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