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Include the following notice if a minor is named in the caption or if the order 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.]
Order on Objection to Referral to Mediation Based on Family Violence
On [date] the hearing was conducted on the Objection to Referral to Mediation Based on Family Violence.
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Include appropriate recitations concerning appearances See form 21-15. |
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Select one of the following. |
The Court finds that mediation should not occur. [Include if applicable: The Order of Referral to Mediation signed on [date] is set aside.]
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Or |
The Court finds that mediation should occur. IT IS THEREFORE ORDERED that the mediation shall occur and that the following appropriate measures be taken to ensure the physical and emotional safety of [name of person who filed objection]:
IT IS ORDERED that the parties shall not have face-to-face contact and that the parties shall be placed in separate rooms during the mediation. IT IS FURTHER ORDERED [list the measures that are to be taken to ensure the physical and emotional safety of person who filed objection]. The mediation shall take place at [location] on [date] at ______________ __. m.
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Continue with the following. |
SIGNED on ________________________________.
JUDGE PRESIDING