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Mediation Request - Ohio

Mediation Request Form. This is a Ohio form and can be used in Domestic Relations Medina County (Court Of Common Pleas) .
 Fillable pdf Last Modified 1/15/2009
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SCHEDULE FOR_______/_______/________ @ _________________ ________ SEND NOTICES TO PARTIES IN THE COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS MEDINA COUNTY, OHIO _________________________________ NAME _________________________________ ADDRESS CASE NO.___________________ _________________________________ _________________________________ PHONE PETITIONER/PLAINTIFF JUDGE MARY R. KOVACK MAGISTRATE CAROL CONRAD REITER v. MEDIATION REQUEST __________________________________ NAME __________________________________ ADDRESS __________________________________ __________________________________ PHONE PETITIONER/DEFENDANT 1. 2. 3. I am the ____ Petitioner ____ Plaintiff ____ Defendant in the above case. I am represented by Attorney _________________________. I am requesting mediation of issues involving: _____ Parenting time or visitation _____ Custody _____ Support _____ Property _____ Financial _____ Other ________________________________________________________ 4. The other party is/is not willing and available to participate in mediation. 5. The other party's attorney is ________________________. 6. There are/are no civil protection orders (TPO or CPO) or domestic violence charges between the parties. By submitting this form, I am requesting that the Court set this matter for a mediation conference with the Mediation Magistrate. ________________________________ Signature 1/1/2008 American LegalNet, Inc. www.FormsWorkflow.com
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