluator.
c.
CONTINUING EDUCATION AND TRAINING REQUIREMENTS
I have recently completed the initial education and training in item 7. I must complete the continuing education and
training requirements of rule 5.225(i) by (specify date): (within 18 months
after completing the initial education and training described in items 7a and 7b).
a.
8.
