Free LOCAL FORMS - California


File Size: 22.4 kB
Pages: 1
Date: February 10, 2009
File Format: PDF
State: California
Category: Court Forms - Local
Author: jacortez
Word Count: 155 Words, 1,116 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.imperial.courts.ca.gov/Forms/FL-02.pdf

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Superior Court of California, County of Imperial

Superior Court of California, County of Imperial
In Re: ) ) ) ) ) ) ) ) ) ) ) ) )

Petitioner, and

Case No. Order of Referral to Mediation

Respondent

IT IS ORDERED that the parties are referred to: . for the mediation related to:

CUSTODY
Party Request: PETIONER RESPONDENT

LEGAL

JOINT

SOLE

PHYSICAL


ALTERNATE WEEKENDS


EVERY WEEKEND




WEEKDAYS SUMMER HOLIDAYS OTHER SPECIFY

VISITATION
Party Request: 1 RESPONDENT 15 PETIONER













A hearing is set on Centro.
Date

at 8:30 a.m. in Department

of the Superior Court, 939 Main Street, El

Judge of the Superior Court

Please provide the following information. Use Post Office Box if domestic violence is an issue. PETITIONER'S INFORMATION: Name Address City/St/Zip Home Phone Relationship to Child Attorney Name Address Language
SIGNATURE

RESPONDENT'S Name Address City/St/Zip Home Phone Relationship to Child Attorney Name Address Language
SIGNATURE

INFORMATION

Work . . .

Work

.

FL-02

(adopted 7/01/07)

Referral to Mediation

LOCAL RULE 5.3

FORM APPROVED FOR MANDATORY USE