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Chapter 18

Form 18-4

Include the following notice if a minor is named in the caption or if the notice of intent contains other unredacted sensitive data. See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents.

NOTICE: THIS DOCUMENT
CONTAINS SENSITIVE DATA

[Caption. See § 3 of the Introduction in volume 1 of this manual.]

Notice of Intent to Refer Dispute to Mediation

On [date] the Court considered the Motion for Mediation of [name of movant], Movant. The Court has determined that this dispute is appropriate for referral to mediation.

If no written objection to the referral is filed by [date at least ten days after other party will receive this notice], an order referring the dispute to mediation will be rendered. If a writ­ten objection is filed before that date, the Court will set a hearing on the motion.

SIGNED on ________________________________.

   
JUDGE PRESIDING