Order For Child Custody Evaluation Form
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2CAUSE NO. ___________________
_________________________________
*
IN THE DISTRICT COURT OF
_________________________________
*
HARRIS COUNTY, TEXAS
_________________________________
*
_______TH JUDICIAL DISTRICT
ORDER FOR CHILD CUSTODY EVALUATION
The Court finds that a child custody evaluation would be of assistance to the Court, the evaluation is
in the best interest of the child(ren), and that good cause has been shown for the appointment of an
evaluator. Therefore, it is ORDERED that the Harris County Domestic Relations Office is appointed to
prepare a child custody evaluation regarding the circumstances and condition of: (1) the child(ren); (2) each
party; and (3) the residence of any person requesting conservatorship of, possession of, or access to the
child(ren) of this suit. The Court finds that evaluators employed by or under contract with the Harris County
Domestic Relations Office are qualified to conduct child custody evaluations pursuant to Section
107.104(b)(3). The evaluation shall follow the requirements contained in Chapter 107, Subchapter D, Texas
Family Code.
P
: _________________________________
R
: _____________________________
ETITIONER
ESPONDENT
Address ____________________________________
Address __________________________________
City __________________ Zip Code _____________
City ____________________ Zip Code _________
Phone (H) _______________ (C) ________________
Phone (H) ______________ (C) _______________
Employer ___________________________________
Employer _________________________________
Phone (W) _______________ DOB: ______________ Phone (W) ______________ DOB _____________
E-mail ______________________________________ E-mail ___________________________________
Relationship to Child __________________________
Relationship to Child ________________________
I
(
): ______________________________
NTERVENOR
S
Address ____________________________________
City _____________________ Zip Code __________
Phone (H) _______________ (C) ________________
Employer ___________________________________
Phone (W) _______________ DOB: ______________
E-mail ______________________________________
Relationship to Child __________________________
The Domestic Relations Office is authorized to collect a reasonable fee pursuant to Section 107.115,
Texas Family Code. Using the sliding scale fee below, each party is ORDERED to pay their fee to the Harris
County Domestic Relations Office, 1310 Prairie, Suite 700, Houston, Texas 77002 within ten (10) days of this
Order. Preparation of the evaluation shall commence when all fees are paid in full.
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