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Acknowledgement And Guidelines For A Support Person FCS-3 - California
| Acknowledgement And Guidelines For A Support Person Form. This is a California form and can be used in Family San Mateo Local County . |
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO Hall of Justice and Records 400 County Center, 6th Floor Redwood City, CA 94063-1655 FAMILY COURT SERVICES www.sanmateocourt.org JOHN FITTON COURT EXECUTIVE OFFICER CLERK & JURY COMMISSIONER TEL. (650) 363-4561 FAX (650) 363-4966 ACKNOWLEDGEMENT AND GUIDELINES FOR A SUPPORT PERSON My presence in mediation is being requested by ___________________________________. Following California Family Code 6303, it is the function of a support person to provide moral and emotional support for a person who alleges he or she is a victim of domestic violence. Local policy also asks that I acknowledge and certify that I am at least eighteen years of age and I am not the attorney of record for either party. I understand that mediation is a confidential process, designed to assist parents in reaching a reasonable plan regarding custody and visitation, and to encourage cooperative parenting. As a support person, I agree and state law mandate that the confidentiality of the mediation binds me. While my presence in mediation is important, I recognize that mediation can often be a very emotional experience. I may excuse myself from the mediation session at any time. However, once excused, I may not return for any portion of that session. A mediator may exclude me from a mediation session if I, as the support person, participate in the mediation session, act as an advocate, or if my presence is disruptive to the mediation process. I agree to not speak or offer any comment to the mediator or advice to the parent. My signature indicates an understanding of my role as a support person and I accept and acknowledge the above guidelines. Signature_____________________________________________ Date _______________ Name (Please print)___________________________________________________________ Address____________________________________________________________________ City_____________________________________State_________ZipCode_______________ Relationship to client _____________________________________ Form adopted for Mandatory Use Local Court Form FCS-3 [New Oct2005] ACKNOWLEGEMENT GUIDELINES FOR SUPPORT PERSON FamC. ยง 6303 www.sanmateocourt.org American LegalNet, Inc. www.FormsWorkFlow.com
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