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Chapter 18

Form 18-7

Include the following notice if a minor is named in the caption or if the objection 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.]

Objection to Referral to Mediation Based on Family Violence

This Objection to Referral to Mediation Based on Family Violence is brought by [name of person objecting to referral to mediation]. In support, [name] shows:

Family violence has been committed against [name]. Therefore, [name] objects to mediation in accordance with [section 6.602(d)/section 153.0071(f)/sections 6.602(d) and 153.0071(f)] of the Texas Family Code.

[Name] prays that the Court deny the Motion for Mediation.

   
[Name]
Attorney for [name]
State Bar No.:
[Email address]
[Address]
[Telephone]
[Fax]

Include certificate of conference if required by local rules.

For certificate of service, see form 21-11.