Child Best Interest Factors Checklist
Complete this checklist to assess and document the key factors relevant to the child’s best interest. Please fill out all sections to provide a comprehensive review.
Reviewer Full Name
*
First Name
Last Name
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Case Reference Number
*
Relationship of Reviewer to Child
*
Please Select
Caseworker
Guardian ad Litem
Judge
Foster Parent
Other Professional
Other
Child's Age
*
Best Interest Factors Checklist
*
Rows
Factor Met
Not Met
Not Applicable
Safety and Protection
1
2
3
Emotional Needs
4
5
6
Stability and Continuity
7
8
9
Family Relationships
10
11
12
Child’s Wishes
13
14
15
Educational Needs
16
17
18
Level of Concern (Overall)
*
No Concern
1
2
3
4
Severe Concern
5
1 is No Concern, 5 is Severe Concern
Observations and Comments
*
Specific Concerns Identified
*
Overall Recommendation
*
Submit Checklist
Should be Empty: