Fill and Sign the Petitionerplaintiffs Andor Co Petitionerrespondentdefendantss Requests an Exemption from Form

JDF 608 R8/17 MOTION RE: EXEMPTION FROM MEDIATION/ADR ORDER ©2017 Colorado Judicial Department for use in the Courts of Colorado District Court Denver Juvenile Court________________________________ County, ColoradoCourt Address:In re:The Marriage of: The Civil Union of:Parental Responsibilities concerning:______________________________________________________Petitioner/Plaintiff(s):andCo-Petitioner/Respondent/Defendant(s): COURT USE ONLYAttorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg. #:Case Number:Division Courtroom MOTION RE: EXEMPTION FROM MEDIATION/ADR ORDER The Petitioner/Plaintiff(s) and/or Co-Petitioner/Respondent/Defendants(s) request(s) an exemption from Mediation/ADR in this case, for the following reason(s): The parties attempted mediation or ADR _________________________ (specify ADR process) on __________________________ (date) and believe that additional mediation or ADR would not be useful. The Petitioner/Plaintiff or Co-Petitioner/Respondent/Defendant is unwilling to enter into mediation services or dispute resolution programs because she/he is the victim of physical or psychological abuse by the other party.Mediation or ADR is not appropriate in this case because: ____________________________________________________________________________________ ____________________________________________________________________________________ ________________________________________________________________________________  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form.(Checking this box requires you to remove JDF number and copyright at the bottom of the form.)______________________________________ _____________________________________________Petitioner/Plaintiff Date Co-Petitioner/Respondent/Defendant Date______________________________________ ____ _________________________________________________Petitioner’s/Plaintiff’s Attorney Signature, if any Co-Petitioner/Respondent’s/Defendant’s Attorney Signature, if any CERTIFICATE OF SERVICE (Required if only one of the parties is filing the Motion.) I certify that on ________________________ (date) the original was filed with the Court; and, a true and accurate copy of the Motion re: Exemption from Mediation/ADR Order was served on the other party by:Hand Delivery E-filed Faxed to this number ___________________ or by placing it in the United States mail, postage pre-paid, and addressed to the following:To: _____________________________________ _____________________________________ __________________________________ Your Signature