Family Court Services Mediation Intake Form {FAM 012}

LASC FAM 012 - FAMILY COURT SERVICES MEDIATION INTAKE FORM. This form is completed by each party before attending child custody and visitation mediation in Los Angeles County. The form collects essential background information, including parent contact details, interpreter needs, completion of the “Our Children First” orientation, and whether a separate interview is requested due to domestic violence or a restraining order. It also requires information about the children involved, current living arrangements, and any history of abuse, DCFS involvement, criminal or juvenile court cases, or custody evaluations. The form must be submitted to Family Court Services before mediation, and all information is confidential except in mandated reporting situations. For Mandatory Use. www.FormsWorkflow.com