New Hampshire > Statewide > Family Division > Juvenile Abuse And Neglect
Notice Of Intent To Mediate NHJB-2542-DF - New Hampshire
| Notice Of Intent To Mediate Form. This is a New Hampshire form and can be used in Juvenile Abuse And Neglect Family Division Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) NOTICE OF INTENT TO MEDIATE Abuse/Neglect Minor guardianship Termination of Parental Rights NOW COMES THE BIRTH PARENT(S) OR LEGAL PARENT(S), AND HEREBY STATE AS FOLLOWS: · I am currently involved in a case in which DCYF is a party. · I have agreed to engage in the process of voluntarily mediated adoption under RSA 170-B:14. · My agreement to participate in the mediation process shall not be construed as an agreement to the adoption of my child(ren) but merely an agreement to engage in the mediation process. · By signing this notice of intent to mediate, I am not waiving my right to contest the underlying claims against me nor am I waiving any right to contest the adoption of my child(ren) if the matter does not settle in mediation. · By signing this notice of my intent to mediate I am requesting only that the Court schedule the matter for mediation. · By signing this notice of intent to mediate I am consenting to have the prospective adoptive parents be considered parties to the mediation and to receive notice of when the mediation shall take place so they may attend the mediation session. · By signing this notice of intent to mediate I am agreeing to participate in the mediation in good faith. Date Birth Parent or Legal Parent Counsel for Birth or Legal Parent Date Birth Parent or Legal Parent Counsel for Birth or Legal Parent So Ordered: Date Signature of Judge NHJB-2542-F (10/15/2008) American LegalNet, Inc. www.FormsWorkFlow.com
|
|||||||
