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Request For Referral To Child Custody Recommending Counseling And Order Thereon (CCRC) - California

Request For Referral To Child Custody Recommending Counseling And Order Thereon (CCRC) Form. This is a California form and can be used in Family Law Modoc Local County .
 Fillable pdf Last Modified 7/2/2014
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REQUEST FOR REFERRAL TO CHILD CUSTODY RECOMMENDING COUNSELING AND ORDER THEREON The undersigned hereby requests that the Court refer the listed parents, or other interested parties, to the Modoc County Family Law Child Custody Recommending Counselor for child custody/or visitation child custody recommending counseling. NOTE: THE COURT CLERK WILL NOT ACCEPT THIS FORM UNLESS THE FOLLOWING INFORMATION IS FURNISHED IN FULL. Modoc County Court Family Law case number: ____________________________ (you must have an open family law case in Modoc County, to receive Child Custody Recommending Services). Case name: _________________________________________________________ Your name: Relationship to child(ren): Address: Phone number: __________________________________________ __________________________________________ _________________________________________________________________ __________________________________________ Name of other party: Relationship to child(ren): Address: Phone number: __________________________________________ __________________________________________ _________________________________________________________________ __________________________________________ Child(ren) and date of birth: _______________________ _______________________ __________________ __________________ Reason for requesting child custody recommending counseling: _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ DATE:______________________________ SIGNATURE:____________________________________ American LegalNet, Inc. REFERRAL AND ORDER TO CHILD CUSTODY RECOMMENDING COUNSELING The parties are referred to child custody recommending counseling. It is the obligation of the person obtaining this order to immediately obtain two (2) Child Custody Recommending Counseling Orientation Packets and two (2) Child Custody Recommending In Take Forms from the Court Clerk's office and to serve one of the packets and one of the forms, along with a copy of this order, to the other party and on any Counsel that may be involved. A proof of service must filed with the Court confirming the above noted documents have been served on the other party. Both parties are ordered to immediately complete the In Take Form and return it to the Child Custody Recommending Counselor with five (5) days of receipt of the form (unless another due date is designated by the Court). IT IS SO ORDERED. ______________________________________ Date ______________________________________ Superior Court Judge Comments: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ American LegalNet, Inc.
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