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Fill and Sign the Directions This Form is to Be Completed by the Parenting Coordinator When Service is Terminated

Fill and Sign the Directions This Form is to Be Completed by the Parenting Coordinator When Service is Terminated

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For Office Use Only Date Received: Date Entered: New Jersey Judiciary PARENTING COORDINATOR CASE INFORMATION FORM Directions: This form is to be completed by the Pare nting Coordinator when service is terminated. Case Docket Number Case Name Name of Parent Coordinator OUTCOME Better Communication between Parents has been achieved Parents continue to be unable to reso lves minor disputes without intervention Non cooperation by one or more parties Other Date Case Assigned to Parenting Coordinator Date of Initial Session Date of Final Session Total Number of Sessions Held Pertaining to Case Service Terminated By Court Order Agreement Between Parties Please Return to: Family Division Or Fax to: Published: 04/2007, CN: 10980-English 1

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The best way to complete and sign your directions this form is to be completed by the parenting coordinator when service is terminated

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