North Carolina > Local County > Stanly, Union (District 20B)
Motion For Exemption From Mediation And The Parenting Apart Program Form Med-E - North Carolina
| Motion For Exemption From Mediation And The Parenting Apart Program Form. This is a North Carolina form and can be used in Stanly, Union (District 20B) Local County . |
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NORT H CAROL INA IN THE GENERAL COURT OF JUSTICE __________________ COUNTY DISTRICT COURT DIV ISION File No. ___-CVD-_______ ______________________________ ) Plaintiff ) ) M OTION FOR EXEMP TION ) FR OM ME DIATION AND THE vs. ) PARE NT ING APART PR OGRA M ) ) ______________________________ ) Defendant ) Pursuant to G.S. 50-13.1, the undersigned attorney/party request a waiver of court ordered custody/visitation mediation and the Parenting Apart Program based upon the following reason(s): _____ 1. The parties have agreed to voluntary private mediation. _____ 2. The party resides more than 75 miles from the court. _____ 3. There are allegations of abuse or neglect of the minor child. _____ 4. There are allegations of alcoholism, drug abuse, or domestic violence. _____ 5. There are allegations of severe psychological, psychiatric or emotional problems. _____ 6. Other good cause The facts upon which this request for waiver is based are so follows: This is the _______________________day of __________________, 200__. __________________________ ______________________________ Date Signature of Filing Party Copy to: _____ Plaintiff or Plaintiffs Attorney _____ Custody Mediator _____ Defendant or Defendants Attorney _____ Case Manager Original shall be filed with the Clerks Office. FORM Med-e American LegalNet, Inc. www.USCourtForms.com
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