New Hampshire > Statewide > Family Division > Juvenile Abuse And Neglect
Agreement To Participate In Mediation NHJB-2543-DF - New Hampshire
| Agreement To Participate In Mediation Form. This is a New Hampshire form and can be used in Juvenile Abuse And Neglect Family Division Statewide . |
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THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) AGREEMENT TO PARTICIPATE IN MEDIATION Abuse/Neglect Minor guardianship Termination of Parental Rights NOW COMES THE DIVISION FOR CHILDREN, YOUTH AND FAMILIES ("DCYF") AND THE PROSPECTIVE ADOPTIVE PARENT(S) OF THE MINOR CHILD(REN) IN THE ABOVE CAPTIONED MATTER, BY AND THROUGH DCYF, AND HEREBY STATE AS FOLLOWS: 1. DCYF is a party in the above captioned matter involving: and/or Birth or Legal parent Birth or Legal Parent 2. DCYF and the prospective adoptive parents agree to participate as parties in the mediation session requested by the birth parent(s)/legal parent(s). 3. DCYF acknowledges that it has notified the child (if 14 years old or older) of the date of the mediation session, and has notified the child that he or she may participate in the mediation process. 4. The child does does not wish to participate in the mediation process. Date Division of Children Youth and Families Date Prospective Adoptive Parent Date Prospective Adoptive Parent Date Child (14 years old or older) Date Signature of Judge American LegalNet, Inc. www.FormsWorkFlow.com NHJB-2543-F (10/15/2008)
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