ATTORNEY OR PARTY WITHOUT ATTORNEY (Name & Address): TELEPHONE NO: FOR COURT USE ONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF LASSEN Hall of Justice 2610 Riverside Drive Susanville, CA 96130 (530) 251-8205 PETITIONER/PLAINTIFF(S): RESPONDENT/DEFENDANT(S): FAMILY LAW CASE MANAGEMENT: STATUS CONFERENCE STATEMENT CASE NUMBER: STATUS CONFERENCE DATE: _______________ TIME: _______________ DEPT: _______________ NOTICE: You must file this document at least five (5) calendar days before the hearing date listed above. 1. I am: (a) [ ] attorney for (b) [ ] self-represented petitioner or [ ] self-represented respondent represented by an attorney. [ ] petitioner or [ ] respondent Opposing attorney or self-represented party's name, address, and telephone number is: Name: _____________________________________ Representative: _________________________ Address: __________________________________________________________________________ [ ] Additional parties and representative information attached. Phone: _____________________________________________________________ The other party [ ] is [ ] is not (c) [ ] other (explain): _________________________________________________________ 2. NATURE OF CASE a. Have the parties reconciled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [ ] Yes b. Has the Respondent been served with the Summons and Petition . . . . . . . ...[ ] Yes c. Do the parties expect to make an agreement . . . . . . . . . . . . . . . . . . . . . . . . . [ ] Yes [ ] No d. Has this case settled . . . . . . . . . . . . . . . [ ] Yes [ ] No [ ] No [ ] No Judgment will be filed on/before: ________ e. Parties working on an agreement and request the CMC be continued . . . . . . [ ] Yes [ ] No LSC Form 1A Page 1 of 3 Mandatory Form, Effective 01/01/2013 American LegalNet, Inc. www.FormsWorkFlow.com f. Has the Petitioner served Respondent with Disclosure Documents . . . . . . . . [ ] Yes [ ] No g. Has the Respondent served Petitioner with Disclosure Documents . . . . . . . . .[ ] Yes [ ] No h. Have the parties had a meeting to try and settle all issues . . . . . . . . . . . . . . . .[ ] Yes [ ] No i. Are the parties involved in any private mediation . . . . . . . . . . . . . . . . . . . . . . [ ] Yes [ ] No 3. ISSUES. This case involves the following issues (check all that apply): a. CHILD CUSTODY/VISITATION has been [ ] resolved by agreement [ ] resolved by Court Order [ ] still pending and the next hearing date is _____________ [ ] still pending and there is no hearing date set. b. CHILD SUPPORT has been [ ] resolved by agreement [ ] resolved by Court Order [ ] still pending and the next hearing date is _____________ [ ] still pending and there is no hearing date set. c. SPOUSAL SUPPORT has been [ ] resolved by agreement [ ] resolved by Court Order [ ] still pending and the next hearing date is _____________ [ ] still pending and there is no hearing date set. d. DIVISION OF ASSETS has been [ ] resolved by agreement [ ] resolved by Court Order [ ] still pending and the next hearing date is _____________ [ ] still pending and there is no hearing date set. e. DIVISION OF DEBTS has been [ ] resolved by agreement [ ] resolved by Court Order [ ] still pending and the next hearing date is _____________ [ ] still pending and there is no hearing date set. f. ATTORNEY'S FEES & COSTS have been [ ] resolved by agreement [ ] resolved by Court Order [ ] still pending and the next hearing date is _____________ [ ] still pending and there is no hearing date set. 4. TRIAL READINESS. I [ ] am [ ] am not ready for trial. a. If not ready for trial, when will you be ready (date): __________________________ b. If ready for trial, this case will take _____ [ ] days [ ] hours to complete. c. If ready for trial, what dates are you unavailable for trial: ___________________________________ ________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ 5. ADDITIONAL INFORMATION:_________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ ________________________________________________________________________________________ LSC Form 1A Page 2 of 3 Mandatory Form, Effective 01/01/2013 American LegalNet, Inc. www.FormsWorkFlow.com NOTICE: You must file this document at least five (5) calendar days before the hearing date listed on the first page. I declare under penalty of perjury under the Laws of the State of California that the foregoing is true and correct. DATE SIGNATURE OF PARTY OR PARTY'S ATTORNEY TYPE OR PRINT NAME LSC Form 1A Page 3 of 3 Mandatory Form, Effective 01/01/2013 American LegalNet, Inc. www.FormsWorkFlow.com