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Fill and Sign the Which Form Should You Use Racine County Wisconsin

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FA -5004 V, 05/17 Request for Court Ordered Mediation Page 1 of 1 Request for Court Ordered Mediation NOTICE: Family and divorce laws change often. These forms may not be appropriate for all situations. They are intended to be useful in many cases and may have to be changed in some way to fit your case. Talk to a lawyer if you are unsure that these forms are the most appropriate for your situation. Court staff cannot give legal advice. Th e Request for Court Ordered Mediation (FA -4134 V) form is used to ask the court to order you and the other party to attend mediation when you disagree on legal custody or physical placement of a child. 1. Complete the Request for Court Ordered Mediation (FA -4134 V) form . 2. If a domestic abuse or harassment restraining order or injunction is in effect, attach a copy. 3. If no restraining order or injunction exists between the parties, m ail a copy to the other party . If a restraining order /injunction does exist and you are the respondent in the restraining order/injunction , request that the court notify the other party . 4. Mail or take the form to the court at the address listed on the form . The court will review it, and if appropriate, will order mediation . 5. If ordered, you will receive an Order f or Mediation form and you may receive other instructions as necessary. Follow those instructions , however, if a restraining order or injunction is in effect, contact the court for possible alternate instructions. 6. Go to your scheduled mediation. Procedural Checklist

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