STAUNTON, AUGUSTA COUNTY AND WAYNESBORO JUVENILE AND DOMESTIC RELATIONS DISTRICT COURTS Guardian Ad Litem Checklist CASE NO: IN RE: DOB: COURT DATE: The court expects all Guardians ad Litem to fully and faithfully fulfill their role in accordance with the guidelines and rules promulgated by the Virginia State Bar and the Supreme Court. The Court has a responsibility to the children and families before it to insure such compliance. In order to do so, the Courts have adopted the following checklist which is to be appended to any Guardian ad Litem time sheet when submitted to the Court. Guardians. ad Litem are to check off and date only those items that apply for the time period covered by the time sheet being submitted. Notwithstanding the checklist, the Court expects the Guardian ad Litem to fulfill the following duties in every case at every stage in the proceedings: 1. Ensure the child’s attendance at all proceedings where such would be appropriate and/or mandated. 2. Appear in Court for all hearings prepared to fully and vigorously represent the child’s interests. 3. Prepare the child to testify if necessary and appropriate and in accordance with the child’s interest and welfare. 4, Advise the child, in terms the child can understand, of the Court’s decision and its consequences for the child and others in the child’s life. DATE: o Meet face to face with and interview the child, o Review Court records.a Review social services records. a Review medical records. a Review mental health records. | 5 ____ Review schoo! records. a Contact social worker. eae Interview parents. | oO Communicate role and responsibilities of | Guardian ad Litem to parents. | a Contact current caretaker. a Contact relatives. a Interview school personnel a _________ Interview health care providers. a Interview mental health providers. For ail hearings, advised the child, in terms the child can understand: oO .¢ nature of the current proceedings. o The child’s rights, 0 The role and responsibility of the Guardian ad Litem. a _. The Court process. a The possible consequences and outcomes of the hearing, Submitted by: Date: Guardian ad Litem