Family Court Services Confidential Mediation Form (English) {FCS047}

LASC FSC 047 - FAMILY COURT SERVICESCONFIDENTIAL MEDIATION FORM. This form is completed by each parent before a scheduled child custody mediation in Los Angeles County. The form gathers confidential information about the parents, children, custody concerns, and any history of domestic violence, protective orders, DCFS involvement, or related court cases. It allows a parent to request separate interviews if there is a history of abuse. Parents must confirm their mediation appointment online at least five days before the scheduled date or submit the form by mail. The form also asks parents to outline their proposed custody and visitation plan. Mediation records, including this form, are confidential except in cases of mandated reporting. For Mandatory Use. www.FormsWorkflow.com