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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.:
[E-mail address]
[Address]
[Telephone]
[Fax]

Include certificate of conference if required by local rules.

Notice of Hearing

The above 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/e-mail at [e-mail 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]