California > Local County > Santa Clara > Family Law
Waiver Of Right To Individual Sessions FM-1072 - California
| Waiver Of Right To Individual Sessions Form. This is a California form and can be used in Family Law Santa Clara Local County . |
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SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: PETITIONER: 191 North First Street San Jose, CA 95113 FOR COURT USE ONLY RESPONDENT: CASE NUMBER: WAIVER OF RIGHT TO INDIVIDUAL SESSIONS FCS NUMBER: I, (Print your Name) , have declared I am /have been a victim of Domestic Violence, or have a protective order. I have been informed and I understand that I have the option to meet with the mediator separately from the other parent and at separate times. I decline that option and wish to be seen together with the other parent. Signature: Date: I, , have completed the differential Domestic Violence Assessment and have met with the parents separately. Signature: Date: FM-1072 REV 11/25/08 WAIVER OF RIGHT TO INDIVIDUAL SESSIONS Page 1 of 1 American LegalNet, Inc. www.FormsWorkflow.com
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