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Include the following notice if a minor is named in the caption or if the response 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.]
Response to Objection to Referral to Mediation Based on Family Violence
This Response to Objection to Referral to Mediation Based on Family Violence is brought by [name of person seeking mediation]. In support, [name] shows:
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Select one of the following. |
There has been no family violence; therefore, mediation should occur.
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Or |
Despite the allegation of family violence, mediation should occur, and the Court should order appropriate measures to be taken to ensure the physical and emotional safety of the parties.
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Continue with the following. |
[Name] prays that the Court set a hearing on this matter.
[Name] prays that the Court grant the relief requested in this response.
[Name]
Attorney for [name]
State Bar No.:
[Email address]
[Address]
[Telephone]
[Fax]
Notice of Hearing
The above Response to Objection to Referral for Mediation based on Family Violence is set for hearing on __________________ at ____________ __.m. in [designation and location of court].
SIGNED on ________________________________.
Judge or Clerk
Certificate of Service
I certify that a true copy of this [document/[title of document]] was served in accordance with rule 21a of the Texas Rules of Civil Procedure on the following on [date]:
[Name of attorney of record or party to be served] by [electronic filing manager/email at [email address]/fax at [fax number]/personal delivery at [address]/commercial delivery service at [address]/certified mail at [address]/first-class mail at [address]]. [Repeat for each attorney of record or party to be served.]
[Name]
Attorney for [name]


