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Information For Scheduling Mediation Prior To Trial Setting 50 - Florida
| Information For Scheduling Mediation Prior To Trial Setting Form. This is a Florida form and can be used in Mediation Orange Local County . |
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INFORMATION FOR SCHEDULING MEDIATION PRIOR TO TRIAL SETTING Date: _______________ TYPE OF CASE: _____ DIVORCE Case No: _________________ _____ PATERNITY Div. No.: _______ _____ MODIFICATION _____ TEMPORARY ____________OTHER (SPECIFY). CERTIFIED BY THE CLERK AS INDIGENT: __Petitioner __ Respondent PETITIONER: _____________________________ (Please circle) Mr. Mrs. Ms. PETITIONERS ANNUAL INCOME $___________ ATTORNEY: _____________________________ Address for attorney or if no attorney, RESPONDENT:_____________________________ (Please circle) Mr. Mrs. Ms. RESPONDENTS ANNUAL INCOME $____________ ATTORNEY: ________________________________ Address for attorney or if no attorney, your address: your address ADDRESS: _____________________________ ADDRESS: _________________________________ ___________________________________________ DAYTIME TELEPHONE #______________________ FAX NUMBER_______________________________ EMAIL______________________________________ GAL TELEPHONE NO:_________________________ ________________________________________ DAYTIME TELEPHONE #____________________ FAX NUMBER_____________________________ EMAIL:___________________________________ G.A.L. (IF ANY):___________________________ GAL ADDRESS:___________________________________________________________________________ Please check issues: ____ parental responsibility; ____ visitation; _____ child support; ____ alimony; _____ exclusive possession of home; ____ equitable distribution (assets/debts) ______;attorney fees; _______ other______________________________________________________ Has either party ever received any public assistance___Receiving it now? ____ Type:___________ Have you ever been involved with any other family case (different case #) with this party?_______ If so, what is the case number __________________________ State or County of Origin _________ The mediation must be conducted within 30 days unless extended by agreement of parties. You may call the mediation office at (407)836-2004 to obtain a date and time for mediation (preferably with the other side conferenced in, if possible). You may also check the website (left bottom of home page) for Available Dates at NinthCircuit.org By signing this form I am declaring that to the best of my knowledge there is no significant violence or substance abuse which would impede the mediation process. (If you feel that you will not be able to make decisions without being intimidated by the other party, please call us at (407) 836-2004). Please FAX this Information Form to (407) 836-2367 or mail to 425 N. Orange Avenue Room 120, Orlando, FL 32801 _______________________________ SIGNATURE cc: ___ Respondent (or Att'y) ____ Petitioner (or Att'y) cc: ___ Domestic Clerk Rev. Form 50 (11/07) *This Form 50 may expire in 30 days at which time it may be discarded. After that you may need to refile. American LegalNet, Inc. www.FormsWorkflow.com
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